HIPAA-Compliant Support for Healthcare Payers That Boosts Member Satisfaction & Cuts Costs

SkyCom delivers bilingual member services, claims inquiries, and enrollment support from secure LATAM centers — helping U.S. payers improve retention and efficiency at 50–70% lower cost.

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Addressing the Toughest Challenges for Healthcare Payers

Healthcare payers today face unrelenting pressure: deliver exceptional member experience, control soaring costs, navigate complex regulations, and scale during open enrollment and peak periods — all while maintaining strict compliance. SkyCom’s HIPAA-compliant, bilingual nearshore teams become your trusted extension — specializing in member services, claims assistance, benefits education, and enrollment support that reduce call volume, elevate satisfaction, and scale seamlessly with secure, proven processes.

Key Services for Payers

Member Services
& Benefits Explanation

Clear, empathetic guidance on coverage, networks, and plan options to reduce confusion and escalations

Claims Inquiries
& Status Updates

Fast, accurate responses to claims questions, appeals, and EOB reviews for higher resolution rates

Open Enrollment
Support

High-volume inbound/outbound assistance for plan selection, changes, and new member onboarding

Provider & Pharmacy
Coordination

Directory assistance, prior authorization follow-up, and network inquiries

Retention & Satisfaction
Outreach

Proactive surveys, win-back campaigns, and loyalty programs

Key Benefits

Full HIPAA Compliance

Encrypted PHI handling, certified agents, regular audits for complete data protection

Native Bilingual Agents

English/Spanish fluency with U.S. cultural sensitivity to serve diverse member populations

Peak-Season Scalability

Rapid ramp-up (proven 10→230+ agents) for open enrollment and regulatory changes

Proven Results

Higher member satisfaction, reduced escalations, faster resolution, and significant cost savings

Zero Extra Costs

Full onboarding, training, and program launch included; real-time QA and reporting

How We Partner with Payers

01

Discovery

Map member journeys, compliance needs, and peak volumes

02

Custom Training

Agents certified in payer terminology, benefits, and empathy

03

Secure Launch

4–8 weeks with El Salvador/Colombia sites

04

Optimization

Hourly feedback, AI insights (Fusion CX), weekly performance reviews

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Frequently asked questions

Frequently asked Questions

Find quick answers to common questions about partnering with SkyCom for LATAM nearshore services.

How do you ensure HIPAA compliance for payers?

Annual HIPAA training for all agents, encrypted data handling, role-based access, and regular third-party audits — full protection for member information.

Can you support Spanish-speaking members?

Yes — native bilingual agents provide fluent, culturally appropriate support in English, Spanish, or seamless code-switching.

How do you handle open enrollment peaks?

Our LATAM facilities (including the new 800-seat San Salvador site) enable rapid scaling without quality loss — proven with high-volume payer programs.

What types of payer support do you offer?

Member services, claims inquiries, benefits education, enrollment assistance, provider directory, and retention outreach.

How quickly can we launch a payer program?

4–8 weeks including HIPAA setup, payer-specific training, and onboarding — all at no extra cost.

Do you provide back-office support for payers?

Yes — claims processing, appeals follow-up, enrollment data entry, and denial management with 99%+ accuracy and compliance.

What results have other payers seen?

Higher member satisfaction, reduced call escalations, faster claims resolution, and operational costs reduced by over 50%.

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HIPAA-Compliant Support for Healthcare Payers That Boosts Member Satisfaction & Cuts Costs

Addressing the Toughest Challenges for Healthcare Payers