We run clearly scoped operational services where “done” is defined upfront so your team gets predictable, measured results. QOP Healthcare measures delivery on completed outcomes, not hours, seats, or general activity, ensuring work is aligned to healthcare priorities and tied directly to operational impact instead of vague effort.
PeopleProcessPerformance
expertise in
Healthcare
Building stronger, more connected teams
Two pillars of scalable growth
Operations growth falters when hiring lags and your team is buried in routine work. QOP Healthcare addresses both: we source qualified healthcare operations professionals for your toughest roles and deliver consistent outcomes across defined workflows, not just staff hours. One partner to lock in talent and run execution with scalable consistency.
Built to scale growth
Work measured by results
Hire better talent
Outcome based operations support
At QOP Healthcare, we deliver clearly defined, measurable operational outcomes—not body count, shifts, or vague “support." Healthcare providers and service operators use us to take recurring administrative work off your internal team without the cost and complexity of hiring, managing, or scaling more staff. Our model prioritizes predictable execution with agreed completion rules, so billing is tied to work actually completed.
QUALITY OPERATIONS, QUALITY TALENT, REAL IMPACT,
A model built around defined outcomes
QOP Healthcare operates on a simple principle: you pay for completed work that’s verifiable under rules you agree to. We begin with a call to identify which services matter most and collaboratively define “done” for each workflow. With those definitions in place, we link the work into your existing systems so execution and handoffs are seamless. If certain operational work resists standardization into defined completions, we also offer a traditional monthly option with a dedicated full‑time specialist.
Our most requested services
Appointment Scheduling Coordination
Coordinate appointment bookings, reschedules, cancellations, and confirmation logging
We handle appointment requests, bookings, reschedules, cancellations, confirmations, and callbacks with clear documented outcomes, reducing administrative backlog and improving patient access while your team focuses on care delivery. QOP Healthcare identifies and resolves scheduling obstacles and address decision points promptly, ensuring smooth operations and transparency in all appointment management activities.
Patient Preregistration and Intake Completion
Process patient intake requirements and log clear exception dispositions
QOP Healthcare completes preregistration tasks—demographics, required forms, and documents—with clear dispositions to eliminate last‑minute intake gaps. Your clinical and front desk teams avoid unresolved prep work and can start visits with clean data and fewer delays. We log every item completed or closed with a defined reason why it could not be finished.
Insurance Eligibility and Benefit Verification
Confirm coverage status and document benefits with actionable outcomes
We verify patient coverage and document benefit details with source evidence and a recommended next action, giving operations clarity before service delivery. Your team gets confirmed eligibility status, detailed benefit notes, and disposition on whether to proceed or update information, reducing denials and administrative rework.
Prior Authorization Submission and Tracking
Coordinate authorization requests and document status with clear references
We prepare, submit, and track prior authorization requests with reference numbers, status follow‑ups, and documented exceptions so authorization progress is visible and auditable, helping reduce delays in care. When information is missing or a clinical decision is needed, we log it and route it back instead of assuming outcomes, improving workflow reliability for your operations.
Claims Work Execution
Process, follow up, and document payer claim actions and results
QOP Healthcare executes defined claim tasks—processing, follow‑ups, and exceptions—with clear documented outcomes so your revenue cycle team sees what was completed, what’s in progress, and what’s blocked. Claims are worked systematically, improving turnaround and reducing errors, while ensuring structured tracking and repeatable operational progress.
Invoice and Statement Sending
Send billing statements and capture delivery confirmations and timestamps
We send client‑generated invoices and statements, log each delivery with timestamps and dispositions, and maintain a clean audit trail without handling payments or funds. Your billing communications are consistent and trackable, reducing administrative burden and giving your team confidence that outbound documents were delivered and recorded accurately across your operations.
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 QOP Healthcare.
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 begin with a discovery call, then prioritize the services creating the most operational load or business risk for your clinic—as long as they can be defined with clear completion rules. QOP Healthcare only takes on services that can be scoped tightly enough to execute consistently, improving workflow accuracy and reducing administrative drag.
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. QOP Healthcare 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?
Work execution is flexible, depending on what makes delivery clean and trackable. Sometimes we operate directly in your tools, sometimes in ours, and sometimes we connect both so workflows stay aligned across systems. This adaptability helps maintain continuity while reducing manual handoffs and errors for your healthcare operations.
How do you define what counts as “complete”?
Each service is broken into outcome types with written completion rules that define when work is truly done. If evidence is required—like a confirmation, status change, record update, or log note—that requirement is set upfront so your team gets precise, auditable results that improve accuracy and reduce rework.
How does pricing work?
Pricing is outcome‑based. Each outcome type has a unit price tied to the completion rules so you pay for what’s actually finished. 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 out of scope or blocked aren’t counted 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 period to validate that completion rules match real day‑to‑day work. After validation, delivery runs in steady state using the same definitions and pricing, reducing surprises and improving predictability.
“We called in QOP Healthcare to take two burdens off our internal team: managed work queues that consistently get completed, and the follow-ups that usually fall through the cracks. Our team had been struggling with inconsistent appointment scheduling, eligibility bottlenecks, and manual follow-up overload. QOP Healthcare brought structure with clear work-item definitions and intake flows that our staff could rely on within weeks.
The difference isn’t “support hours” or vague coverage—we now see exactly what’s completed, what’s in progress, and what’s blocked in real time. They integrated seamlessly into our administrative systems, and we only pay for outcomes we can verify. Our operational backlog stopped creeping, responsiveness became predictable, and internal overhead from chasing incomplete tasks dropped significantly.”
Karen Mitchell
Chief Medical Officer
Real stories of growth