Beacon Healthcare Systems

Overview

Beacon Healthcare Systems is a healthcare software company based in Huntington Beach, California. Founded in January 2011, the company specializes in compliance and audit management solutions for government-sponsored health payors, including Medicare Advantage, Medicaid, and commercial health plans. Their automated SaaS platform is designed to streamline appeals and grievances, reduce compliance risk, and enhance member experiences while ensuring secure, HIPAA-compliant cloud infrastructure.

The software suite offered by Beacon aggregates compliance data, automates auditing processes, and provides workflow tools to help health plans achieve high compliance standards efficiently. Their solutions are customizable, scalable, and developed by experienced professionals from the health plan sector. Beacon Healthcare Systems aims to support healthcare payors in meeting regulatory requirements while improving operational efficiency and collaboration across organizations.

Basic Information

Contact Details

• Phone: +1 800-918-4120
• Website: beaconhcs.com
• LinkedIn: linkedin.com/company/beacon-healthcare-systems-inc-

Key Focus Areas & Initiatives

• Medicare Advantage
• Compliance
• Software
• Managed care
• Government programs
• Monitoring
• Auditing
• Appeals
• Grievances
• Medicaid
• Government regulations
• CMS compliance
• Healthcare
• EDPS
• HPMS
• CMS
• Operations
• Mock audits
• Enrollment
• SDOH
• Universe validation
• Member experience
• Appeals and grievances
• Risk adjustment tools
• Automated correspondence
• Cloud infrastructure
• Data security
• Customer experience
• Healthcare SaaS
• Medicare Part D compliance
• CMS program audit protocols
• Role-based modules
• Specialized appeals software
• Cost reduction
• Real-time validation
• HIPAA compliant cloud
• Health plan technology
• CMS audit preparation
• Audit readiness
• Grievance tracking
• Universe file validation
• Regulatory compliance
• SaaS healthcare software
• Automated workflows
• Compliance risk mitigation
• Regulatory trend tracking
• Compliance management
• HIPAA security
• Healthcare analytics
• Healthcare software
• Health insurance
• Risk management
• Medicare compliance
• CMS audit support
• Health plan automation
• Audit trail management
• Health plan operational efficiency
• Robotic process automation
• Appeals management
• B2B
• Workflow automation
• CMS universe scrubber
• Computer systems design and related services
• Third-party vendor oversight
• Intelligent workflows
• CMS universe validation
• Member satisfaction
• Regulatory reporting
• Medicare & Medicaid software
• Information technology & services
• Enterprise software
• Computer software
• Internet infrastructure
• Internet
• Computer & network security

Technologies Used

• AI
• Google Tag Manager
• Hubspot
• Microsoft Office 365
• Mobile Friendly
• Nginx
• Outlook
• Rackspace MailGun
• React
• Salesforce
• WordPress.org
• Wordpress.com
• reCAPTCHA

Affiliated Organizations & Regional Branches