Our team of healthcare professionals and administrators, located worldwide, offer a comprehensive range of outsourced clinical and non-clinical administrative services to our clients.
From routine to emergent care, each service is customized to enhance both qualitative and quantitative health outcomes. We are committed to delivering exceptional service to our clients through our expert team of professionals.
Customer Services
GCS understands that the health benefits industry requires a multifaceted approach to providing excellence in care.
GCS helps our customers achieve this level of performance and health outcomes excellence through:
Increased revenue
Reduced expenses through operations optimization
Scalable, ongoing support in an evolving health benefits landscape
Post-campaign queries based on evidence-based evaluation methods to drive future successes
Our medical records solutions support performance and improved health outcomes through:
Accurate, compliant medical record retrieval and indexing
Faster turnaround times for record collection and processing
Reduced administrative burden through streamlined workflows
Secure, scalable management of PHI aligned with HIPAA standards
Medical Records Processing and Management
ESRD Transportation and Census Review
GCS understands the high-needs environment of ESRD and that’s why we have agents who specialize in coordinating safe and timely transportation for patients with end-stage renal disease. We carefully vet our transportation vendors to ensure they align with our values of patient-first care, such as door-to-door assistance.
We equip transportation care teams with the information and resources needed to deliver efficient, cost-effective care, including:
Patient information and dialysis schedules that support positive health outcomes and help identify the most appropriate facilities for life-saving treatment
Necessary medical devices or equipment
Provider Relations
GCS understands that the provider relations team plays a crucial role in building and maintaining strong relationships with healthcare providers, including physicians, hospitals, and medical facilities who participate in our health plans' provider networks.
A few key areas in which our provider relations representatives can assist you include:
Regular communication and engagement
Trainings on regulatory and compliance guidelines
Business development
Credentialing
GCS understands that provider credentialing is a rigorous process that involves verifying and assessing the qualifications of healthcare providers, including doctors, dentists, and other allied professionals.
We adhere to this regulatory-mandated step to ensure health plan members receive high-quality care from qualified, safe, and competent providers.
How We Help You Achieve Cost Savings
We review providers' education, training, licensure, and other qualifications
We provide you with detailed reports on providers’ credentialing status
We alert you when providers’ credentialing is up for renewal
Member Data Management
GCS understands that processing member data must be timely to ensure information is readily available for all member interactions and transactions such as:
Enrollment processing
Eligibility processing
Ongoing data entry