Patient Access & Eligibility
Administrative support before claim creation.
- Registration support
- Eligibility checks
- Prior-authorisation administration
Revenue Cycle Management
Build an outsourced revenue-cycle team around the parts of RCM you want to improve or scale.
AllshoreCX can support individual revenue-cycle workflows or combine them into a broader managed team while the client retains clinical and statutory decision-making.
Dedicated resourcesManaged deliveryClient-approved systemsQA & reporting
What we support
Modular RCM support from front-end administration through payer follow-up.
AllshoreCX can support individual revenue-cycle workflows or combine them into a broader managed team while the client retains clinical and statutory decision-making.
Charge & Claim Workflow
Support clean data flow from services rendered into the billing process.
- Charge entry
- Claim preparation
- Claim submission support
Payment Posting & Reconciliation
Maintain timely posting and visibility across payer and patient payments.
- ERA/EOB posting
- Adjustments
- Reconciliation support
Accounts Receivable Management
Work structured ageing queues and payer follow-up activity.
- Ageing segmentation
- Status checks
- Follow-up documentation
Denial Management Support
Identify denial patterns and coordinate corrective action through defined workflows.
- Reason categorisation
- Appeal admin support
- Resubmission tracking
RCM Administration & Reporting
Give leadership clearer visibility into work volumes and recurring exceptions.
- Queue reporting
- Productivity reporting
- Trend analysis
Why this model
Capacity with an operating layer around it.
The objective is not simply to move tasks offshore. It is to create a controlled, measurable workflow that can integrate with the client’s existing operation.
01
Modular engagement
Outsource only the part of RCM where capacity is constrained.
02
Managed team structure
Combine specialists, team leadership and QA around the workflow.
03
Workflow transparency
Agree queues, responsibilities and escalation points before launch.
04
Scalable capacity
Add resources as provider count or volume grows.
05
Process discipline
Document SOPs and ownership rather than relying on informal knowledge.
06
Performance reviews
Use agreed metrics and operational reviews to identify improvement opportunities.
Process
From scope to stable production.
Each engagement is adapted to the account, but the launch should always establish clear responsibilities, controls and performance expectations.
RCM Assessment
Map the current revenue-cycle workflow and identify the work to be transferred.
Operating Design
Define queues, ownership, access, reporting and escalation responsibilities.
Team Build
Recruit and train resources around the selected RCM functions.
Transition
Move agreed work through a controlled launch and stabilisation period.
Operational Management
Manage attendance, workflow adherence, productivity and exceptions.
Optimisation
Use ageing, denial and productivity trends to refine the process.
Systems & tools
Designed to fit the client’s existing stack.
Technology claims should reflect actual account experience or confirmed training capability. The examples below can be edited before launch.
Practice Management
Common PM and billing environments.
Clearinghouse / Payer
Examples of common payer workflows.
Reporting
Use client-approved tools for analysis and operational reporting.
FAQ
Common questions about revenue cycle management outsourcing.
Can AllshoreCX take over end-to-end RCM?
The scope can range from one workflow to a broader managed RCM operation. Clinical judgement, provider decisions and any regulated sign-off remain with the appropriate client-side professionals unless separately contracted and permitted.
Can we start with AR or denials only?
Yes. A modular starting point is often practical because it creates a measurable workflow before a wider transition.
What metrics can be tracked?
Metrics may include queue volumes, ageing, follow-up activity, turnaround, accuracy, denial categories and other client-defined KPIs.
Do you replace our billing software?
No. The operating model is designed to work inside client-approved systems where secure remote access is available.
How do you handle escalations?
Escalation rules are documented during workflow mapping so cases that require client judgement are routed back clearly and consistently.
Ready to explore revenue cycle management outsourcing?
Share the current workflow, headcount, software, hours and pain points. We’ll help define the operating model before discussing staffing.