Healthcare Revenue Cycle Management Outsourcing
Freeing You to Focus on What Matters Most: Your Patients
Don’t let labor shortages, complex reimbursements, and bottom-line pressures distract you from patient care. Auxis delivers end-to-end RCM solutions from top nearshore hubs, combining elite talent with cutting-edge AI and automation to solve your biggest revenue cycle challenges.
Customized RCM Services
Flexible solutions tailored to your unique healthcare processes
Robust Nearshore Model
Top-tier talent and significant cost savings, in the same time zone
AI & Automation Opportunities
Maximize your RCM potential with a Platinum UiPath Partner
Measurable Results
See the impact and benefits of revenue cycle management outsourcing
Click here to see what we will cover in the consultation:
- RCM processes you are interested in outsourcing
- Results and benefits to expect from RCM outsourcing
- Outsourcing location models and advantages of Latin America
- Process improvement opportunities, including AI and automation
- Auxis’ healthcare and RCM experience, and key differentiators
Report
Healthcare Leaders Turn to Latin America for Shared Services & Outsourcing
2025 Nearshore Market Trends
The Auxis Difference
Why Auxis is Different from Other Healthcare Revenue Cycle Management Companies
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.
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
Insurance Verification
Confirming insurance coverage for patients, including dual eligibility, Type Program (TP) eligibility, and out-of-state verification.
Insurance Prior Authorization
Insurance Prior Authorization
Determining and submitting insurance authorizations and following up through completion.
Benefits Determination
Benefits Determination
Identifying in- and out-of-network benefits and patient liabilities.
Coding
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
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
Claims Follow-ups
Checking claims status as well as reasons for non-response, delayed payments, and improper claim denials.
Claims Denial Resolution
Claims Denial Resolution
Reviewing claim denials to identify and correct errors and manage the appeals process.
Accounting Transactions
Accounting Transactions
Payment processing, payment application, account reconciliation, and resolution of credits and refunds.
Billing & Collections
Billing & Collections
Following provider policies and procedures for charging patient accounts and collecting payments.
Nearshore Outsourcing
Pioneer with Global Scale
As one of the first to deliver IT and business process outsourcing from Latin America to the U.S., our nearshore platform remains the market leader – offering a robust network of delivery centers and supporting hubs that harness the strengths of the top destinations. Going beyond cost savings, we provide highly skilled talent, real-time collaboration, cultural alignment, and exceptional English proficiency – enabling you to execute both complex and transactional work successfully. Our platform can also expand globally if your business demands, delivering the same excellence on a worldwide scale.
Costa Rica
Ranked among the world’s premier outsourcing destinations, Costa Rica is Latin America’s most mature shared services market – home to 350+ multinational companies. Combining highly educated talent, a favorable business climate, and exceptional English fluency, Costa Rica is an ideal choice for high-performance nearshore operations across your value chain.
Colombia
Colombia combines one of the largest skilled workforces in Latin America with the strongest financial attractiveness of the top nearshore markets. Backed by a rapidly growing tech ecosystem, modern infrastructure, and attractive business environment, Colombia has emerged as a top destination globally for high-value outsourcing that delivers both performance and significant savings.
Support Hubs
Our regional support hubs in leading nearshore destinations such as Mexico, Guatemala, and Argentina provide access to technically proficient, specialized talent. Designed to scale with your business, these hubs leverage best practices, advanced technology, and a culture of innovation to drive continuous process improvement, operational excellence, and seamless collaboration with U.S. teams.
Offshore
Our nearshore delivery platform in Latin America integrates seamlessly with Grant Thornton’s best-in-class service centers across Asia, Europe, and the Middle East – helping U.S. multinationals combine nearshore agility and collaboration with the scale and cost efficiencies of the top offshore markets to build the best solution for your business.
Ready to Accelerate Your Journey to Revenue Cycle Management Excellence?
