RCM Talent Solutions

Built for Better Revenue Performance

Add specialized nearshore billing professionals to your existing RCM team
without losing control, visibility, or accountability.

Scheduler

Patient scheduling support focused on appointment accuracy, coordination, and smoother front-desk operations.

Intake Specialist

Insurance verification and accurate patient data capture designed to reduce front-end billing errors and claim denials.

Authorization & Referrals Specialist

Authorization
& Referrals Specialist

Support for authorizations and referral workflows to help prevent reimbursement delays and denied claims.

AR Collector

Consistent claims follow-up and payer communication to accelerate collections and reduce aging balances.

Billing Specialist (Coding & Charges)

Billing Specialist
(Coding & Charges)

Coding and charge entry support focused on claim accuracy and stronger reimbursement outcomes.

Credentialing Specialist

Provider enrollment and credentialing support to maintain payer compliance and avoid billing interruptions.

Payment Posting Specialist

Accurate payment posting and reconciliation to improve reporting visibility and revenue tracking.

Medical Records Specialist

Organized documentation support to improve claim processing and operational efficiency.

Patient Financial Services Specialist

Patient Financial
Services Specialist

Patient billing and payment support designed to improve communication and financial transparency.

How We Support
Your Revenue Cycle

From patient intake to reporting, our process is designed to reduce errors, improve claim flow,
and give your team better visibility across every stage of the revenue cycle.

Patient information, scheduling, insurance verification, referrals, and follow-ups are completed before the visit. Coverage and benefits are confirmed, including whether the provider is in network.

After the specialist signs the EMR with date and time, the biller creates the charges. This includes CPT codes, ICD-10 diagnosis codes, insurance details, and provider information.

The bill is sent to the clearinghouse, where it becomes a claim and is submitted to insurance. Errors at this stage are rejections, not denials, because insurance has not processed the claim yet.

After insurance processing, any remaining patient responsibility is reviewed. If applicable, the patient is billed for the remaining balance.

ERA, EFT, or check information is received and reviewed after insurance processes the claim. Payments are posted and distributed to the correct patient accounts.

Claims are monitored after submission, especially when there is no response within 30 to 45 days. Denials and unpaid claims are worked by aging: 0–30, 31–60, 61–90, and 90+ days.