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Operational Support for Optum Healthcare
Optum delivers better health experiences while managing costs for millions of patients nationwide.
Pharmbills handles your administrative tasks so your team can focus on improving patient outcomes.
Our 1,000 healthcare specialists process claims, manage authorizations, and handle billing with 99.7% accuracy.
Services
Administrative Services for Optum
Health Insurance Billing & Processing
Our team processes claims, tracks aging accounts, and reconciles payments to reduce your revenue cycle time.
Prior Authorization Management
We verify authorization status, request backdates, and check medication batches to prevent claim rejections.
Data Entry & Verification
Our specialists transfer clinical data between systems with HIPAA-compliant protocols and 99.8% accuracy rates.
Benefits
Why Optum Partners With Pharmbills
HIPAA-Compliant Operations
All team members maintain strict healthcare regulatory compliance in every task.
Trained Healthcare Specialists
Our staff completes Pharmbills Academy training on healthcare systems before starting work.
Transparent Pricing Structure
We charge a flat hourly rate with no hidden costs. Management oversight is included, and we offer a 90-day satisfaction guarantee.
Measurable Impact on Healthcare Finances
Month after month, results kept coming. So did the same question: “Can you add more people?”
Six months in, the team had grown to 13. Six were sent to the U.S. for on-site training. This was a strong signal: the client trusted us not just to deliver, but to lead. From there, we didn’t just grow teams, we built full-cycle billing operations.
By 2022, they hit their biggest growth milestone with Pharmbills at the core. And today?
• 8 Team Leads run day-to-day ops
• 23 Captains manage, train, and lead
• 207 back-office employees
• Backed by our HR and CSM teams
This is what happens when trust meets execution.
We restructured workloads, launched targeted training, brought in after-hours support, and set daily performance checkpoints.
In under two weeks, the backlog was gone. Accuracy stayed above 99%, turnaround times improved, and cash flows stabilized.
For ABA and pharmacy clients juggling real-time verifications and auths, this proved one thing: with the right team, no backlog is too big.
We flagged it quickly and proposed a solution, a new role: Outpatient Claim Auditor. This role reviewed all claims before they hit the nursing homes.
In just 9 months, this saved the client over $5 million.
Impressed by the results, the client expanded the role into a full department, setting the stage for even greater savings ahead.
Team
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Clients Testimonials
A quick conversation.
No pressure.
Start Improving Optum's Operations
Schedule a 30-minute assessment call to identify where Pharmbills can reduce your administrative burden.
Our team can begin supporting your operations within 14 days of agreement, with no long-term contract required.
Ready to Hand Off AR & AP - Without Losing Control?
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