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Current Trends For Payers - The Human Side of Workflow Technology

Claims and enrollment management can feel like a juggling act, especially with rising volumes and the pressure to meet strict accuracy and timeliness standards. What if there were tools to simplify it all? In this episode, we dive into the game-changing power of modern workflow solutions. Discover how these tools eliminate inefficiencies, prevent cherry-picking by claims and enrollment processors, and streamline auditing, all while boosting internal team communication and productivity. Whether your health plan claims and enrollment teams are struggling with manual processes or looking to scale without adding staff, this discussion offers practical insights you can’t afford to miss. Tune in to learn how to transform your claims and enrollment management strategy!

About Our Guest: 

Alison South is the Vice President of revenue enablement and a subject matter expert in payer technology and operations. She brings 20+ years of experience in health plan operations, overseeing operational readiness, learning and development, and quality and audit operations. She has worked for large national payers running government programs, including Medicare and State Medicaid Demonstration programs and military healthcare operations. 

About the Author

Niki Driscoll is the host of Current Trends for Payers podcast and serves as a Product Marketing Manager at HealthEdge. Her work centers on the trends and innovations shaping the payer market, with a focus on modernization, AI, and next-generation operating models.

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