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.
- Source: RevCycleIntelligence 2023 Report
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:
Confirming insurance coverage for patients, including dual eligibility, Type Program (TP) eligibility, and out-of-state verification.
Determining and submitting insurance authorizations and following up through completion.
Identifying in- and out-of-network benefits and patient liabilities.
Turning a visit summary into an insurance or billing document by ensuring health information and services are coded properly, efficiently, and in full compliance.
Properly formatting and submitting claims to insurance providers. Includes complex claims for non-traditional payers like workers’ compensation and motor vehicle accidents.
Checking claims status as well as reasons for non-response, delayed payments, and improper claim denials.
Reviewing claim denials to identify and correct errors and manage the appeals process.
Payment processing, payment application, account reconciliation, and resolution of credits and refunds.
Following provider policies and procedures for charging patient accounts and collecting payments.
Confirming insurance coverage for patients, including dual eligibility, Type Program (TP) eligibility, and out-of-state verification.
Determining and submitting insurance authorizations and following up through completion.
Identifying in- and out-of-network benefits and patient liabilities.
Turning a visit summary into an insurance or billing document by ensuring health information and services are coded properly, efficiently, and in full compliance.
Properly formatting and submitting claims to insurance providers. Includes complex claims for non-traditional payers like workers’ compensation and motor vehicle accidents.
Checking claims status as well as reasons for non-response, delayed payments, and improper claim denials.
Reviewing claim denials to identify and correct errors and manage the appeals process.
Payment processing, payment application, account reconciliation, and resolution of credits and refunds.
Following provider policies and procedures for charging patient accounts and collecting payments.
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:
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.
Most mature shared services destination in the Americas, with over 350 multinationals providing business services from the country.
Ranked #1 in Latin America for availability of skilled talent (IMD World Talent Ranking) and #1 for financial attractiveness in LATAM (Kearney Global Services Location Index).
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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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.
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.
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.
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.
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.
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.
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.
We want to learn more about your organization and help you achieve your goals.
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Maximize you revenue. Not your stress. Auxis can help.
Everest Group PEAK Matrix® for Finance & Accounting Outsourcing (FAO) Services 2024 Assessment
