SlideShare a Scribd company logo
3
Office Sites
700+
Employees
400+
Seats
100%
Dauntless
25+
Lines of
– The Healthcare Industry –
A pioneer in the Health
Maintenance Organisation
industry
with a membership population
of over 1 million
Back-office
Claims processing
Non-Voice Voice
Receivables
Management
Collection of
outstanding payments
The ONET formula for success:
Catering to every need:
ONET
Management
With over 20 years
of experience
 Goals
International
Training
Programs
Personal
Account
Managers
Inbound Contact
Customer care &
procedure approval
Receivables Management
Goal
Strategy
Result
 Efficient collection workflow process
 Timely account endorsement & classification
 Activate the PREP strategy:
 Pre-empt: SMS, phone calls & e-mail reminders
10 days prior to due-date
 Retrieve: Tele-collection striving for payment-in-
full & skip-tracing if necessary
 Ensure: Field-collection, demand letters, and
litigation in certain cases to ensure…
 Payment
Over 80% of client’s
endorsements contacted
within 5 days, each month
XX% collection rate
To have a Touch Rate (= attempting to contact
clients) for endorsed accounts of 100%
To have a Contact Rate (= successfully reminding
clients of their billings) within 5 days of 80%
To have a Turnaround Time of 7 days
What we offer: We not only offer receivables management and past
due-date collection, but we also take pre-emptive action, ranging from
issuing voice notices to sending SMS reminders.
“Initiative, Integrity, Respect.”
80%
20%
3
Office Sites
700+
Employees
400+
Seats
100%
Relentless
25+
Lines of
Back-office Services
What we offer: In the healthcare industry, we specialize in the
management and processing of health insurance claims, as well as offering
document scanning.
Goal
Strategy
Result
 Review & assess claims
promptly,
 Remit payment to
hospitals if claims are
valid
 Meet daily quota
 Effective workforce management
 Training to ensure agents can
correctly read & assess medical
documents
 Rewards & incentives program
involving a pay-per-proudction
scheme
 Average monthly claims
processed: 30,0000
 Claims processed per
agent daily: 90
 Turnaround Time: 2
days
“ONET goes beyond
the usual outsourcing
relationship, to become
a real extension of your
business.”
Industry Insight:
On average, companies in the
healthcare industry save 23% by
outsourcing
- John Lovelock, healthcare analyst
3
Office Sites
700+
Employees
400+
Seats
100%
Motivated
25+
Lines of
Voice Inbound Contact
Goal
Strategy
Result
What we offer:
Personal customer
care for all your
clients before,
during, and after
the procedure
approval process,
through inbound
voice services.
“We are
committed to
supporting your
ever-growing needs
to ensure the
enhancement of
your member
empowerment
targets.”
Consistent delivery of fast &
efficient service beyond
customer expectations
through delightful, creative
& emotionally-engaging
interactions with our
members & providers
To strive for:
 Service Level Agreement
(= no. of calls answered in
< 10 secs) = > 85%
 Average Handling Time =
< 5 mins
 Abandoned Rate = < 5%
 Average Speed of Answer
= < 10 secs
 Call Quality Management
= > 85%
 Strategy targets met
 Average daily incoming
calls : 2,000
 Average daily
transactions: 2,500
 Average Handling
Time: < 5 mins
 Response Rate: < 10
secs
Industry Insight:
75% of healthcare
companies in the U.S.
employ outsourcing.
3
Office Sites
700+
Employees
400+
Seats
100%
Inspired
25+
Lines of
Non-voice Inbound Contact
Goal
What we offer: To cater to each of your clients, we also offer customer
care through additional platforms, including: chat, e-mail, SMS, and our
Payorlink/Providerlink system.
Strategy
Result
“We are heart-working. We are mavens.
We are: ONET.”
