Experience When It Matters
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Why do we manage our healthcare call centers just like you do?

We know this industry. In fact, most of our senior management team has “walked in your shoes” spending their careers with large national carriers managing their in-house call centers and outsourced vendors. Our team has proven experience improving S.T.A.R. ratings, FCR and CTM reduction.  They have successfully managed several AEP’s and passed CMS audits.

Trained in the art of care and compassion.

Ameridial representatives are trained to understand the unique responsibility that comes with serving healthcare customers. You can trust us to provide the highest level of care and compassion on every call with your members. Since our first healthcare call center client in 1987, with call after call, we have built a culture defined by care and compassion.

Ameridial lightens your load – with scalable call overflow and disaster recovery solutions.

Since 2007, Ameridial has responded to 12 disaster declarations that shut down our clients’ in-house call centers. We proactively prepare for the impact to our clients –with one to two-hour response time for full Disaster Recovery Plan.

Get in Touch

We are here to help you!

Call us at 800-445-7128

Contact Us

 

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Ameridial Healthcare Solutions can provide Regional Health Plans and Third Party Administrators with:
Inbound Services
  • Member, Provider And Pharmacy Help Desk Support
  • Billing
  • Eligibility
  • Claims Status
  • Customer Service
  • Benefit Inquiry, Pre-Certification, Claims Adjudication
  • Open Enrollment Support
  • Event Registration
  • Full Service, Call Overflow, After-Hours and Disaster Recovery Support
Outbound Services
  • New Member Welcome Calls
  • Member And Provider Information Follow-Up Calls
  • HIX Payment Reminders
  • Proactive Member Notification
Multi-Channel Services
  • Voice, Click-To-Call, Virtual Queue Call-Back
  • Email, SMS, Web Chat, Outbound IVR, IVR Self-Help
Ameridial has experience supporting these insurance products:
Commercial
  • Indemnity
  • HMO
  • PPO
  • Pharmacy – PBM
  • Dental
  • Vision
  • Point-of-Purchase Discount Plans
Government
  • Audited and approved CMS BCRC subcontractor
  • Medicare
  • Medicaid
  • Dual Eligible
  • SNP
  • Healthcare Marketplace Plans
Employer Groups
  • RDS (Retiree Drug Subsidy)
  • EGWP (Employer Group Waiver Plan)
  • Enrollment Vendors

Ameridial is 100% U.S.-owned with U.S.-based HIPAA compliant call centers and in-office agents. In our Healthcare division, we do not employ work-at-home staff.

Partner with Ameridial for our commitment to Compliance:
  • CMS audited and approved BCRC subcontractor
  • In-house compliance department
  • SSAE 16 Type 2 Approved
  • HIPAA/HITECH Compliant
  • Technology and processes compliant with NIST 800-30 (Risk Assessment) and 800-53 Rules (Information Security), Federal Information Security Management Act (FISMA)
Our Customers Say

Ameridial Healthcare Solutions meets the compliance requirements of Gateway Health Plan and provides a high level of proactive membership support.”
Gary Law, Director, Member and Provider Services @ Gateway Health Plan

You Can Trust Ameridial

Ameridial has a proven track record of improving S.T.A.R ratings and reducing costs. Our healthcare experts collaborate with you to construct a program to:

  • Improve your member satisfaction and retention
  • Improve your service levels and call handling performance indicators
  • Reduce your CTM cases, oral, and written grievances
  • Create flatter call spikes during peak season

For a national health plan we recently:

  • Generated a one point S.T.A.R rating increase within one year
  • Reduced CTMs by 45% over a 14-month period
  • Successfully maintained regulatory service level targets and quality service during Disaster Declarations. Within two hours of notification, we quickly responded to the catastrophe by providing our clients with extended 24 x 7 support