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El Salvador

Healthcare BPO & Contact
Center Services in El Salvador

Ameridial delivers HIPAA-compliant, bilingual healthcare BPO services from El Salvador—helping U.S. healthcare organizations connect with Spanish- and English-speaking members through empathy, accuracy, and compliance.
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Bridging Care Across Languages & Locations

Language is care. At Ameridial, every interaction—whether in English or Spanish—is built on clarity, compassion, and compliance. Our onshore and nearshore healthcare call centers in El Salvador provide HIPAA-certified, culturally attuned communication that bridges patients, payers, and providers across borders.

From enrollment and eligibility support to chronic-care outreach and telehealth coordination, our bilingual teams deliver regulated healthcare experiences that are as compliant as they are compassionate.

With 30+ years of healthcare experience, bilingual fluency, and U.S. time-zone alignment, Ameridial ensures each patient, member, and provider conversation is understood, respected, and handled with care.

Our El Salvador Delivery Centers

Ameridial operates three HIPAA-compliant delivery centers in San Salvador, serving as our nearshore hub for bilingual healthcare operations.

The San Salvador hub supports a wide spectrum of healthcare programs—from payer and provider services to pharmacy, telehealth, and chronic care management.

Each site follows SOC 2 Type II, ISO 27001, and HIPAA compliance protocols, ensuring data integrity, process security, and operational redundancy. With bilingual healthcare specialists and omnichannel delivery capability, Ameridial’s El Salvador operations bring U.S.-grade compliance, linguistic excellence, and cultural alignment under one roof.

Why El Salvador for Healthcare BPO

El Salvador combines bilingual healthcare talent, regulatory expertise, and proximity to the U.S. to create a nearshore delivery model that feels onshore in quality.

Ameridial’s healthcare call center in El Salvador enables healthcare payers, providers, and pharmacies to engage Spanish-speaking populations with native fluency—without sacrificing compliance or care quality.

Our medical BPO teams are trained in HIPAA, CMS, and payer-provider workflows, offering 24/7 English and Spanish support across member inquiries, scheduling, billing, and chronic-care management.

With shared time zones, cultural familiarity, and proven healthcare acumen, Ameridial’s El Salvador operations deliver communication that feels close, trusted, and effective.

Services We Offer

Ameridial’s healthcare call center in El Salvador delivers secure, multilingual
communication designed for regulated healthcare environments.
appointment

Appointment Scheduling & Reminders

Online-enrollment

Eligibility & Enrollment Support

Patient Education

Member Services & Education

Claims Administration

Claims & Billing Support

Provider Management

Pharmacy & Refill Coordination

telehealth

Telehealth & Virtual Care Support

Deep Medicare Expertise

Care Coordination & Patient Navigation

FWA

Provider & Network Communication

Denial Management

Health Risk Assessment Campaigns

Physician credential

Chronic Care & Population Health Outreach

Population Health Management

Medical Device & DME Support

Insurance Verification

Patient Satisfaction Surveys

Industries We Support

Ameridial’s healthcare BPO in El Salvador supports U.S. healthcare organizations
serving diverse member populations across multiple verticals:
ai-qms

Healthcare Payers & TPAs

Enrollment, claims, and bilingual member engagement.
Medicare

Medicare & Medicaid Plans

CMS-compliant Spanish-English member support.
Provider Claims

Healthcare Providers & Systems

Appointment management and patient coordination.
Scalable-Support

Pharmacies & PBMs

Refill reminders and benefit verification.
telehealth

Telehealth & Virtual Care Networks

Scheduling and multilingual platform support.

MedTech & DME Companies

Device setup, warranty, and patient education.
AI

Advantages of Partnering with Ameridial El Salvador

Healthcare Payer
hipaa

HIPAA-Compliant Operations

Certified facilities for regulated healthcare
programs.

bilingual

Bilingual Expertise

Native Spanish and fluent English healthcare specialists.

Experienced Staff

Cultural Compatibility

Shared values and time zones with
U.S. markets.

Care Coordination

Proximity & Alignment

Nearshore location aligned with U.S.
time zones.
omnichannel

Omnichannel Delivery

Phone, chat, SMS, and email for seamless patient interaction.
performance

Scalable Staffing

Rapid capacity expansion for open enrollment and peak seasons.
AI-Driven

Operational Continuity

Redundant systems and business
continuity planning.
Denial Management

Cost Efficiency

Nearshore pricing with U.S.-standard compliance and quality.
PCI Certified

PCI DSS 4.0.1

bsi-27001

ISO 27001:2022

HIPPA

HIPAA Compliant

AICIPA SOC 2

SOC 2 Type II

MBE-Certification

MBE

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Discover how Ameridial’s bilingual, HIPAA-compliant healthcare BPO in El Salvador can enhance
member engagement, compliance, and patient satisfaction.

    Frequently Asked Questions (FAQs)

    Explore answers to top questions about Ameridial’s healthcare payer BPO and contact center service capabilities.

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    Yes. All our San Salvador centers are fully HIPAA-certified and compliant with U.S. data privacy regulations for healthcare operations.

    We offer bilingual English and Spanish support, ideal for U.S. healthcare organizations serving Hispanic populations.

    Our teams support payers, TPAs, providers, pharmacies, and wellness brands with bilingual, compliant communication.

    Yes. All agents are trained in HIPAA, CMS guidelines, medical terminology, and healthcare workflows for both payers and providers.

