Healthcare Revenue Management
Strengthen your revenue cycle with cost-effective healthcare RCM outsourcing.
Healthcare organizations lose millions every year to preventable denials, administrative bottlenecks, and slow reimbursement cycles.
Horatio HX provides end-to-end revenue cycle management so you can reduce costs, accelerate payments, and improve patient experience.
The problem
The revenue cycle is the backbone of healthcare — but also one of the most expensive and error-prone parts of your operations.
Most healthcare teams struggle with:
- •Incomplete or inaccurate insurance verification
- •Delays in prior authorization that stall care
- •Missing documentation or coding errors
- •High volumes of claim rejections
- •Denial rates that drain revenue
- •Slow A/R cycles and aged claims
- •Rising labor costs for in-house billing teams
- •Constant turnover in administrative roles
These issues don't just slow reimbursement — they cost providers time, money, and patient trust.
Up to 40–60% of denials are preventable with proper RCM processes.
The solution
Human expertise + healthcare-grade precision.
Horatio HX provides outsourced RCM services built for modern telehealth, diagnostics, wellness, and healthcare providers.
- •Insurance verification & benefits validation
- •Prior authorization services
- •Medical billing support services
- •Claims processing & clean claim optimization
- •Denial management in healthcare
- •A/R follow-up & payment posting
- •Documentation QA & accuracy checks
- •HIPAA-compliant workflows
- •AI-driven QA and error detection
We operate as an extension of your billing team — reducing costs, improving accuracy, and accelerating cash flow.
Most organizations save 50–60% in RCM labor costs by partnering with HX.
Comprehensive RCM services for the entire revenue cycle
We support Front-End, Mid-Cycle, and Back-End RCM — ensuring accuracy from the first eligibility check to the final payment posting.
Front-End RCM Services
Insurance Verification Services
We confirm:
Accurate verification prevents downstream denials and accelerates reimbursement.
Benefits Verification
We verify coverage directly with insurers and communicate patient financial responsibility upfront — improving transparency and reducing A/R delays.
Prior Authorization Services
We manage the full PA workflow:
Prior authorization is one of the biggest bottlenecks in healthcare — outsourcing it removes friction immediately.
Mid-Cycle RCM Services
Documentation QA
We check documentation for completeness, accuracy, and compliance with payer rules — improving clean claim rates.
Medical Billing Support Services
We support:
Accurate mid-cycle work results in fewer rejections and faster payments.
Back-End RCM Services
Claims Processing Support
We handle:
This ensures claims enter the revenue cycle cleanly and efficiently.
Denial Management in Healthcare
We reduce your denial rate by:
This is one of the highest ROI services for healthcare organizations.
Accounts Receivable (A/R) Follow-Up
We improve cash flow by:
Your aging claims become predictable, manageable, and recoverable.
Your RCM workflow with HX:
Workflow Mapping & Compliance Setup
We analyze your payer mix, existing bottlenecks, and denial patterns.
Specialist Recruitment & HIPAA Training
We build a dedicated team tailored to your vertical (telehealth, diagnostics, wellness, etc.).
Systems Integration
We integrate with your billing platform, EHR, clearinghouse, and portals.
Go Live & Execution
Your HX team begins managing front-end, mid-cycle, and back-end RCM tasks.
Continuous Optimization
We provide insights, error prevention, and monthly denial reduction strategies.
Healthcare companies using HX see measurable financial and operational improvements:
Our RCM services create immediate bottom-line impact.
COST SAVINGS & FINANCIAL IMPACT
Cut operational costs. Capture more revenue. Reduce avoidable losses.
Outsourcing RCM is one of the fastest ways for healthcare organizations to improve revenue capture and lower operating costs. Here’s how HX drives measurable financial impact:
Many organizations save $500K–$2M annually by outsourcing part or all of their revenue cycle operations.
With HX, you don’t just save money — you capture more revenue.
WHY HX FOR RCM?
A revenue cycle partner built for healthcare’s new era.
Healthcare-Trained Talent
Specialized support teams trained in patient communication, RCM workflows, PHI handling, and healthcare etiquette.
Customer Story
How a leading telehealth platform reduced wait times by 53%
HX deployed a dedicated virtual medical receptionist team that handled thousands of patient interactions weekly — improving satisfaction, increasing completed appointments, and reducing missed calls dramatically.
"Horatio HX has transformed our patient access operations. Our support team handles 80% of patient inquiries, freeing up clinical staff for more critical care."
Frequently asked questions
Strengthen your revenue cycle with precision, compliance, and cost savings.
Horatio HX delivers complete RCM support — improving your cash flow, reducing denials, and lowering operational costs.
