Business Process Outsourcing
Healthcare BPO outsourcing
We run HIPAA-compliant healthcare operations for US providers, payers and MedTech, from patient support and scheduling to claims, medical billing and coding, and end-to-end revenue cycle management, with North American accountability.
Overview
Healthcare operations sit under HIPAA, with protected health information at the center, and the administrative load is heavy. Patient calls, claims, prior authorizations and denials all have to be handled accurately, because errors flow straight through to revenue and patient trust.
Staffing this in-house is hard. Skilled billers and coders are in short supply, denial rates have climbed, and revenue cycle teams are stretched between patient care and paperwork. Volume also swings with enrollment periods and seasonal demand.
Corpshore US runs healthcare BPO as a managed operation or dedicated team: HIPAA-compliant patient support, scheduling and eligibility, medical billing and coding, claims and denials, prior authorization and revenue cycle management, working inside your EHR and practice management systems.
We sign Business Associate Agreements, handle PHI through documented controls, and run as an extension of your revenue cycle and patient-access teams. Coverage spans every US time zone with bilingual English and Spanish as standard.
What you get
- Cleaner claims and fewer denials
- Faster turnaround across billing and authorizations
- Shorter patient hold times and fuller schedules
- Revenue cycle reporting against your KPIs
- Bilingual patient support without separate hiring
What's included
Patient support
HIPAA-compliant inbound and outbound patient support across scheduling, reminders and billing questions.
Scheduling and access
Scheduling, registration, eligibility and benefits verification and referral coordination.
Medical billing
Charge entry, claim submission and billing across specialties, to your payer rules.
Medical coding
Coding support against current code sets, with quality assurance to keep claims clean.
Claims processing
Claim status checks, payer follow-up and resubmission to keep accounts receivable moving.
Prior authorization
Authorization initiation, follow-up and tracking, taking the burden off clinical staff.
Denials and appeals
Denial triage, root-cause grouping, appeal preparation and resubmission to recover revenue.
Revenue cycle management
End-to-end RCM from patient access through coding, claims, denials and patient collections.
Patient collections
Patient balance outreach handled with care and within consumer-protection rules.
Reporting
Reporting on denials, aging, turnaround and the recurring causes worth fixing upstream.
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.
Engagement models
Start where it fits and change as you grow, with no rigid lock-in.
Dedicated team
A team that works only for you, managed by Corpshore to your service levels. Best for ongoing operations and scale.
Staff augmentation
Skilled people who slot into your existing team and tools. Best for adding capacity quickly.
Project or managed service
A scoped deliverable or a fully managed function with an agreed outcome. Best for defined work and outcomes.
Tools and integrations
We work inside your clinical and billing systems rather than asking you to change them. Common platforms in healthcare engagements include:
Industry applications
Providers and clinics
Patient support, scheduling, billing and revenue cycle for provider groups and clinics.
Industries we servePayers and health plans
Member support, claims and back-office for health plans.
Industries we serveBilling companies
Overflow and managed billing and coding capacity for revenue cycle firms.
Industries we serveMedTech and digital health
Customer and provider support for MedTech and digital health products.
Industries we serveCompliance considerations
HIPAA and Business Associate Agreements
We run HIPAA-compliant operations and sign Business Associate Agreements, handling PHI under documented safeguards with access controls, training and audit logging.
Minimum necessary and PHI handling
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.
Coding accuracy and audit
Coding and claims follow current code sets and your payer rules, with quality assurance and an auditable trail.
Frequently asked questions
Yes. We run HIPAA-compliant healthcare operations, sign Business Associate Agreements, and handle PHI 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.