Health Plan Call Center Outsourcing Services
Connect with HIPAA-compliant and HITRUST-certified BPO partners supporting Medicare, Medicaid, ACA, and commercial health plans with member services, provider support, enrollment, claims assistance, and omnichannel customer care.
Meet Us in California
Why Health Plans Choose Our BPO Portfolio
Call Center Concierge represents a vetted portfolio of 24 BPO providers supporting more than 160 health plans.
Health plans come to us for guidance on outsourcing member engagement, AI-powered customer service, provider relations, enrollment, claims support and care management.
We make outsourcing simple. We find the right providers, set up introductions, build custom solutions and get pricing proposals, all through one point of contact.
300+ Healthcare Clients Trust Our Portfolio Partners for their CX
LIVE AGENTS
24/7 Multilingual Live Agent Support
Our portfolio includes 100,000 multilingual live agents in 20 countries.
Choose native English speakers from HIPAA-compliant BPOs in the U.S., Canada, Jamaica and South Africa, bilingual English/Spanish agents in five nearshore countries, or offshore teams in the Philippines, India and Egypt.
✅ 24/7 multilingual support across time zones
✅ Flexible staffing models that scale up or down
✅ Experienced health plan agents with low attrition
✅ Consistent, on brand customer experiences
✅ Multilingual customer service capabilities
✅ Ongoing quality assurance, coaching, and compliance monitoring
Health Plan Member Services
Satisfaction and retention with:
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Member onboarding
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Benefits education
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Eligibility verification
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ID card requests
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Premium billing inquiries
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Open enrollment support
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Medicare Advantage services
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Medicaid member support
Provider Services
Improve provider experience with:
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Provider help desk support
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Claims status inquiries
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Credentialing support
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Network participation assistance
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Prior authorization support
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Provider portal assistance
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Contracting support
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Provider data management
CONCIERGE AI AGENT
A Conversational AI Built for Health Plans
Built by a health plan for its own operations, this agentic AI platform proved so successful in member engagement, security and compliance that it was commercialized. Its natural conversations resolve many member issues.
✅ 24/7 AI inbound and outbound across voice, webchat, email, SMS
✅ Member Engagement | Claims | Verifications | Provider Network
✅ AI Platform includes Agent Assist, AI KB, and AI Quality Control
✅ 250 Pre-built Integrations & APIs: CCaaS, CRM, admin/EHR systems
✅ Multilingual customer service capabilities
✅ Built-in HIPAA, TCPA & DNC compliance with audit trails
Health Plan BPO Services
Enrollment and Acquisition Support
Drive growth and improve member acquisition through:
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Annual enrollment period support
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Medicare enrollment assistance
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Lead qualification
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Licensed agent support
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Outbound enrollment campaigns
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Retention programs
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Welcome and onboarding outreach
Claims and Administrative Support
Healthcare-focused BPO partners provide:
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Claims status support
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Claims intake
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Appeals and grievances support
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Documentation review
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Payment inquiries
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Coordination of benefits support
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Data entry and back-office processing
Care Management and Population Health Support
Improve member engagement through:
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Care gap outreach
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Preventive care reminders
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Wellness program support
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Disease management outreach
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Appointment reminders
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Health risk assessment outreach
Healthcare Compliance and Security & Data
Compliant BPO partners :
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HIPAA | HITRUST compliance
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HITRUST environments
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CMS programs
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Medicare Advantage support
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Medicaid support
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Secure omnichannel communication
Full Healthcare Agentic AI Platform
Flexible Delivery Models
Health plans have different operational requirements, compliance obligations, and member service expectations. Our healthcare-focused BPO portfolio offers flexible support models designed to align with your goals.
In the Box
✅ U.S.-based, nearshore, and offshore delivery options
✅ Dedicated and shared agent programs
✅ 24/7 member and provider support
✅ Seasonal enrollment and surge staffing scalability
✅ Multilingual customer service capabilities
✅ HIPAA-compliant and HITRUST-certified operations
Why Call Center Concierge
Unlike traditional BPO providers, Call Center Concierge represents a portfolio of 24 vetted healthcare-focused outsourcing partners with 100,000 agents. We have scale, breadth and depth.
We help health plans identify the right partner based on:
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Program requirements
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Compliance needs
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Geographic preferences
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Language requirements
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Budget objectives
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Technology environment
Solutions & Innovations for Health Plans & Providers
Our Services Are Complimentary - Let's Chat
