Revenue Cycle
Management Outsourcing

Unlock Productivity, Accuracy, and Results in Your Revenue Cycle Management Processes

Healthcare Revenue Cycle Management Solutions: Helping You Focus on Patients, Not Payments

Strategic revenue cycle management (RCM) is the lifeblood of any healthcare organization, alleviating bottom-line pressures and securing proper reimbursement for services rendered.

But mounting pressures beyond healthcare enterprises’ control—including critical staff shortages, inflation, and rising healthcare costs—have nearly half of U.S. hospitals grappling with negative margins, according to a recent Everest Group report.

Labor shortages are impacting revenue collection as well, with nearly 1 in 4 healthcare finance leaders needing to hire 20+ more employees to fully staff their departments, according to a Healthcare Financial Management Association pulse survey. Cybercriminals are also zeroing in on the virtual goldmine of data that health systems possess, making healthcare the third-most targeted industry in 2023.

Auxis Revenue Cycle Management Outsourcing solutions can help.

Leading healthcare providers rely on Auxis to maintain their own wellness and reduce costs: streamlining operations, accelerating cash flow, reducing days outstanding, supporting revenue integrity, and mitigating high turnover and hiring challenges.

With service delivery from the top nearshore hubs in Latin America; cutting-edge implementation of technologies including automation, AI, machine learning, and analytics; and more than 25 years of experience optimizing business operations, we can significantly lower your spending without impacting the quality of your patient care – or your back office.

Recent reports credit the rise of nearshore outsourcing with the recent explosive growth of the healthcare business process outsourcing (BPO) market. Outsourcing revenue cycle management to Auxis’ service delivery center provides instant access to innovation and agility in your time zone.

Our highly educated resources offer the critical-thinking skills and real-time collaboration needed to support the complexities of time-sensitive, judgment-intensive RCM processes. The outstanding English proficiency and cultural alignment of our nearshore locations drives easy communication as well, negating potential difficulties surrounding complex healthcare terminology.

We also have deep experience helping clients navigate the complexities of healthcare regulations like HIPAA, maintaining stringent compliance frameworks that ensure security, data privacy, and adherence to billing and coding guidelines. And our strong recruiting, onboarding, and retention practices keep our attrition below industry average – driving consistent performance.

Modern challenges confronting healthcare organizations require new solutions. Partnering with Auxis’ healthcare revenue cycle management services maximizes performance of your RCM operations – freeing you from revenue concerns so patient care can take center stage.

As labor shortages and financial challenges persist, 61% of healthcare providers plan to outsource revenue cycle management activities.

- Source: RevCycleIntelligence 2023 Report

Our Revenue Cycle Management Solutions

By outsourcing revenue cycle management to Auxis, you gain instant access to best practices and the latest technology for revenue cycle optimization: reducing administrative burdens and errors, improving cash flow, speeding turnaround times, and driving organizational success. Our end-to-end RCM solutions include:

Insurance Verification

Confirming insurance coverage for patients, including dual eligibility, Type Program (TP) eligibility, and out-of-state verification.

Insurance Prior Authorization

Determining and submitting insurance authorizations and following up through completion.

Benefits Determination

Identifying in- and out-of-network benefits and patient liabilities.

Coding

Turning a visit summary into an insurance or billing document by ensuring health information and services are coded properly, efficiently, and in full compliance.

Claims Processing

Properly formatting and submitting claims to insurance providers. Includes complex claims for non-traditional payers like workers’ compensation and motor vehicle accidents.

Claims Follow-ups

Checking claims status as well as reasons for non-response, delayed payments, and improper claim denials.

Claims Denial Resolution

Reviewing claim denials to identify and correct errors and manage the appeals process.

Accounting Transactions

Payment processing, payment application, account reconciliation, and resolution of credits and refunds.

Billing & Collections

Following provider policies and procedures for charging patient accounts and collecting payments.

Insurance Verification

Confirming insurance coverage for patients, including dual eligibility, Type Program (TP) eligibility, and out-of-state verification.

Insurance Prior Authorization

Determining and submitting insurance authorizations and following up through completion.

Benefits Determination

Identifying in- and out-of-network benefits and patient liabilities.

Coding

Turning a visit summary into an insurance or billing document by ensuring health information and services are coded properly, efficiently, and in full compliance.

Claims Processing

Properly formatting and submitting claims to insurance providers. Includes complex claims for non-traditional payers like workers’ compensation and motor vehicle accidents.

Claims Follow-ups

Checking claims status as well as reasons for non-response, delayed payments, and improper claim denials.

Claims Denial Resolution

Reviewing claim denials to identify and correct errors and manage the appeals process.

Accounting Transactions

Payment processing, payment application, account reconciliation, and resolution of credits and refunds.

Billing & Collections

Following provider policies and procedures for charging patient accounts and collecting payments.

