Effortless Healthcare Backend Management

As a pioneering healthcare BPO company, we optimize operations, reduce administrative burdens, and enhance efficiency.

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Transform Care Delivery with Premier Healthcare BPO Services

OutsourceRCM is an international healthcare BPO company primarily centered in the U.S. operating for over 15 years. Healthcare providers face significant challenges, from administrative overload to complex revenue cycle management. As a solution, OursourceRCM offers Healthcare BPO Services to optimize operations, enhance patient care, and boost your organization's financial health.

OutsourceRCM’s systematic approach ensures complete management of medical coding, medical billing, claims processing, insurance verification, and denial management. If you find your staff stretched thin, lacking necessary skills, or burning revenue on healthcare operations, consider a new approach to unburdening yourself with healthcare BPO services.

Vast Spectrum of Our Healthcare BPO Services

Outsource your healthcare BPO services to us and experience top-tier backend support that will elevate your financial health to new heights. Streamline processes, reduce errors, and increase revenue.

Medical Coding

Translation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes

Medical Billing

Processing invoices and insurance claims for medical treatment without errors

Revenue Cycle Management

Streamlining the revenue cycle from patient registration and scheduling to the final payment of a balance

Claims Processing

Management of the entire lifecycle of a patient's claim, from submission to settlement

Denial Management

Identification and resolution of the reasons behind denied claims

Insurance Verification

Verification of a patient's insurance coverage details to avoid claim denials

Patient Scheduling

Manage patient appointments, optimize the allocation of resources, and enhance patient experience

Medical Transcription

Conversion of voice-recorded reports dictated by physicians into text format

Why We Lead the Way in Healthcare Business Process Outsourcing

BPO Expertise
01
BPO Expertise
OutsourceRCM offers in-depth industry knowledge and expertise, ensuring top-notch healthcare BPO services tailored to your needs.
Holistic Services
02
Holistic Services
We provide comprehensive Healthcare BPO services, covering all aspects of your backend operations, including medical billing, claim processing, and denial management
Quality Assurance
03
Quality Assurance
We are committed to upholding the ISO 9001:2015 quality standards, delivering accurate and reliable services that meet international standards.
Security and Confidentiality
04
Security and Confidentiality
We prioritize the security and confidentiality of your data, implementing stringent HIPAA standards to protect sensitive information.
Scalable Services
05
Scalable Services
Our flexible and scalable services can easily adjust to your changing needs, ensuring seamless service irrespective of the size or complexity of your project.
Excellent Customer Support
06
Excellent Customer Support
Our dedicated team is always ready to assist you, providing 24/7 customer support for an effortless outsourcing experience.
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Healthcare Business Process Outsourcing by OutsourceRCM

As a leading healthcare BPO company, we offer comprehensive insights into your financial status, allowing you to track key revenue figures daily. With us, you can easily understand clinical collections, net collection ratio, denial management, billing management, payment posting, insurance verification, days sales outstanding, and aged A/R.

Revolutionizing Healthcare Operations with Automation

At OutsourceRCM, we understand that managing the backend of healthcare services can be both complex and time-consuming. To address these challenges, we’ve implemented top automation technologies that streamline operations, reduce errors, and improve efficiency. Here’s how automation plays a pivotal role in optimizing healthcare services:

Streamlining Scheduling and Patient Billing

Traditional scheduling and billing are labor-intensive tasks that often result in delays and inaccuracies. Through automation, OutsourceRCM handles patient scheduling, billing, claims processing, reminders, and cancellations efficiently. By integrating Robotic Process Automation (RPA), our system manages patient intake, improves billing cycles, and accelerates revenue recovery—freeing up staff to focus on higher-level responsibilities.

Enhancing Medical Staff Support

Automation aids healthcare providers in adjusting to fluctuating patient volumes, especially during critical times like flu seasons or pandemics. With machine learning (ML) and AI tools, we ensure that hospitals are equipped to handle increased demand, deploying automated screening tools and telehealth services to maintain patient care and prevent staff burnout.

Optimizing Electronic Health Record (EHR) Management

EHRs contain vast amounts of valuable data, and OutsourceRCM automates the collection, management, and sharing of this data across departments. This automation not only streamlines internal workflows but also enhances collaboration, reduces delays in treatment, and provides actionable insights to improve patient care and outcomes.

Boosting Diagnostic Speed and Accuracy

By automating diagnostic tools, OutsourceRCM ensures that medical professionals can diagnose conditions with greater speed and precision. AI tools assist in continuously monitoring patient health, detecting deviations early, and reducing the risk of human error—leading to more timely and accurate treatment.

Enhancing Communication with Patients

Automation simplifies communication between patients and healthcare providers. We integrate AI-driven chatbots and automated appointment scheduling systems, ensuring that patients receive timely responses and can easily access care. Virtual consultations, facilitated by AI tools, allow patients and doctors to stay connected without the need for in-person visits.

