Quality and timely follow ups on receivables counts more than anything else in the outsourced health care services market and Edison and Lee International Solutions has the track record of having collected a 26% percentage of AR that were above 3 years old in Workers compensation and commercial insurances. Built with a taskforce of collections specialists that prioritizes their follow up with respect to age of claims, carrier types and other applicable constraints such as state laws and federal laws that drives the industry.
We understand the rules of the billing and collections business across geographic regions and medical specialties, and are constantly fine-tune our systems, processes and people to provide industry leading solutions to improving your cash position.People
At the heart of all successful companies are a team of highly-skilled and super motivated people. At Edison and Lee International Solutions, we believe that our most valuable resources are our people.
Most of our people are young, English speaking, university-trained graduates with good academic credentials. Every new hire is trained and groomed before being assigned operational responsibilities.
Regular refresher programs ensure that people stay abreast of all the latest happenings, rules and regulations. We have put in place a rigorous system of performance measurements that links to a transparent system of rewards.
We strive to provide a competitive environment that encourages initiative, commitment and quality. We work hard to make the office a fun-place. Our youthful, energetic approach to work goes a long way in ensuring that our clients stay happy.
Training
In any skill development process, practice makes perfect. At Edison and Lee International Solutions we believe in the value of practice as a means of reducing human error- in data entry, and in applying the relevant billing rules on each account. We have a variety of training programs catering to various kinds of roles such as data entry, analysis, insurance follow-up, project transition and project management.
Every new employee undergoes at least 6 weeks of intensive training on medical billing, where conceptual and practical skills are both stressed. Candidates are measured on performance through these weeks and are placed in 'Live' projects only if they clear our benchmarks. Every employee is tested on her understanding of her respective account manual each month.
The tabulated scores are used to identify areas for re-training and new programs run to meet these requirements. Refresher programs and guest lectures on different aspects of medical billing and various specialties are run through the year. Our Intranet provides a rich source of material or self-learning and our panel of gurus can be approached at all times for clarification. Our training and Quality Assurance programs go hand-in hand and the combination has proved to a winning one.
Quality
Service responsibilities are signed off with all clients and agreed policies reincorporated into operation manuals. New clients TRANSITION are effected through systematic and proven methods implemented by experienced managers and dedicated teams. Edison and Lee International Solutions has established quality audit systems to assure accuracy and timeliness, they by maximizing client satisfaction. At Level I, for every client, an Accounts manual is created and updated regularly.
At Level I, for every client, a Quality log is created and updated on a daily basis which is a self-audit as per the Six Sigma quality norms. Also a Quality compliance manual is maintained across the floor.
The manual contains policies, procedures and the billing rules for that particular client. Every employee working in that account is periodically evaluated on their knowledge of the billing manual.
At Level II regular audits are done on every single employee at defined frequencies. Only personnel who give consistent quality are retained in the system.
At Level III, each employee's daily output is also audited, through a combination of self-audits, peer audits and by the respective supervisor. Customer feedback is taken quite seriously with senior management involved in reviews with the team to sensitize them on the seriousness.
Wherever possible the feedback is identified to the person/process and rectification done so that the errors are not repeated. Personnel are put through regular refresher training courses whose content is tailored based on the feedback on the individual. The team is headed by a member of the senior management according the function the importance.