 Consistent delivery of fast and efficient
service beyond customer expectations
through non-voice interactions with our
Members & Providers
 Effective workforce management
 Training and quality management
 Strong leadership
 Efficient infrastructure and network
system
 Average Speed of Answer = < 2 secs
 Average Handling Time = < 3 mins
 Response Rate: < 2 mins
 1 million clients assisted
3
Office Sites
700+
Employees
400+
Seats
100%
Driven
25+
Lines of

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Whitepaper - Healthcare 2015

  • 1. 3 Office Sites 700+ Employees 400+ Seats 100% Dauntless 25+ Lines of – The Healthcare Industry – A pioneer in the Health Maintenance Organisation industry with a membership population of over 1 million Back-office Claims processing Non-Voice Voice Receivables Management Collection of outstanding payments The ONET formula for success: Catering to every need: ONET Management With over 20 years of experience  Goals International Training Programs Personal Account Managers Inbound Contact Customer care & procedure approval
  • 2. Receivables Management Goal Strategy Result  Efficient collection workflow process  Timely account endorsement & classification  Activate the PREP strategy:  Pre-empt: SMS, phone calls & e-mail reminders 10 days prior to due-date  Retrieve: Tele-collection striving for payment-in- full & skip-tracing if necessary  Ensure: Field-collection, demand letters, and litigation in certain cases to ensure…  Payment Over 80% of client’s endorsements contacted within 5 days, each month XX% collection rate To have a Touch Rate (= attempting to contact clients) for endorsed accounts of 100% To have a Contact Rate (= successfully reminding clients of their billings) within 5 days of 80% To have a Turnaround Time of 7 days What we offer: We not only offer receivables management and past due-date collection, but we also take pre-emptive action, ranging from issuing voice notices to sending SMS reminders. “Initiative, Integrity, Respect.” 80% 20% 3 Office Sites 700+ Employees 400+ Seats 100% Relentless 25+ Lines of
  • 3. Back-office Services What we offer: In the healthcare industry, we specialize in the management and processing of health insurance claims, as well as offering document scanning. Goal Strategy Result  Review & assess claims promptly,  Remit payment to hospitals if claims are valid  Meet daily quota  Effective workforce management  Training to ensure agents can correctly read & assess medical documents  Rewards & incentives program involving a pay-per-proudction scheme  Average monthly claims processed: 30,0000  Claims processed per agent daily: 90  Turnaround Time: 2 days “ONET goes beyond the usual outsourcing relationship, to become a real extension of your business.” Industry Insight: On average, companies in the healthcare industry save 23% by outsourcing - John Lovelock, healthcare analyst 3 Office Sites 700+ Employees 400+ Seats 100% Motivated 25+ Lines of
  • 4. Voice Inbound Contact Goal Strategy Result What we offer: Personal customer care for all your clients before, during, and after the procedure approval process, through inbound voice services. “We are committed to supporting your ever-growing needs to ensure the enhancement of your member empowerment targets.” Consistent delivery of fast & efficient service beyond customer expectations through delightful, creative & emotionally-engaging interactions with our members & providers To strive for:  Service Level Agreement (= no. of calls answered in < 10 secs) = > 85%  Average Handling Time = < 5 mins  Abandoned Rate = < 5%  Average Speed of Answer = < 10 secs  Call Quality Management = > 85%  Strategy targets met  Average daily incoming calls : 2,000  Average daily transactions: 2,500  Average Handling Time: < 5 mins  Response Rate: < 10 secs Industry Insight: 75% of healthcare companies in the U.S. employ outsourcing. 3 Office Sites 700+ Employees 400+ Seats 100% Inspired 25+ Lines of
  • 5. Non-voice Inbound Contact Goal What we offer: To cater to each of your clients, we also offer customer care through additional platforms, including: chat, e-mail, SMS, and our Payorlink/Providerlink system. Strategy Result “We are heart-working. We are mavens. We are: ONET.”  Consistent delivery of fast and efficient service beyond customer expectations through non-voice interactions with our Members & Providers  Effective workforce management  Training and quality management  Strong leadership  Efficient infrastructure and network system  Average Speed of Answer = < 2 secs  Average Handling Time = < 3 mins  Response Rate: < 2 mins  1 million clients assisted 3 Office Sites 700+ Employees 400+ Seats 100% Driven 25+ Lines of