We run clearly scoped operational services where “done” is defined upfront with measurable results aligned to healthcare workflows. Delivery is measured on completed outcomes — not hours, seats, or general activity — and Healthcare QOP ensures predictable performance and quality visibility that supports your administrative efficiency and care delivery.
PeopleProcessPerformance
expertise in
Healthcare Services
Building stronger, more connected teams
Two pillars of scalable growth
When internal hiring can’t keep up, operational backlogs grow fast—and in healthcare that hits patient experience and revenue. Healthcare QOP fixes the bottleneck with targeted recruitment for roles you struggle to fill, and outcome‑based operations support that completes work with predictable results, not vague hours. You get one partner that handles both hiring and execution, engineered to scale across your operational needs.
Built to scale growth
Work measured by results
Hire better talent
Outcome based operations support
Healthcare QOP doesn’t sell seats or shifts—we deliver defined, auditable operational outcomes that matter day to day. Healthcare operations leaders rely on us to remove recurring tasks from internal teams without having to hire, manage, or scale headcount. Our pricing connects directly to finished work with clear completion criteria, focusing your spend on results rather than time, roles, or ambiguous "support."
QUALITY OPERATIONS, QUALITY TALENT, REAL IMPACT,
A model built around defined outcomes
Healthcare QOP’s core model is outcome‑based operations support: invoicing is linked to completed work that meets agreed, verifiable rules. We begin with a discovery call to identify which operational services matter most for your clinic, practice, or health system and define what “done” means for your workflows. Then we align on completion criteria and integrate workflows with your current systems so work transitions cleanly across teams. When certain tasks cannot be reliably standardized into defined outcomes, we can also provide a traditional monthly option with a dedicated specialist.
Our most requested services
Appointment Scheduling Coordination
Handle patient appointment requests, bookings, changes, and confirmation documentation
We coordinate appointment workflows end‑to‑end—booking, changes, cancellations, confirmations, and callbacks—with documented outcomes so your team always sees what’s done, what’s pending, and what needs action. Healthcare QOP improves scheduling efficiency, helps front desk operations run smoothly, and reduces patient wait times by preventing silent workflow stalls.
Patient Preregistration and Intake Completion
Collect and finalize patient intake data with clear completion statuses
Healthcare QOP captures intake requirements—demographics, forms, and supporting documents—and log clear dispositions when information is missing so your staff isn’t left chasing details. We improve clinic readiness, reduce intake bottlenecks, and free your front desk and clinical teams to focus on patient care, not paperwork.
Insurance Eligibility and Benefit Verification
Verify patient insurance coverage and capture documented benefit details
We check insurance eligibility and record benefits with documented evidence and clear next steps so your team knows coverage status before care is delivered. Healthcare QOP reduces claim denials, supports more accurate billing, and helps internal staff avoid manual verification burdens by centralizing eligibility and benefit checks.
Prior Authorization Submission and Tracking
Submit and track payer authorizations, logging reference and status updates
Healthcare QOP manages the end-to-end coordination of authorization requests—from initial submission to final determination—with clear documentation at every step. We navigate payer portals and requirements to secure reference numbers and provide real-time status updates, ensuring your clinical team knows exactly which services are cleared. By logging every touchpoint and exception, we help you prevent care delays and avoid technical denials.
Claims Work Execution
Execute claims processing tasks with documented actions and outcomes
We work claim actions, perform follow‑ups, and document exceptions with auditable outcomes so your operations team has clear visibility into claim status. Healthcare QOP boosts claim processing consistency, reduces administrative backlog, and provides structured documentation to support revenue cycle efficiency without taking on financial custody.
Invoice and Statement Sending
Dispatch client-generated invoices/statements and log successful deliveries
Healthcare QOP dispatches system‑generated invoices and statements and record delivery outcomes with timestamps so your billing and revenue teams know what was sent and when. We improve consistency in document delivery, takes routine workload off your internal staff, and ensures auditable logs without taking on payment responsibilities.
Tailored Service
Custom work items built around your workflow
You tell us the workflow you want off your plate. We map it into clear work items, define inputs and “done”, set exception rules, then connect it to the right systems so delivery is consistent and auditable with Healthcare QOP.
Dedicated Full-Time Specialist
Flexible tasks that do not fit our fixed outcome model
If a traditional model fits better, you can work with a dedicated full-time specialist through us. They focus on your workflows day-to-day, integrate into your tools where needed, and handle a wider mix of tasks that are hard to standardize into work items.
Frequently Asked Questions
Everything you need to know
How do we decide what services to start with?
We start with a discovery call, then prioritize the services creating the most operational load or business risk for your team, as long as they can be defined with clear completion rules that improve healthcare operations. Healthcare QOP only takes on services that can be scoped tightly enough to execute consistently and reduce bottlenecks.
How does work enter the workflow?
It depends on the service. Work enters through integrations, system triggers, scheduled batches, shared queues, or agreed handoff processes with your team so there is a consistent operational flow. Healthcare QOP defines the intake method per service to ensure reliability, traceability, and alignment with your existing healthcare systems.
Do you work in our systems or your systems?
Either, depending on what makes delivery clean and trackable in a healthcare setting. Sometimes we operate directly in your systems, sometimes in ours, and sometimes we connect both so the workflow stays aligned across clinical and administrative tools without adding friction to your existing tech stack.
How do you define what counts as “complete”?
Each service is broken down into outcome types with written completion rules that reflect healthcare operations standards. If evidence is required — such as a confirmation, status change, record update, or log note — that requirement is defined upfront so results are auditable and work quality is consistent.
How does pricing work?
Pricing is outcome‑based. Each outcome type has a unit price tied to the completion rules, so you pay for verified results. Most clients use a recurring service credit or minimum commitment, with usage applied based on completed outcomes; if volume exceeds the included amount, overage is billed at the same unit pricing. Items that are out of scope or blocked are not treated as completed outcomes.
What does onboarding look like?
We align on scope and outcomes, confirm the intake method, set up the tooling or integrations required, then run a short ramp to validate that completion rules match real day‑to‑day healthcare work. After that, delivery runs in steady state using the same definitions and pricing for consistent operational execution.
“We engaged Healthcare QOP because our insurance verification and claims follow‑ups were constantly lagging, creating revenue leakage and delayed payments. Healthcare QOP quickly defined work scopes and intake flows so nothing slipped through the cracks. Within the first few weeks, we had organized intake, clear definitions, and a sustainable completion rhythm our internal team could trust.
What sets it apart is you can see exactly what was completed, what’s in flight, and what’s blocked — not some vague ‘support coverage’. They connected directly into our systems, and we only pay for outcomes we can verify. Our backlog stopped growing, our turnaround times became steady, and internal teams stopped spending hours chasing updates.”
Duncan Owens
VP of Revenue Cycle Management
Real stories of growth