Operational work behind care delivery. We take defined scopes off your clinical and admin teams — scheduling, eligibility verification, referral management, chart prep, patient follow-up — and complete them to a standard your staff can rely on. Each completed item carries evidence: a verified eligibility, a scheduled appointment, a resolved referral.
SchedulingIntakeCare coordination
expertise in
Healthcare
Building stronger, more connected teams
Care-delivery operations that actually get finished
Care teams lose hours every day to scheduling backlogs, eligibility verification, and referral paperwork that sits in queues nobody owns. QOP Healthcare takes defined operational scopes off your clinical and admin teams and completes them to a standard your staff can rely on. You pay per completed outcome — a verified eligibility, a scheduled appointment, a processed referral — not for hours.
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
Common questions
How do we decide what services to start with?
We start with: what work is pulling your staff away from patients? Usually it’s scheduling backlogs, eligibility verification, or referral processing. We take on the work that can be written as a clear completion rule: scheduled, verified, processed, resolved. Anything too open-ended to define “done” doesn’t get taken on.
How does work enter the workflow?
Scheduling requests come through your EHR or patient portal. Eligibility checks come through your practice management system. Referrals arrive via fax, portal, or email. Each scope has one agreed intake path so work doesn’t sit in a queue nobody monitors.
Do you work in our systems or your systems?
In your systems — Epic, Cerner, Athena, eClinicalWorks, or whatever your care teams already use. We log in, do the work, and leave the trail in your EHR or practice management platform. For some scopes we use shared tools, but the completed result lands in your system.
How do you define what counts as “complete”?
Every service has completion rules written down before work starts. An eligibility verified with benefits detail. An appointment scheduled with confirmation. A referral processed with all required documentation. Evidence is part of the completed item, not a separate step.
How does pricing work?
Per completed outcome. Each outcome type — a verified eligibility, a scheduled appointment, a processed referral — has a unit price. Most clinics run on a monthly credit that draws down as work completes. Volume above the credit bills at the same rate. Blocked items don’t count.
What does onboarding look like?
Scope and intake first — what’s being handed off, where it enters your system, what “done” looks like in your EHR. Then a short ramp on live work (a scheduling batch, an eligibility run) to confirm the completion rules match real cases. Once verified, delivery runs on the same rules every cycle.
““Scheduling and eligibility verification were eating our front-desk team alive. Patients waiting on hold, referrals sitting unread, nobody sure which queue was whose. We handed scheduling admin, eligibility checks, and referral processing to QOP Healthcare as scoped outcomes. Now each item has a real status: a verified benefit, a scheduled slot, a processed referral. Our front desk got back to patients.”
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
What clients say