    All facilities operate under SOC 2 Type II, ISO 27001, and HIPAA standards with 24/7 compliance monitoring and secure access controls.

    Healthcare Insights

    Discover healthcare insights worth reading—designed to inform, inspire,
    & transform how you connect payers, providers, and patients.
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    Back Office Outsourcing for Payers and TPAs: Improving Efficiency Beyond the Phones

    Back Office Outsourcing for Payers and TPAs: Improving Efficiency Beyond the Phones

    As a VP of Medicare Operations, you operate in a space where member experience, compliance, and operational performance intersect. Every call, claim, and inquiry your team handles has a measurable impact on CMS STAR Ratings, Quality Bonus Payments, and your plan’s market reputation. Choosing the right outsourcing partner is not just a tactical decision—it’s a strategic one that can define your plan’s success trajectory. In recent years, many health plans have discovered that the key to sustaining quality outcomes lies in partnering with a Medicare BPO in the USA. Domestic outsourcing has proven to deliver stronger compliance, better communication, and higher member satisfaction—critical drivers in a post-COVID, member-centric Medicare landscape. Why U.S.-Based Outsourcing Matters More Than Ever The traditional argument for offshore outsourcing—cost savings—no longer holds the same weight in Medicare operations. As CMS continues to increase the weight of member experience metrics, quality has replaced cost as the true differentiator. 1. A Shared Language and Culture of Care For senior members, communication is more than information exchange—it’s reassurance. U.S.-based agents understand the nuances of American healthcare, regional dialects, and the senior mindset. That familiarity builds comfort and trust, particularly in sensitive conversations about coverage, billing, or benefits. “ When a member speaks to someone who truly understands their world—their pace, their needs—it changes everything. It’s not just service; it’s support they can feel. — Medicare Operations Leader, Ameridial 2. Proven Impact on STAR Ratings and Member Retention CMS STAR Ratings are driven by member experience—now accounting for over half of the total rating weight. Measures like Getting Needed Care, Customer Service, and Care Coordination are directly shaped by how well members are supported when they reach out. Research shows that U.S.-based contact centers score up to 20% higher in satisfaction for healthcare interactions compared to offshore teams. This improvement translates into tangible financial outcomes through higher Quality Bonus Payments (QBPs) and improved retention rates. “ Every improved interaction moves the needle. It’s not an abstract metric—it’s a measurable boost in STAR performance. — Ameridial Quality Director 3. Operational Clarity and Compliance Confidence Medicare operations are governed by some of the strictest data protection rules in the world. Domestic BPO providers simplify compliance by keeping all Protected Health Information (PHI) within U.S. borders, subject to HIPAA, CMS, and PCI DSS standards. A 2024 IBM study found that the average cost of a healthcare data breach is $10.93 million. The risk of cross-border data exposure is simply too high for Medicare Advantage plans to justify. Ameridial’s onshore operations provide an additional layer of legal and operational clarity, ensuring member trust remains intact. “ Compliance isn’t just a process—it’s our promise. Our systems and people are trained to treat every record as if it belongs to someone they know personally. — Ameridial’s Compliance & Risk Manager 4. Faster Collaboration, Real-Time Oversight When your BPO operates in the same time zones and cultural context as your internal teams, communication becomes frictionless. This enables rapid response to CMS updates, real-time QA calibration, and faster resolution of escalations. Ameridial’s domestic operations give health plans full visibility into performance dashboards, allowing plan leaders to track service quality, FCR, and member sentiment in real time. 5. Consistency and Workforce Stability Employee retention rates at U.S.-based Medicare BPOs tend to be significantly higher than offshore operations, reducing retraining costs and ensuring experienced agents handle complex inquiries. This continuity supports accurate issue resolution and long-term member satisfaction. “ Our tenured agents don’t just know the process—they know the people behind the process. That connection is what keeps our service consistent, even during peak season. — Ameridial Medicare Program Manager The Ameridial Advantage: Built for Medicare Excellence With 35+ years of healthcare outsourcing experience, Ameridial delivers secure, empathetic, and scalable Medicare support for plans nationwide. Our operations combine compliance rigor with human warmth—ensuring every member interaction is both accurate and compassionate. Our Medicare BPO in the USA includes: Dedicated, Medicare-trained agents for AEP and OEP Secure, HIPAA- and SOC 2-certified contact centers Real-time analytics for STAR metric visibility Multichannel communication: phone, chat, SMS, and email Automated QA monitoring and compliance auditing U.S.-based supervision and leadership oversight Ameridial also offers right-shoring flexibility, combining onshore, nearshore, and offshore delivery models to balance cost with quality—while keeping all sensitive member interactions securely managed within the U.S. The Bottom Line: Quality Is the New Cost Advantage For Medicare Advantage plans, success isn’t measured by how cheaply you can operate—it’s measured by how well you serve. Partnering with a Medicare BPO in the USA gives your members the clarity, empathy, and compliance assurance they deserve, while helping your organization achieve measurable improvements in STAR ratings and retention. By choosing Ameridial, you’re not just outsourcing—you’re elevating the standard of care your members experience every time they pick up the phone. Discover how Ameridial’s U.S.-based Medicare BPO solutions can help your plan enhance compliance, reduce risk, and improve STAR performance.

    How Outsourcing Can Improve STAR Ratings for Medicare Advantage Plans

    Ameridial, a U.S.-based healthcare BPO, delivers HIPAA-compliant contact center solutions connecting payers, providers, & patients with secure, attentive care.

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