ENROLLMENT & BILLING SUPPORT

ENROLLMENT & BILLING SUPPORT

ENHANCING MEMBER EXPERIENCE THROUGH SEAMLESS ENROLLMENT AND BILLING SUPPORT

Streamlining Enrollment and Billing for Health Plans and TPAs

Fusion CX provides comprehensive healthcare enrollment and billing support services that help health plans and Third-Party Administrators (TPAs) streamline their processes, improve member satisfaction, and reduce operational costs. From online enrollment assistance to billing services and social determinants of health enrollment, our solutions are designed to meet the complex needs of health plans and ensure compliance with healthcare regulations.

With over 20 years of experience, Fusion CX leverages advanced technology and a skilled workforce to facilitate efficient, accurate, and compliant Medicare Open Enrollment and billing processes. We help health plans and TPAs improve operational efficiency and enhance the overall member experience.

TRANSFORMING ENROLLMENT & BILLING THROUGH TAILORED SERVICES

Online Enrollment Assistance

Guide members through a seamless, customizable online enrollment process while ensuring compliance with healthcare regulations and standards for a smooth, error-free experience.

Social Determinants of Health Enrollment Services

Incorporate social factors during the enrollment process to ensure inclusivity, address the unique needs of diverse populations, and promote better health outcomes by offering tailored support.

Billing Services

Ensure accurate and timely billing of premiums and payments, streamline payment collection for improved cash flow, and resolve billing discrepancies to maintain financial integrity and provider satisfaction.

Automated Enrollment and Billing Integration

Leverage automation to integrate enrollment and billing systems, enhancing operational efficiency, reducing manual errors, and providing real-time updates to both members and providers for improved service delivery.

AI SOLUTIONS FOR ENROLLMENT & BILLING

Arya (Enrollment Coach Persona)

Provides real-time support for service agents, optimizing the enrollment process and improving accuracy in capturing member information.

Conversational AI

Enhances clarity and responsiveness in AI-driven voice bots, reducing call center costs by automating up to 75% of inquiries and enabling faster, more efficient support during Annual and Open Enrollment periods.

AI QMS

Ensures enrollment accuracy with automated audits and compliance checks, minimizing errors and maintaining service quality.

Marketing AI

Empowers sales and marketing teams to drive focused customer acquisition and engagement during enrollment campaigns.

THE FUSION CX-FACTOR

12500+
Skilled
Agents

PCI-DSS
Certified

28+
Language
Support

Ensured Business
Continuity

GET IN TOUCH

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    WHY CHOOSE FUSION CX FOR ENROLLMENT & BILLING SUPPORT?

    Comprehensive and Compliant Enrollment Solutions

    Fusion CX streamlines Medicare enrollment with end-to-end solutions—from online sign-ups to billing and reconciliation—while ensuring compliance with healthcare regulations to minimize errors and penalties.

    Efficient and Scalable Operations

    Fusion CX offers scalable solutions that adapt to evolving health plan needs and complexities.

    Socially Inclusive Solutions

    Fusion CX promotes inclusive enrollment through social determinants of health services, ensuring equitable access to benefits for all members.

    Multi-Lingual Support

    Fusion CX provides seamless, multi-lingual services to ensure clear communication and accessibility for diverse member populations.

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    FAQS

    FAQS

    What enrollment and billing support services does Fusion CX offer?

    Fusion CX provides online enrollment assistance, billing services, and social determinants of health enrollment to streamline the enrollment process and ensure accurate billing.

    How does Fusion CX handle billing discrepancies?

    Fusion CX identifies and resolves billing discrepancies efficiently, ensuring financial integrity and maintaining positive relationships with members and providers.

    Can Fusion CX support online enrollment for health plans?

    Yes, we offer online enrollment assistance, guiding members through the process to ensure a seamless and error-free experience.

    How does Fusion CX address social determinants of health during enrollment?

    We incorporate social determinants of health enrollment services to ensure that members’ unique social and economic circumstances are considered, leading to better health outcomes.

    Why should health plans choose Fusion CX for enrollment and billing support?

    Fusion CX combines decades of expertise, AI-driven technology, and a commitment to social inclusion to offer streamlined, compliant, and efficient enrollment and billing services.