Securing Patient Data with Blockchain and Automation

Ensuring patient data security is paramount. OutsourceRCM utilizes automation and blockchain technology to protect sensitive health information, ensuring that only authorized personnel can access patient records. This approach helps maintain confidentiality and prevents data breaches, safeguarding patient privacy.

Real-Time Data Visibility for Better Decision Making

Dashboards powered by automated systems give healthcare administrators real-time insights into clinical data, resource availability, and claims information. This visibility helps make informed decisions, optimize resource allocation, and improve operational efficiency, ensuring that healthcare providers can deliver the best care possible.

Experience the Collaboration of Growth! Transforming Healthcare Providers through Strategic Healthcare BPO Services

Behind the Scenes of a 40% Profit Boost: A Neurosurgical Group's Back Office Transformation

Boosting Efficiency: How EHR Software Transition Revolutionized 3000 Rehab Cases - A Case Study

Reinventing Medical Billing: A 30% Reduction in Denial Rates - A North Carolina Healthcare Provider's Success Story

OutsourceRCM Has Earned the Top Spot as the Preferred Healthcare Accounts Receivable Services Provider

Joan Palmeiri, President,
Healthcare Consulting company
I want to thank you both for the great job you are doing. I could not be happier with my decision to work with you. I am looking forward to our continued relationship and growth.
Kavita Wadhwani,
CEO, CHPPS, CA
OutsourceRCM helped us identify the errors in our billing system that led to delays & losses. Today, we do not worry about internal billing anymore.
Dr. Naras Bhat,
Allergy & Weight Loss Center, PA
They have managed our RCM services with such competency that we have maximized reimbursement year-on-year.
Owner,
Healthcare Management Consultant, TX
The team at OutsourceRCM has reduced the burden on my shoulders and made my life so much easier! They are extremely professional and never seem to skip a beat. I am extremely glad that I found them and recommend everyone to give their services a try.
Private Practice Therapist,
Washington
Your knowledge of billing codes and carrier specific ancillary forms is second to none. I have never had such an experience of claims coming back so much faster. What I like the most is despite having over 200 other clients to attend to, you never fail to deliver first class customer service and results to us.

Discover the Premier Healthcare BPO solutions. Take the First Step Toward Optimized Healthcare Management.

FAQs

What is the typical turnaround time for medical billing and claims processing?
At OutsourceRCM, we prioritize fast and accurate claims processing. We ensure that claims are submitted and processed as quickly as possible to minimize delays and maximize reimbursement.
What types of technology do you use to manage healthcare operations?
We leverage state-of-the-art technology to optimize healthcare BPO services, including cloud-based platforms, Electronic Health Records (EHR) systems, integrated billing software, AI-driven claims management tools, and advanced data analytics systems. We also incorporate blockchain for secure patient data management, ensuring full HIPAA compliance.
How do you ensure data security and HIPAA compliance?
We place the utmost importance on data security. OutsourceRCM adheres strictly to HIPAA regulations, employing encryption, secure data transfer protocols, and secure cloud platforms to protect patient information. Our team is regularly trained on security best practices, and we perform audits to maintain compliance with HIPAA and other healthcare data protection standards.
Can OutsourceRCM handle high-volume medical billing during peak periods?
Yes, our services are fully scalable to meet high demands. We can quickly adjust our resources to handle increased volumes of claims, ensuring high-quality service and fast turnaround times even during peak periods. Our automated systems and flexible infrastructure make it possible to maintain efficiency at any scale.
How does OutsourceRCM handle insurance verification?
Insurance verification is a crucial aspect of our service. We use automated insurance verification tools that integrate directly with payer systems to confirm patient coverage in real time. This reduces errors, improves accuracy, and helps avoid denials by ensuring insurance details are validated before treatment.
What is the process for handling denied claims?
Our denial management process is systematic and thorough. We identify the cause of each denied claim, whether it’s a coding issue, missing information, or insurance-related problem. We then take corrective actions, resubmit the claims, and follow up with insurers to ensure resolution, reducing denial rates and improving reimbursement rates.
How do you handle patient scheduling and appointment management?
We offer an automated scheduling system that integrates with your practice management software to streamline appointment bookings. The system can automatically send reminders, handle cancellations, and manage waitlists, helping to reduce no-shows, improve operational efficiency, and enhance the patient experience.
How do you ensure high-quality standards in your services?
We uphold rigorous quality standards through ISO 9001:2015 certification. Our processes are regularly reviewed and refined to ensure high-quality outcomes. We combine automated tools with human expertise to deliver reliable, accurate services, and we track performance metrics to continuously improve.
What types of healthcare providers can benefit from your services?
Our healthcare BPO services are suitable for a wide range of healthcare providers, including hospitals, medical practices, specialty clinics, long-term care facilities, and rehabilitation centers. Whether you are a small practice or a large healthcare organization, we offer scalable solutions to meet your needs.