Stop losing revenue topreventable billing errors.
Stop losing revenue to preventable billing errors.
Horatio HX delivers HIPAA-compliant, healthcare-trained medical billing specialists — nearshore, in your timezone, integrated with your EHR in weeks. Not offshore. Not software. Dedicated humans who know healthcare billing.
Limited Q3 capacity. We prioritize operational integrity over volume. To maintain team quality, we only onboard a select number of new healthcare partners each month.
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 delaying care and cash
PA is one of the most expensive administrative burdens in healthcare. In-house PA teams are perpetually overwhelmed.
Aging A/R that keeps growing — quietly
Slow claims follow-up means money sitting in A/R for 60, 90, even 120+ days. Every day delayed is cash flow you're not capturing.
In-house billing teams that cost too much to maintain
An RCM specialist costs $55–75K/year. Add benefits, turnover, and management overhead — and you're looking at $85–100K per seat. There's a better way.
Human-centered medical billing with the precision healthcare demands
- Healthcare-trained billing specialists who know your vertical — telehealth, diagnostics, GLP-1, behavioral health
- End-to-end support: charge entry, claims, prior auth, denial management, A/R follow-up, payment posting
- HIPAA-compliant by design — restricted environments, BAAs, continuous PHI monitoring
- Nearshore from Dominican Republic, Colombia, Honduras — same timezone, 50–60% lower cost
- Seamless EHR integration: Athena, eCW, Kareo, DrChrono, NextGen, and more
- Dedicated teams — no shared agent pools, ever
Not software. Not offshore. Not generic.
Every alternative falls into one of two buckets. Horatio HX is deliberately neither.
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
50–60%
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
Strong fit if you are…
- A growth-stage or mid-market healthcare company scaling billing operations
- A telehealth, diagnostics, GLP-1, behavioral health, or women's health organization
- Experiencing high denial rates, slow A/R, or PA bottlenecks you can't fix internally
- Looking for a dedicated, HIPAA-compliant billing team that integrates into your workflows
- A Series A, B, or PE-backed healthcare company that won't accept offshore quality trade-offs
- Ready to launch a billing team within weeks, not months
Probably not a fit if you…
- Are primarily searching for the lowest-cost outsourcing option available
- Need part-time, low-volume, or single-task billing support only
- Are not operating in healthcare or a regulated health-adjacent industry
- Are not comfortable with nearshore delivery (we don't operate in the US or India)
- Need a vendor to start immediately with zero onboarding or integration time
Your billing operation should be generating revenue, not leaking it.
Get a free medical billing assessment. We'll review your current RCM setup, identify 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. No sales pitch.
- 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.