Au Courant Services
Au Courant provides front middle and back office optimization services for Health Care organizations including Enrollment and Premium Billing, Claims Adjudications, Provider Data Maintenance, Call Center, and Fulfillment Services.
Often we are also asked by clients to augment their staff, or provide critical professional services like assistance with benefit configuration support, and system implementation consulting, Hedis and Stars guidance, and examination of operational workflows as well.
We offer bundled service solutions, as well as ala carte service models which enable us to customize our solution for your unique need.
Our team's experience working on virtually all health plan software platforms allows us to perform services on your current software, or for health plan startups, you can leverage our strategic alliances with the markets best system vendor avoiding initial software expenditures, while allowing your plan to expediently prepare for operational readiness.
Au Courant staff and our strategic alliances have effectively performed the same functions you require of your BPO solution provider. Each has a minimum of 7 years experience at a health plan performing one or more of our BPO service functions.. They are well equipped to enroll and provide outstanding call support to your members and providers, ensure accurate timely claims payment, compliant communications, and are held to the same standards of effectiveness as CMS requires of health plans.
Operational and IT Governance Support
We know health plan operations and IT inside and out. We have an arsenal of Compliant CMS operations and security policies we can customize quickly for your readiness audits. We have deep experience with HEDIS , STARS, Medicare Bid Preparation, and Mock Audits that our clients can leverage through our professional services as well.