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
What many Horatio HX clients typically see
Although results vary by organization, these represent typical outcomes across our healthcare billing clients.
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
Not software. Not offshore. Not generic.
Every alternative falls into one of two buckets. Horatio HX is deliberately neither.
The two alternatives — and why they fall short
- Software tools: automate parts of billing, but still require your team to manage the work. No humans. No expertise. No accountability.
- Offshore BPOs: lower cost, but poor healthcare expertise, timezone friction, weak compliance confidence, and high turnover.
- Horatio HX: dedicated, healthcare-trained specialists. Nearshore. HIPAA-built. Integrated into your workflows. Accountable for your outcomes.
We're not for everyone — and that's intentional
We work with a limited number of healthcare organizations at any time. Here's an honest look at who gets the most value from Horatio HX.
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
From assessment to live billing team in weeks
A structured, low-friction process that gets your billing team operational without disrupting your existing workflows.
- 1
Free Billing Assessment
We audit your current workflows, denial patterns, and team structure to find where revenue is leaking.
- 2
Workflow & Compliance Setup
We design a HIPAA-compliant billing model tailored to your payer mix, systems, and vertical.
- 3
Team Recruitment & Training
We recruit, hire, and train dedicated billing specialists specific to your workflows and EHR.
- 4
Integration & Go-Live
Your team is live and integrated into your billing platform in 3–5 weeks. Ongoing QA from day one.
Our clients value discretion and results
“Many of the healthcare companies we support consider their operational playbook a competitive advantage — they don't want to publicly associate with outsourcing partners. What we can share: within 90 days, one client's denial rate dropped significantly, their A/R aging improved, and their VP of Revenue Cycle said it was the best operational decision they'd made that year. It just wasn't technically a hire.”
How Horatio HX stacks up
If cheapest matters most, other options exist. If quality, compliance, and measurable outcomes matter, here's the picture.
| Capability | Horatio HX | Offshore BPO | In-House Team | Billing Software |
|---|---|---|---|---|
| Healthcare-trained specialists | Vertical-specific | Generic training | Varies + expensive | No humans |
| HIPAA compliance + BAA | Built-in + BAA | Claimed, rarely audited | Your responsibility | Partial |
| US timezone alignment | Nearshore — same hours | Significant overlap issues | Yes | N/A |
| Dedicated team (no sharing) | Exclusively yours | Shared pools | Yes | N/A |
| Cost vs. in-house | 50–60% lower | 40–50% lower | Full cost burden | Needs staff too |
| Speed to launch | 3–5 weeks | 6–12 weeks | 3–6 months | Weeks (no staff) |
| Denial management + A/R | Fully managed | Inconsistent | If bandwidth allows | Alerts only |
| AI-enhanced QA | Built into workflows | Rare | Added cost | Yes |
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.