Revenue Cycle Support for Healthcare Providers
Providers, health systems, and billing companies use our US-based agents to work aged AR, appeal denials inside the deadline, chase prior authorizations, and call patients about balances.
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What Sets Us Apart
Most uncollected healthcare revenue was never denied — it was never followed up, because in-house billing teams are sized for submission rather than pursuit. We work payer follow-up by aging bucket, appeal denials by reason code before the window closes, chase prior authorizations to determination, and handle patient balance conversations with the tone a medical bill requires. All under signed BAAs, documented in your own system.
Key Capabilities
Explore the comprehensive features that power our medical billing & rcm solutions.
Patient Balance & Statement Calls
Outbound and inbound coverage on patient responsibility balances, handled with the tone a medical bill requires — explaining the charge clearly, answering coverage questions, and setting up payment arrangements rather than pressuring.
Insurance Follow-Up & AR Recovery
Systematic payer follow-up on unpaid and underpaid claims, working aged AR by bucket with documented call notes, reference numbers, and next actions on every touch.
Denial Management & Appeals Support
Denials worked by reason code, with corrected claims resubmitted and appeal packets assembled to payer requirements — the follow-through that in-house teams rarely have capacity to complete.
Prior Authorization & Eligibility
Benefit verification and prior authorization requests submitted and chased to determination, so procedures are not cancelled at the last minute and claims are not denied for authorization that was never obtained.
Payment Plan Administration
Structured payment arrangements set up within your policy limits, monitored for missed payments, and recovered with follow-up calls before the balance drops out of the plan entirely.
Bilingual Patient Financial Support
Native Spanish-speaking agents handle balance and financial assistance conversations directly, which materially improves both collection rates and patient experience on a genuinely difficult call.
Most uncollected revenue was never denied. It was never followed up.
Contact Center USA provides US-based revenue cycle support for providers, health systems, and billing companies — patient balance calls, payer follow-up, denial work, and prior authorization chase.
Aged AR rarely represents claims that could not be paid. It represents claims nobody had time to call about, denials nobody appealed inside the window, and patient balances that went to a statement cycle and then to write-off.
In-House Billing Team vs. Outsourced RCM Support
In-house billing teams are almost always sized for claim submission, not for follow-up. Submission is deadline-driven and visible; follow-up is neither, so it is the work that quietly does not happen.
From Aged Claim to Posted Payment
Every RCM engagement starts with your compliance requirements and your system of record, then targets the specific buckets where recoverable revenue is sitting.
BAA & Compliance Setup
Business Associate Agreements executed, PHI access scoped by role, and retention policy configured.
System Provisioning
Agents provisioned in your EHR and billing platform with permissions limited to their function.
AR & Denial Analysis
We analyze aging and denial reason codes to target the buckets with the most recoverable value.
Work the Queues
Payer follow-up, denial appeals, and patient balance calls worked to a documented cadence.
Report & Refine
Reporting on recovery by bucket, denial overturn rate, and patient arrangement performance.
Across Providers, Systems, and Billing Companies
A specialty practice and a hospital system have very different denial profiles and payer mixes, so queues are built per client rather than blended.
Physician Practices
Patient balances, payer follow-up, and prior authorization for independent and group practices.
Hospitals & Health Systems
High-volume AR recovery, complex denial work, and patient financial services support.
Billing Companies
Overflow and scale capacity worked under your brand with per-client reporting.
Post-Acute & Ancillary
DME, home health, imaging, and lab billing with their own authorization requirements.
Why Follow-Up Is the Work That Belongs Outside
Nothing about this outsources coding judgment or clinical documentation. What moves outside is the volume follow-through: sitting on hold with a payer, calling a patient about a balance they do not understand, and filing the appeal that has a deadline nobody is tracking.
Contact Center USA staffs domestic agents under signed BAAs, working inside your EHR, documenting every touch with reference numbers and next actions. Your billing team keeps the judgment calls and gets back the hours currently spent on hold.
- US-based agents under signed Business Associate Agreements
- Every payer touch documented with reference number and next action
- Denials worked by reason code with appeals filed inside deadline
- Patient balance calls handled with appropriate tone and routing to assistance
- Prior authorization chased to determination, not just submitted
Find out what is sitting in your aged AR.
Send us your aging summary and top denial reason codes. We will identify the buckets with the most recoverable value and scope a follow-up program around them.
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Contact us today for a free consultation. Let us show you how we can transform your customer experience.