Reduce Days in AR and Achieve 95%+ First Pass Claims

Data-driven workflows, certified coders, and payer-aligned processes that increase reimbursements and reduce denials.

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Medical Billing Services

Denials, delayed reimbursements, and inconsistent billing processes quietly erode cash flow, extend days in accounts receivable, increase rework and restrict investment capacity. A high-performing revenue cycle requires clean claims, proactive follow-up, and claim-level financial reporting.

Outsource RCM’s medical billing services help with end-to-end revenue cycle execution through certified coding expertise, payer-specific claim scrubbing, real-time eligibility and authorization checks, and adjudication follow-up. Supported by HIPAA-compliant systems, documented audit trails, and role-based data security controls, each claim maintains controlled cash realization across the revenue cycle.

We transform billing into a reliable, performance-driven function rather than a reactive back-office task with account ownership and transparent reporting.

MBE Statistics

Outsource Medical Billing Services - What We Offer

We provide medical billing for multi-specialty hospitals and physician groups to improve clean claim rates and significantly minimize downstream denial management efforts by reducing first-pass rejections.

Eligibility & Authorization Management
Eligibility & Authorization Management

We thoroughly verify insurance, validate benefits, procure prior authorization, and ensure demographic accuracy control before service delivery to prevent avoidable denials and improve clean-claim rates.

Medical Coding & Charge Capture
Medical Coding & Charge Capture

Our certified coding and charge integrity operations make sure CPT/ICD and HCPCS assignments are accurate, documents are aligned, and payer policies are adhered to.

Claims Submission Management
Claims Submission Management

We prepare end-to-end, including scrubbing, clearinghouse processing, and electronic submission of claims with acceptance tracking and error correction to maximize first-pass acceptance and shorten the cycle.


Accounts Receivable, Denial, & Legacy Recovery Management
Accounts Receivable, Denial, & Legacy Recovery Management

We manage aging bucket stratification, CARC/RARC denial categorization, appeals handling, high-balance prioritization, and legacy receivable recovery within unified accounts receivable governance controls.

Payment Posting & Contract Reconciliation
Payment Posting & Contract Reconciliation

We perform ERA/EOB posting, contractual allowance validation, underpayment detection, secondary billing, and daily reconciliation of adjudicated claims to ensure posting accuracy and capture revenue.

Patient Billing & Consumer AR Management
Patient Billing & Consumer AR Management

We manage statement generation, digital billing workflows, payment plan administration, and consumer balance recovery separately from payer receivables within defined consumer AR controls.

The ORCM Advantage

With us, healthcare providers can reduce denials, reconcile revenue more quickly, and stay audit-ready with compliance thanks to operational agility and payer alignment provided at every step of the medical billing cycle.

On-Demand Scribe-Plus-Service
98% claim-level accuracy validated through multi-layer quality control sampling
Data-Driven Quality Review
First-pass acceptance rates consistently
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AR days driven toward reliable targets through prioritized receivable follow-up
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Denial recurrence systematically reduced by embedding corrective action and reason-code remediation loops
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SLA-backed delivery with contractual performance thresholds and accountability
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HIPAA-aligned infrastructure with encrypted environments, role-based access, and full audit trails
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Real-time executive dashboards providing claim-level visibility and KPI traceability

Our Medical Billing Company’s Process Flow

Data Collection and Aggregation
01
Patient Data & Insurance Verification
Coding and Documentation
02
Medical Coding & Charge Entry
Claim Submission
03
Claims Scrubbing & Submission
Follow-Up and Denial Management
04
Payment Posting & Reconciliation
Payment Posting and Reconciliation
05
AR Follow-Up & Denial Management
Payment Posting and Reconciliation
06
Reporting & Performance Optimization

Additional Services We Offer as Medical Billing Providers

Healthcare Data Entry Services

We accurately enter and digitize patient records, clinical data, and insurance information for error-free documentation.

Medical Transcription Services

We convert voice-recorded clinical notes into organized and compliant medical documents with precise and accurate terminology.

Healthcare Analytics Services

Our data-driven insights from clinical, operational, and financial datasets improve patient outcomes, optimize workflows, and enhance revenue cycle performance.

Healthcare Call Center Services

Our HIPAA-compliant patient communication support includes appointment scheduling, inbound inquiries, and medical information assistance to enhance patient engagement and service delivery.

Unlocking Success: Inspiring Case Studies on Healthcare Offshore Service

Check how we have handled past projects with expertise and professionalism.

case study

OutsourceRCM Boosts Efficiency with 98% Billing Accuracy and 24H Turnaround, Uplifting Patient Satisfaction

case study

Revitalizing Medical Billing Processes: Transforming a Florida-Based Medical Group's Operation

case study

Florida Medicine Practice boosts efficiency and increases reimbursement rates with OutsourceRCM

Simplify medical coding and billing with our expert services. Let us transform your healthcare billing for success!

FAQs

How will your team integrate with our existing EHR or practice management system?
We integrate directly with your existing practice management system using secure role-based access or APIs. So, you don’t have to worry about the integration aspect.
What compliance and data security standards do you follow?
We operate in HIPAA-aligned environments so that your documents are protected with encrypted systems and role-based access controls. Our certified medical billing specialists perform audit trails and document quality checks.
How long does onboarding and transition typically take?
Most practices are fully transitioned within 2–4 weeks. However, it may vary from project to project. Contact our agents for a detailed analysis.
How is pricing structured?
Our pricing is typically aligned with collections or claim volumes. Please contact our agents to get an accurate estimate that will be evaluated based on your requirements.
What are the measurable improvements we can expect after outsourcing med billing services?
Clients commonly see higher first-pass acceptance rates, significantly lower AR days, and faster reimbursement cycles within a short span. However, it may vary from project to project.
Do you support specialty-specific billing requirements?
Yes. Our dedicated teams are aligned with specialty and payer mix. We ensure familiarity with specialty coding nuances, authorization rules, and reimbursement patterns that directly impact collections.
How do you ensure transparency and accountability?
We send real-time dashboards and scheduled KPI reviews covering denial rates, AR aging, net collection rate, and cash acceleration. So, you can continuously see and measure performance.
What happens if performance targets are not met?
Our engagements are governed by SLA-backed metrics and corrective action plans. It means structured accountability and fast remediation rather than open-ended dependence on vendor.
Can you scale with our growth or multi-location expansion?
Absolutely. Our delivery model can be adjusted based on your requirements.
Will we lose control or visibility over our revenue cycle if we outsource?
No. You retain full oversight through shared dashboards, claim-level traceability, and scheduled executive reviews. So, there will always be complete financial transparency and decision control.