Industries
Healthcare and MedTech
We support healthcare providers, payers and MedTech companies with HIPAA-compliant patient support, claims processing, medical billing and coding, revenue cycle management and prior authorization, with health-data protection at the center of delivery.
The sector context
Healthcare is the most data-sensitive sector Corpshore US serves. Every patient interaction, claim and record falls under HIPAA, and protected health information has to be safeguarded at every step. The work also has to be exact, because accuracy in eligibility, coding and billing flows straight through to revenue and to patient trust.
The administrative load keeps growing. Providers and payers run high volumes of claims, prior authorizations, denials and patient calls, and the cost of getting them wrong is rising. Denial rates have climbed, staffing is hard, and revenue cycle teams are stretched thin between patient care and paperwork.
Corpshore US supports providers, payers, billing companies and MedTech with HIPAA-compliant operations across patient support, claims, medical billing and coding, prior authorization and end-to-end revenue cycle management. We sign Business Associate Agreements, handle PHI through documented controls, and work inside your practice management and EHR systems.
We run as an extension of your revenue cycle and patient-access teams, not a detached vendor. Engagements map to your payers, your codes and your workflows, and report against the metrics your finance and compliance leaders already track.
By the numbers
How we help in this sector
HIPAA-compliant patient support
Inbound and outbound patient support across scheduling, reminders, billing questions and general queries, by voice, chat and email, with PHI handled under documented controls.
Appointment scheduling and access
Patient access support including scheduling, registration, eligibility and benefits verification, and referral coordination, to keep schedules full and front-desk load down.
Medical billing and coding
Charge entry, medical coding support and claim submission across specialties, working to your payer rules and your practice management system.
Claims processing and follow-up
Claim status checks, payer follow-up and resubmission, so claims keep moving and accounts receivable aging stays under control.
Prior authorization
Prior authorization initiation, follow-up and tracking, taking a slow and frustrating process off clinical staff.
Denials management and appeals
Denial triage, root-cause grouping, appeal preparation and resubmission to recover revenue that would otherwise be written off.
Revenue cycle management
End-to-end RCM support from patient access through coding, claims, denials and patient collections, reporting against your KPIs.
MedTech and payer operations
Customer and provider support, order and device support, and back-office for MedTech companies and health plans.
Regulatory and compliance
HIPAA and Business Associate Agreements
We run HIPAA-compliant operations and sign Business Associate Agreements. PHI is handled under documented safeguards with access controls, training and audit logging, and documentation is available on request.
PHI handling and minimum necessary
Teams work to the minimum-necessary principle, see only the PHI their role requires, and operate within your systems so data stays in your environment wherever possible.
Payer and coding accuracy
Coding and claims work follows your payer rules and current code sets, with quality assurance to catch errors before they become denials or compliance issues.
Data privacy and breach response
Documented access controls, retention rules and an incident-response process, with clear client-notification commitments if an issue arises.
How we deliver
A simple, transparent path from first conversation to a team that scales with you.
1. Discover
We learn your goals, volumes, tools and compliance needs, then scope the right team and model. A response within 6 hours.
2. Design
We define roles, service levels, reporting and the ramp plan, and agree a clear, indicative price before you commit.
3. Deliver
We recruit, train and stand up the team inside your tools and processes, with North American management owning quality from day one.
4. Scale
We track performance against your service levels, tune as you grow, and flex capacity up or down as your volumes change.
Service combinations
Business process outsourcing
Patient support, scheduling, billing and revenue cycle operations across voice and digital channels.
ExploreIT outsourcing
Integration, data and managed IT support for EHR, practice management and MedTech platforms.
ExploreAI services
Document and claims data processing and AI-assisted coding support, with clinical and compliance review kept human.
ExploreTools and platforms
We work inside your clinical and billing systems rather than asking you to change them. Common platforms in healthcare engagements include:
Illustrative engagements
These are illustrative engagements that show how we work. They are not specific named clients. We publish named case studies only with the client's sign-off.
Revenue cycle and denials support
- The challenge
- A multi-site provider group was losing revenue to a rising denial rate and could not keep up with appeals alongside daily billing.
- Our approach
- A dedicated team handled claim follow-up, denial triage and appeal preparation inside the client's practice management system, grouping denials by root cause for the client's RCM lead.
- The outcome
- Denials worked down and aging brought under control, with recurring denial causes surfaced for the client to fix upstream.
Patient access and scheduling
- The challenge
- A specialty clinic had long hold times and a front desk overwhelmed by scheduling and eligibility checks.
- Our approach
- A HIPAA-compliant team took inbound scheduling, reminders and eligibility verification, working in the clinic's EHR with escalation to clinical staff where needed.
- The outcome
- Shorter hold times, fuller schedules and a front desk freed to focus on in-person patients.
Frequently asked questions
Yes. We run HIPAA-compliant operations for healthcare clients, sign Business Associate Agreements, and handle protected health information under documented safeguards. Documentation is available on request.
Build your team with Corpshore US
Tell us what you want to outsource and we will map a team, a model and a timeline. North American accountability, global delivery.
We respond to every US inquiry within 6 hours.