QOP Specialty Medicine runs clearly scoped operational services where “done” is defined upfront. Delivery is measured on completed outcomes, not hours, seats, or general activity.
PeopleProcessPerformance
expertise in
Specialty Medicine
Building stronger, more connected teams
Two pillars of scalable growth
Growth stalls when hiring can’t keep up and operational backlogs pile up. QOP Specialty Medicine addresses both. Our recruitment support finds and engages proven healthcare operations talent for the exact roles you need. In parallel, our outcome-based support owns defined workflows—patient access, revenue cycle, admin ops—and delivers measurable results, not billable hours. One partner for staffing and execution, built to scale with clinical demand and operational pressure.
Built to scale growth
Work measured by results
Hire better talent
Outcome based operations support
At QOP Specialty Medicine, we deliver clearly defined operational outcomes, not headcount or vague support. Specialized practices partner with us to offload recurring work that often buries internal teams, such as complex referral tracking and revenue cycle admin. By shifting the focus from "hours worked" to "work completed," we help you eliminate persistent backlogs and ensure every administrative task moves forward with auditable precision. This allows your core staff to stop chasing status updates and return their full attention to physician support and patient care.
QUALITY OPERATIONS, QUALITY TALENT, REAL IMPACT,
A model built around defined outcomes
QOP Specialty Medicine uses an outcome-based operations model: you pay for completed, auditable work. Our process begins with a discovery call to identify the workflows that impact patient access, revenue cycle, HR, and other operational priorities. Completion standards are aligned and workflows connected to your existing systems, keeping handoffs clear and auditable. For tasks that require consistent oversight but cannot be fully standardized, we provide a monthly full-time specialist.
Our most requested services
Patient Access Scheduling & Referrals
Handle appointment scheduling and referral intake with disposition tracking and follow-up
We handle routine appointment booking, rescheduling, cancellations, and referral intake in specialty care. We log each action with timestamps and attempt history when patients can’t be reached. QOP Specialty Medicine ensures clean handoffs when authorization or clinical decisions are required, helping reduce dropped requests and minimize internal staff time.
Prior Authorization & Benefits Verification
Verify payer coverage and coordinate authorization requests before procedures
We verify payer coverage and coordinate authorization requests before services proceed. We assemble required documentation, submit through payer channels, and follow up while maintaining a clear status trail. QOP Specialty Medicine keeps operational tracking and documentation, escalating anything requiring clinical judgment or provider sign-off back to the client team.
Coding & Charge Entry (Claim Creation)
Process coding, enter charges, and prepare claims for submission readiness
We turn clinical documentation into claim-ready charges and submissions with consistent validation. We scrub claims, correct rejections, and maintain evidence of submissions or queueing. QOP Specialty Medicine avoids money handling or post-adjudication denials, reducing preventable claim errors and supporting cleaner downstream revenue-cycle flow.
Claims Status & Denials Follow-up
Follow up on submitted claims and assemble denial or appeal documentation
We check submitted claim statuses, follow up on denials, and assemble draft appeal materials for client review. We log each interaction with references and next-step instructions so claims progress without getting stalled. QOP Specialty Medicine escalates any actions requiring clinical justification, peer-to-peer discussion, or contract/legal interpretation, while avoiding direct payment handling.
Patient Outreach & Non-Clinical Follow-up
Conduct non-clinical patient outreach and log follow-up outcomes
We handle reminders, post-visit follow-ups, form collection, and operational routing for non-clinical patient requests. We document outcomes with attempt history and escalate cases requiring clinical judgment. QOP Specialty Medicine helps reduce dropped tasks, limits staff phone overload, and maintains a consistent record of all patient interactions and follow-up steps.
Telehealth & Remote Monitoring Support
Support telehealth visits and remote monitoring operations with workflow coordination
We support telehealth visits and remote monitoring operations, including patient setup, tech-checks, and troubleshooting. We document workflows and route alerts cleanly to clinical teams. QOP Specialty Medicine ensures visits and device programs run smoothly without interpreting clinical readings, with any clinical actions escalated to licensed staff per client protocols.
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 Specialty Medicine.
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 does work enter the workflow?
Work intake depends on the service. Requests can arrive through integrations, system triggers, scheduled batches, shared queues, or an agreed handoff process with your team. The intake method is defined per service so there is a consistent flow.
Do you work in our systems or your systems?
Either approach works, depending on what keeps delivery clean and trackable. Sometimes QOP Specialty Medicine operates directly in your tools, sometimes we use ours, and sometimes we connect both so the workflow stays aligned.
How do you define what counts as “complete”?
Each service is broken into outcome types with written completion rules. If evidence is required—like a confirmation, status change, record update, or log note—that requirement is defined upfront.
How does pricing work?
Pricing is outcome-based. Each outcome type has a unit price tied to the completion rules. Most clients use a recurring service credit or minimum commitment, with usage applied based on completed outcomes. Overages use the same unit pricing, and items that are out of scope or blocked are not treated 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, and run a short ramp to validate that completion rules match real day-to-day work. After that, QOP Specialty Medicine runs delivery in steady state using the same definitions and pricing.
“We brought QOP Specialty Medicine in to handle two things: managing a defined operational queue end-to-end, and running follow-ups so nothing stalls after the first step. Within the first few weeks, work item definitions were clear, intake was clean, and completion rhythm became reliable for our internal team.
The difference is that it’s not vague “support hours.” We see exactly what was completed, what’s in progress, and what’s blocked. They integrated with our systems and workflows, and we only pay for verifiable outcomes. Backlogs were cleared, turnaround became predictable, and internal time spent chasing updates was greatly reduced.”
Elliot Henderson
Chief Operating Officer
Real stories of growth