Medicaid and Medicare Call Center in the USA: Your Reliable Resource for Health Coverage Support

As a leading name in the HIPAA-compliant Medicare / Medicaid BPM industry, Fusion CX delivers competent medicare support from skilled agents. From handling customer inquiries to billing assistance and post-discharge consultancy, our Medicare support Services ensure empathetic customer support in multiple languages across multiple voice-based and non-voice-based communication channels.

With more than 30 years of experience in the industry, we at Fusion CX help you overcome industry-specific challenges and comply with Federal guidelines at every touchpoint of the customer’s journey. We help you acquire new members and ensure that they receive accurate medical data and the necessary information about their Medicare plans. This ensures superior customer experience management and maximizes retention while improving star ratings and significantly boosting revenue generation.

Over the course of the past few years, Medicare providers have experienced significant growth in enrollments. This has resulted in a massive spike in the volume of calls, texts, emails, and other forms of communication from prospects and members before, during, and after annual enrollment seasons.

Answering these communications, delivering prompt responses, and providing these prospects and members with accurate information about their medicare plans and benefits can often prove to be quite the challenge. In addition, improving ratings and maintaining superior quality of engagement require expert customer management across all channels. Our customizable and scalable Medicare BPM Services have been designed to ensure maximum efficiency and improve outcomes for medicare service providers.

Medicare BPM Services – Customer Engagement That You Can Rely On

By Outsourcing Medicare Services to Fusion CX, you have easy access to numerous incredible benefits for your medicare business. These include:

  • Reduced talent acquisition & training costs
  • Reduced operating expenses
  • Best-in-industry contact center infrastructure
  • Improved customer outcomes and superior CXM
  • Improved efficiency of core operations
  • Professional handling of customer inquiries & grievances by trained representatives
  • Excellent complaints & escalations management
  • Improved brand loyalty and credibility in the industry
  • An improved bottom line for your medicare business

Fusion CX’s professional and competent Healthcare Payer Services ensure quality and reliability, helping your medicare business grow into an industry leader.


Member Support

Our CXM solutions ensure complete and comprehensive member support for all kinds of issues, grievances, service requests, etc., from your Medicare customers, especially during Open Enrollment season. This ensures 100 percent resolutions and maximizes customer experiences.

Eligibility, Enrollment, and Plan Benefits

Our expert can help you efficiently and effectively manage the spikes in member communication volume during Open Enrollment seasons, providing them with timely responses and accurate information regarding eligibility and plan benefits to ensure maximum enrollment.

Claims Inquiries

As a healthcare payer BPM service provider, we assist you in successfully mitigating claims inquiries from your members and offer them prompt and accurate information regarding their coverage, benefits, and claim statuses.

Awareness Campaigns

Our Medicare Services include regular mass awareness campaigns across multiple communication channels to ensure that your prospects and members are always aware of the latest developments in your Medicare services, tracking progress to analyze the impact on your customers.

Reminder Support

Our agents will provide timely reminders to customers using their preferred communication channels. We will inform your customers about unused benefits and provide them with the necessary encouragement to utilize the benefits of their Medicare plans, helping you improve star ratings.

Self-service and Website Support

We offer prompt and effective support to your members who face challenges while using self-service channels and websites. Our experts can guide them to resolve their challenges and ensure a superior member experience.





Delivery Model


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    What are Medicare call center outsourcing services?

    Medicare support services involve partnering with a specialized third-party provider to handle the customer experience operations related to Medicare. These services include handling inbound and outbound calls, providing customer support, enrollment assistance, claims processing, and other Medicare-related inquiries on behalf of healthcare organizations or government agencies.

    Why should I consider outsourcing my Medicare support operations?

    Outsourcing your Medicare support operations can offer several benefits. It allows you to leverage the expertise and infrastructure of a specialized provider, reducing the need for in-house resources and costs. Outsourcing also enables you to scale your operations efficiently, enhance customer service, and focus on core business functions while ensuring compliance with Medicare regulations.

    What kind of customer engagement services can a Medicare service provider outsource?

    Every aspect of customer communication involved in Medicare services can be outsourced to a professional contact center company. From Open Enrollment-related customer inquiries to awareness campaigns and reminder services, every area of member support can be massively improved by the professional expertise of a Medicare BPM company. Professional CXM companies can even help your medicare business with client or vendor communications, enabling you to focus on core operations.

    How can Medicare customer support outsourcing help your customers?

    Your core staff is equipped with the necessary knowledge and tools to deliver competent Medicare to your customers. However, they may not possess the communication skills to ensure efficient and satisfactory customer support. If they are made to handle the customer engagement aspects of your Healthcare Payer Services, they may deliver dissatisfactory customer experiences and ruin customer relationships and brand loyalty. On the other hand, the professional representatives in Medicare contact centers are trained to deliver satisfactory customer communications and equipped with the necessary tools to ensure superior customer experience management. This improves customer loyalty and retention, boosting revenue generation and profitability for your medicare company.

    Why do Medicare businesses need BPM outsourcing?

    Customer services have become a crucial aspect of the modern medicare industry, making invaluable contributions to building customer relations, brand loyalty, and revenue generation. Professional contact center solutions will help your medicare business answer customer inquiries accurately and ensure satisfactory resolutions for their issues, grievances, and complaints. At the same time, Medicare support Services outsourcing will also help you manage the massive volumes of incoming customer communications before, during, and after Open Enrollment seasons, allowing you to focus solely on core business operations. This will not only help you improve your business operations but also enhance customer relations, ensuring superior brand loyalty in the industry.

    Why should you outsource your Medicare customer services to Fusion CX?

    Fusion CX is the company with the “POWER OF HUMAN CONNECT”. It is our firm belief that customer experiences determine multiple factors, such as customer relationships, brand loyalty, brand identity in the marketplace, customer retention, revenue generation, profitability, etc. As a result, we make every effort to ensure empathetic human engagement in every customer interaction to deliver superior Outsourcing Medicare Services for positive CXM.

    Moreover, our massive global presence, including more than 28 center in 14 countries worldwide, allows us to employ a massive workforce comprising of over 12,000 trained professionals and industry experts. This enables our clients to have easy access to a diverse talent pool that is capable of delivering customizable and scalable Healthcare Payer Services multiple languages languages across multiple voice-based and non-voice-based communication channels. This ensures superior customer communication in every interaction, delivering satisfactory customer experiences across the board.