Why Verio Technology?
With an average of 15 years of technical and business experience within the Health Care Payer market, Verio Technology has a deep understanding of core health care and peripheral industries. We are a team of true adopters of Agile methodology and we center everything we do around benefiting our clients. Our reputation speaks to our sucess as market innovators and health care solution providers with successful delivery track-record at Start-Ups, Fortune 100 and mid-size organizations.
Our Health Care Expertise
- Health Care Domain Expertise
- Enrollment and membership
- Provider Setup
- Provide pricing and contract management
- Benefit, plan and product configuration and management
- Claim and encounter processing
- Claim Pricing
- Capitation
- Premium billing and accounts receivable
- Agent and broker management
- Customer service
- Finance
- Utilization management
- Case and Medical management
- Medicaid and Medicare processing
- Specialty processing such as Dental, Disability and Life etc.
- Underwriting and actuarial
- Pharmacy
- EMR
- Public Sector Programs, including Managed Medicaid
- Behavioral Healthcare
- Health Plan & Provider audit support for SAS/70, Sarbanes Oxley, and HIPAA
- Audit and Controls
** Experience is in both Public and Commercial Payor Expertise
Our Health care IT Systems-Specific Expertise
- Claims Adjudication and Payment
- Web Portals (Member, Provider, Employer, Shopper etc)
- Benefits Enrollment, Membership, Eligibility
- Plan Design and Product Configuration
- Utilization Review/Management, Authorizations and Referrals
- Clinical Care Systems
- Provider Credentialing, Provider Networks, Fee Schedules, Provider Reimbursement
- Methodologies
- Systems Integration
- Premium Billing and Reconciliation
- Customer Service/Customer Relationship Management(CRM)
- HIPAA, EDI, Privacy, and Security
- Data Warehousing, Client/Operational Reporting
- Systems Implementation, Systems Migration
- Regulatory Compliance
Our Technology and Information Systems Expertise
- Web Applications: Internet, Intranet, Portals
- Service Oriented Architecture: WS-* Standards, REST
- Messaging and Middleware
- Content Management and Integration
- Database and Storage
- ETL Data Processing (Extract, Transform, Load)
- Data Warehousing and Reporting
- Security and Privacy Standards: HIPAA, PCI
- Systems Integration (including legacy systems): real-time, near real-time, batch,
synchronous/asynchronous
- Infrastructure Design and Support
- Business Continuity and Reliable Systems
- End-To-End Systems and Software Delivery
- Program and Project Management
- Estimation
- Budgeting
- Planning
- Governance
- Systems and Software Development
- Analysis and Requirements
- Architecture and Design
- Software Development
- Quality Assurance
- Unit and Systems Testing
- Information Assurance and Security
- Capacity Planning and Load Testing
- Project Controls and Auditing
- Operations and Support
- Configuration Management
- Release Management
- Production Support
|
