Our Team – Healthcare Customer Support Experts
Our roots are in healthcare experience. Dating back to the early 2000’s, our team’s first client was a national health organization who enlisted our help for open enrollment and member/provider customer care. Even at our inception, we understood fundamentally how to combine professionalism with a deep personal connection, which is crucial to meeting specific service needs in this industry.
NexGen Agency is a proactive partner performing as a seamless extension of our clients’ businesses. With deep executive involvement, rich industry experience, and a culture that espouses innovation, our team has customized solutions for some of the world’s leading healthcare brands.
Legacy of Success
For close to two decades our team has supported Fortune 500 Healthcare providers, as well as others serving the health and supplemental benefit provider markets. The NexGen team has proven its place as the developer of customized solutions that deliver measurable results for some of the world’s top healthcare brands.
Our well-versed compliance team insures industry leading solutions to every client, no matter the regulatory authority. This includes 100% redundancy, reliable data security, and fully accountable CMS, HIPAA, SOX, and SAS 70 Type II compliance.
NexGen’s mandate is simple: innovation in pursuit of excellence. We deploy sophisticated data stream auditing and customized analytics to monitor and manage customer communications from all channels, including traditional phone and web contact interactions, social network monitoring, and other streams.
End to End Service Offerings
NexGen Agency offers complete end to end healthcare member and provider services with full regulatory compliance and process redundancy. Our solutions include a global talent pool who bring market experience and knowledge of key software platforms, boot camp style training that prepares them with the skills needed to exceed all metrics, and fast ramp ups with skilled, licensed agents to meet clients’ demands for peak conversion rates common during the small enrollment windows.
Network of Services
- Member/Provider Services, Inbound Member Services and Retention, Member Loyalty, Participant Support, Pharmacy Support and Provider Support, Member Acquisition, Enrollment (Licensed / Non Licensed), and Sales Verification.
- Payer Voice and Web Services: Member Service & Acquisition Support, Benefits Administration, Eligibility, Claims & Benefit Calls, and Provider and Member Support
- Commercial and Private Fee-For-Service Plans (PFFS): PFFS Dental Discount, Inbound Verification, Verification English / Spanish, Outbound Disenrollment / Incomplete Disenrollment, and Web Site Support (Email / Chat)
- Back Office Services: Data Entry / Data Processing, Claims Registration & Processing, ID Card and Policy Generation, Document Preparation and Scanning, Image Indexing, OCR, Storage and Retrieval, Fax and Document Management, and Data Entry, Research, Analytical Services