Auxis Named a Major Contender

PEAK Matrix® for Finance & Accounting Outsourcing (FAO) Services 2023 Assessment

We Bring Cutting-Edge Technology
to Help You Work Faster and Smarter

Auxis adapts to your current EMR/EHR systems and other supporting technologies while also bringing deep experience with healthcare automation and other best-in-class tools that can drive higher levels of operational efficiency and real-time insights. That includes a full suite of revenue cycle management process automation, AI, business intelligence, analytics, and productivity technology, such as:

Nearshore Pioneers, Located in the Top Destinations of Latin America

With over 25 years of shared services experience in the region, Auxis’ BPO services are provided from Latin America’s top nearshore locations. Healthcare organizations outsourcing judgment-intensive revenue cycle management processes receive critical advantages like time zone compatibility that enables real-time collaboration, strong cultural affinity, and highly educated talent with exceptional English proficiency, strong critical-thinking skills, and familiarity of North American operations.

Costa Rica: Convergence of Opportunity and Talent

Most mature shared services destination in the Americas, with over 350 multinationals providing business services from the country.

Colombia

Ranked #1 in Latin America for availability of skilled talent on the IMD World Talent Ranking and ranked #1 on the Offshore BPO Confidence Index.

Supporting Hubs

Our support hubs offer the best quality, technically skilled talent from top nearshoring destinations including Mexico, Argentina, and Guatemala, and use best practices, technology, and innovation to drive continuous process improvement.

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Trusted by Leading Healthcare Organizations

The Auxis Difference

Why Auxis is Different from Other Healthcare Revenue Cycle Management Services

Redefining Business Transformation

We’re not just healthcare consulting providers, we are BPO operators and former industry professionals: bringing unmatched insights into the best practices and operational strategy for achieving breakthrough performance faster and more cost-effectively. We go above and beyond revenue cycle management support to provide the tools, knowledge, and experience you need to achieve operational excellence: enhancing efficiency, optimizing processes, driving continuous improvement, implementing rigorous controls, ensuring scalability, and achieving exceptional results.

Services Tailored to the Healthcare Industry

We understand the unique demands of the healthcare industry – and we tailor our solutions to meet your distinctive needs. From processes that merge efficiency with HIPAA compliance to automated solutions for speeding tedious RCM activities, our top-tier quality talent and practical solutions let you focus on high quality care delivery instead of back-office concerns.

Deep Experience Mitigating Healthcare Industry Risk

Ease compliance burdens and security risks with instant access to our world-class security products, governance, and best practices. We have deep experience navigating the complexities of healthcare regulations like HIPAA and PCI DSS, maintaining a stringent compliance framework that ensures data privacy and adherence to billing and coding guidelines. We will adopt your security and compliance processes, systems, and controls. We can also incorporate a “clean room” in our service delivery centers, creating a segregated, secure space with specialized hardware and software, controlled access, multiple monitoring measures, and prohibition of data capture instruments.

Higher-Level Talent

Our location in top nearshore markets ensures outsourcing doesn’t sacrifice performance, providing highly educated talent with the critical-thinking skills to successfully support judgment-intensive revenue cycle management processes. Our RCM teams also provide outstanding English proficiency, avoiding difficulties surrounding medical terminology or other miscommunication that can impact service delivery in other BPO markets.

Pioneering the Nearshore Outsourcing Model

We are nearshore outsourcing pioneers, recognized annually on IAOP’s Outsourcing Global 100 list, and continue to stand out as one of the only market leaders with a robust nearshore model. Our global delivery platform in top Latin American hubs like Costa Rica and Colombia combines significant labor arbitrage with highly educated RCM talent, cultural alignment, outstanding English proficiency, and time zone compatibility – driving the real-time communication, collaboration, and critical-thinking skills essential to supporting complex revenue cycle management processes.

Digital Transformation Aligned to Business Goals

We take a business-led approach to technology innovation in your RCM department, strategically layering intelligent automation, machine learning, advanced analytics, intelligent data capture, and more into your business operations and strategy. At a time that most digital transformation efforts fail, we bring the skills, resources, and experience to ensure effective implementation, sustainable improvements, and organizational adoption.

Customized Solutions with Quantifiable Results

Your success is our success. We tailor our nearshore revenue cycle management outsourcing services to match the challenges and opportunities unique to your business, from physician practices to hospitals. Through our high-touch delivery model and flexible, results-driven approach, we become an extension of your team – optimizing processes, elevating operational visibility, and holding ourselves accountable for value realization.

Ready to Accelerate Your Journey to Revenue Cycle Management Excellence?

We want to learn more about your organization and help you achieve your goals

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Articles

Healthcare: Benefits of Outsourcing Revenue Cycle Management

As bottom-line pressures mount, here are 5 benefits of outsourcing revenue cycle management that help healthcare companies maintain their own wellness.

Healthcare Revenue Cycle Management Solutions: Helping You Focus on Patients, Not Payments

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As labor shortages and financial challenges persist, 61% of healthcare providers plan to outsource revenue cycle management activities.