Top 12 Healthcare Outsourcing Companies in the US

Epic Systems, R1 RCM, Optum 360, Waystar, and Athenahealth are among the vendors offering certified Epic integration. For physical therapy, occupational therapy, and speech therapy practices, also look for built-in support for therapy-specific billing rules — the 8-Minute Rule, KX modifier tracking, and GP modifier automation — which general medical RCM tools consistently miss. RCM software provides technology tools that require in-house staff to operate, while RCM services deliver complete outsourced solutions, including workforce, technology, and guaranteed performance metrics. Flat-rate software models vary widely by vendor and practice size — always ask for a model based on your actual visit volume rather than a generic per-provider estimate. Healthcare RCM services typically cost 3–10% of collections, with most vendors in the 5–10% range, according to Medical Billing Service Review.
Core offerings include revenue cycle management, health plan operations, digital health solutions, healthcare interoperability, data science, and intelligent process automation. Omni-channel patient support solutions represent a key specialty targeted at improving consumerism and loyalty. Tri Source International delivers healthcare business process outsourcing services driven by customer-centricity and a spirit of partnership. They offer customizable solutions for medical billing, medical coding, transcription, health information management, patient scheduling, revenue cycle management, and IT services.

• Enterprise vendors like Teleperformance and Accenture serve hospital systems with thousands of patient touchpoints daily.
• Healthcare BPO (business process outsourcing) refers to a process in which healthcare providers select the most suited third-party vendors for specific business processes.
• They take a structured approach to developing solutions for each client, using available technologies to align service delivery with performance expectations.
• Medical billing companies maintain HIPAA compliance by implementing secure data handling practices, encrypted systems, access controls, regular staff training, and continuous compliance monitoring.

These companies have gone through rigorous assessments and met strict criteria including specialty recognition, experience, technology platform, regulatory requirements, referrals, and capacity to https://top-customer-support-companies.com/ qualify as partners in improving healthcare management. An Indian BPO won a contract for the revenue cycle management of a major US-based hospital network. With the help of the BPO, they managed patient data and conducted analytics that helped them lower clinical trial costs by 25% and increase the number of recruited patients by 20%. An Indian BPO signed a contract with a major US-based health insurance company to conduct various patient engagement and outreach programs.

Which Healthcare BPO Companies Are Best for Call Center Services?

Its 34,000-employee-strong team operates across 57 centers in 10 countries, handling over 2 billion back-office transactions and 200 million customer interactions every year. Firstsource is a specialized global business process outsourcing company established in 2001. With 13,000 technology experts across 100 countries, the company is on a mission to create a healthier world by accelerating innovations that lead to better patient outcomes. Backed by a team of 60,000 employees (49% of whom are women), the company provides services in 30 languages across 30 offices in the United States, the Philippines, Colombia, Croatia, Japan, and other countries.

Optum is one of the largest healthcare operations and technology organizations in the United States, providing revenue cycle management, analytics, patient access, and operational support services for providers, payers, and health systems. Healthcare BPO companies offer services like revenue cycle management (RCM), patient engagement, claims processing, insurance verification, and more. If your company invests in improving its journey through support channels, lobby visits, trained personnel, and empathetic interactions, the perception changes. The only difference is that once they step into your company, uncertainty arises and dominates them unless you have professional and trained employees who support them.
The company employs certified coders trained in IPPS, OPPS, HCC, and specialty-specific coding environments, making it a natural fit for academic medical centers, multi-specialty groups, and health systems dealing with complex payer mixes. With 14,000+ employees across US and offshore delivery centers, GeBBS specializes in medical coding, clinical documentation improvement, revenue cycle management, and health information management. GeBBS Healthcare Solutions was founded in 2005 and is headquartered in East Haven, Connecticut. Over 1 million providers use Waystar across hospital systems, ambulatory practices, specialty providers, and physician groups.
They implement comprehensive tools such as encryption, authorization, and user education to protect consumers’ health data. One of the case studies by Flatworld Solutions noted that outsourcing enables the healthcare institution to offer its services from various practices in local and global locations. The major strength of Indian healthcare BPO companies is their ability to expand or contract their operations with the help of surge capacity depending on the workload. According to research by Assocham and EY, India has a competitive advantage over other outsourcing destinations due to its surplus of professionally trained medical personnel.
HCL Technologies Limited offers software development, business process outsourcing, and infrastructure management services. Genpact Limited provides business process outsourcing and information technology (IT) services to various organizations across the globe. It provides healthcare technologies such as medical imaging, digital solutions, patient monitoring and diagnostics, and drug discovery and performance improvement solutions that are the building blocks of precision health to hospitals and medical facilities.