
Santo Domingo & Santiago (HQ)
Deep healthcare talent pool and operational leadership.

Built for the future of healthcare operations. Grounded in empathy, precision, and world-class talent.

Horatio was founded on a simple belief: great companies grow faster when their customers and patients feel supported, understood, and cared for.
For our co-founder, that belief began at home. His father was a pediatrician. His mother worked in biotechnology. He grew up seeing both sides of healthcare: the emotional reality of caring for people, and the administrative complexity that providers quietly navigate every day.
"I saw how hard my parents worked for their patients. And I saw how much of their time and energy was spent on everything except patient care: documentation, insurance hurdles, follow-up, operational issues. Horatio is our way of supporting the people who support everyone else."

HX is the healthcare innovation arm of Horatio. Built to deliver operational excellence for modern healthcare companies with the empathy of frontline care and the precision today’s regulatory environment demands.
For nearly a decade, Horatio has helped leading brands scale their customer experience through dedicated, highly trained teams and premium operational infrastructure.
Seamless assistance for patients across phone, chat, email, and digital channels.
Professional front-desk support handling calls, messages, and first contact.
Fast, accurate patient data collection and onboarding.
Clear guidance on insurance coverage, eligibility, and patient benefits.
Fast, accurate patient data collection and onboarding.
With HX, we extend that expertise into healthcare — combining the rigor of compliance-driven operations with the compassion patients deserve.
Our talent model is built to meet the speed, sensitivity, and regulatory precision healthcare requires. Across our global hubs, we recruit, train, and develop dedicated healthcare support teams who bring:

Deep healthcare talent pool and operational leadership.

Highly trained healthcare support teams.

Scalable, compliant healthcare operations.
Modern healthcare operators face increasing pressure:
Higher patient expectations
Fragmented workflows
Rising administrative costs
Complex insurance processes
Rapidly evolving regulatory standards

HX exists to solve these challenges.
We deliver an operational foundation that strengthens every layer of your organization, from patient access to clinical workflows to revenue cycle performance.
Our promise is simple:
Human-centered care.
Healthcare-grade precision.
Real operational partnership.

Our teams are trained in patient communication, clinical etiquette, PHI handling, and complex administrative workflows — ensuring every interaction meets healthcare standards.

HIPAA-compliant processes, SOC 2 Type II certification, PCI DSS standards, restricted-access environments, and audit-ready workflows built for regulated healthcare operations.

HX integrates patient support, clinical administration, and revenue cycle workflows—eliminating silos and reducing downstream errors across teams.

AI copilots, smart routing, automated QA, operational dashboards, and workflow automation tools that improve accuracy, efficiency, and decision-making.

We embed seamlessly into your EHR, telehealth platforms, RCM tools, CRMs, scheduling software, and diagnostics systems—without disrupting operations.

From early-stage startups to enterprise provider networks, we scale teams, workflows, and capabilities as your operational needs evolve.


Partner with a team designed to support healthcare — not just staff it. See how a secure, cost-effective outsourcing partner can elevate your patient experience, optimize operations, and strengthen your revenue cycle


