Stop losing revenue topreventable billing errors.
Stop losing revenue to preventable billing errors.
Not offshore. Not software. Dedicated, healthcare-trained billing specialists, HIPAA-compliant, in your timezone, integrated with your EHR in 3–5 weeks.
Limited Q3 capacity. We onboard a small number of new clients each month to maintain team quality.
Most healthcare companies have an execution problem inside billing, not a visibility problem.
Preventable claim denials draining revenue
Up to 40–60% of denials are preventable with the right processes. Most in-house teams don't have the bandwidth to find the root cause.
Prior authorization bottlenecks
PA is one of the most expensive admin burdens in healthcare. In-house PA teams are perpetually overwhelmed, and every delay is a delay in care and cash.
Aging A/R that quietly grows
Money sitting in A/R for 60, 90, 120+ days. Slow follow-up is silent revenue erosion that compounds every quarter.
In-house billing that costs too much
One RCM specialist costs $85–100K/year fully loaded. Multiply that across a billing team and you're paying for a problem that scales with you.
We fix revenue cycle bottlenecks, fast.
- Healthcare-trained billing specialists who know your vertical
- Claims, insurance verification, prior auth, denials, A/R follow-up
- HIPAA-compliant by design — restricted environments, BAAs, PHI monitoring
- Nearshore (DR, Colombia, Honduras) — same timezone, 40–50% lower cost
- EHR-integrated: Athena, eCW, CandidHealth, Kareo, DrChrono, NextGen
- Dedicated teams — no shared agent pools, ever
Not offshore. Not software. Dedicated humans who know healthcare billing.
Every alternative falls into one of two buckets. Neither one is built for the operational complexity of modern healthcare. Horatio HX is the third option.
Billing software
- Automates workflows but still requires your team to manage them
- No human judgment — algorithms miss what context requires
- Doesn't follow up on denials or work aging A/R
- Compliance is your team's problem, not the tool's
Horatio HX
Dedicated healthcare billing operations built for speed, compliance, and cleaner revenue capture.
- Dedicated, healthcare-trained billing specialists — yours exclusively
- Nearshore, US timezone — not offshore, not Manila, not Mumbai
- HIPAA-compliant by design, BAA included, audit-ready workflows
- End-to-end: claims, PA, denials, A/R — fully managed
- AI-enhanced QA catches errors before they become denials
- Launch in 3–5 weeks, integrated into your EHR from day one
Offshore BPO
- Low cost, but weak healthcare billing expertise
- Timezone friction creates communication delays
- Generic agents, not healthcare-trained specialists
- HIPAA compliance is claimed, rarely verified or audited
Up to 40%
Reduction in denial-related rework
Typical range: 25–40% depending on vertical
40–50%
Lower RCM labor costs vs. in-house
Compared to fully-loaded US billing team
3–5 wks
From contract to live billing team
Across healthcare verticals and EHR systems
Your billing operation should be generating revenue, not leaking it.
Get a free assessment. We'll review your RCM setup, find where denials and delays are costing you, and show you exactly what a Horatio HX billing team would look like for your organization. No obligation. A billing specialist responds within 1 business day.
- Free RCM diagnostic — no commitment
- Reply within 1 business day
- BAA & HIPAA-compliant by default
Get your free medical billing assessment
Tell us where your revenue cycle stands. We'll show you exactly where you're losing money — and what it would look like to fix it.