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OutsourceRCM

BPO companyPrinceton, NJ

Unclaimed

This company has not claimed its profile, so it carries no rating of any kind.

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Location

Princeton, NJ

Team Size

N/A

Founded

2002

Services

7 offered

Status

Unclaimed

Overview of OutsourceRCM

OutsourceRCM helps physician practices and healthcare organizations collect more of what they bill, and collect it sooner. Clients that move revenue cycle work to its teams report 30% fewer eligibility denials and a 15 to 30% reduction in Days in Accounts Receivable. Front-end verification runs at 95%+ accuracy, and front-desk staff see roughly half as much manual verification work. Pricing is a 5% contingency on recovered dollars only, so the vendor gets paid when the practice does. The service model covers the full revenue lifecycle. On the front end, the team handles real-time eligibility and coverage validation, benefits and payer rule checks, prior authorization tracking with payer-specific compliance reviews, and patient demographic validation so errors are caught before a claim is built. Mid-cycle work includes specialty-aligned coding support, documentation validation, compliance-focused coding audits, charge entry, missing charge identification and claim scrubbing ahead of electronic submission. Back-end workflows cover aging-based AR prioritization, structured payer follow-up, root-cause denial analytics, appeals, ERA/EOB payment posting, payment variance tracking and financial reconciliation. OutsourceRCM works exclusively with healthcare clients. The typical buyer is a practice or billing operation dealing with high rejection rates, rising AR days, inconsistent eligibility checks, staffing shortages in the billing team, or limited visibility into where revenue is leaking. Dedicated RCM specialists are aligned to specialty workflows, and the delivery model is built to scale across 21,000+ practices. A private practice therapist in Washington, quoted on the company site, credits the team's knowledge of billing codes and carrier-specific forms for claims coming back faster than ever before. Compliance is built into the operation rather than bolted on. Work runs under HIPAA-aligned workflows with a Business Associate Agreement executed for every engagement. The company adheres to RBMA standards, follows ISO 27001-certified information security practices and maintains SOC 2 Type II controls. OutsourceRCM is backed by Flatworld Solutions Inc. A healthcare RCM provider since 2004, and began operations in 2012 under its former name, MedBilling Experts, drawing on the same leadership and RCM teams. On the technology side, teams integrate with EHR and practice management platforms, work inside clearinghouse and claims infrastructure, and pair automation and workflow intelligence with KPI dashboards and structured performance reporting. That automation layer makes OutsourceRCM a practical AI-ready BPO option for practices that want outsourcing without giving up control of their numbers. For buyers comparing a general back office or customer support BPO company USA against a specialist, the difference here is domain depth. This is not a call center USA vendor that also does billing. OutsourceRCM does revenue cycle work and nothing else. If your practice or billing company wants to know where claims are leaking and what a structured follow-up model would do to your AR timeline, the team offers a direct conversation about your requirements. Reach out through the company website to discuss your revenue cycle gaps.

Source: outsourcercm.com

Profile data re-checked

Services

Revenue Cycle ManagementMedical BillingMedical CodingEligibility VerificationPrior Authorization SupportDenial ManagementAccounts Receivable Management

Industries Served

HealthcarePhysician PracticesMedical Billing Companies

Certifications

ISO 27001SOC 2 Type IIHIPAA

As stated on the company's own website.

OutsourceRCM at a glance

Address
116 Village Blvd, Suite 200, Princeton, NJ 08540
Founded
2002
Services
Revenue Cycle Management · Medical Billing · Medical Coding · Eligibility Verification · Prior Authorization Support · Denial Management · Accounts Receivable Management
Industries served
Healthcare · Physician Practices · Medical Billing Companies
Certifications
ISO 27001 · SOC 2 Type II · HIPAA
Profile status
Unclaimed
  • Operating since 2002
  • ISO 27001 · SOC 2 Type II · HIPAA

Tags

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OutsourceRCM: common questions

01

What services does OutsourceRCM offer?

OutsourceRCM offers Revenue Cycle Management, Medical Billing, Medical Coding, Eligibility Verification, Prior Authorization Support and Denial Management, among 7 listed in total.

02

Where is OutsourceRCM located?

OutsourceRCM is based in Princeton, NJ, United States.

03

Which industries does OutsourceRCM serve?

OutsourceRCM serves Healthcare, Physician Practices and Medical Billing Companies.

04

When was OutsourceRCM founded?

OutsourceRCM has been operating since 2002.

05

What certifications does OutsourceRCM hold?

OutsourceRCM states ISO 27001, SOC 2 Type II and HIPAA on its own website. Ask to see the scope documents behind any certification during evaluation rather than after signature.

06

Is OutsourceRCM verified on BPOAI.ai?

Not yet. This profile is unclaimed, so it carries no credibility score. Scores are published only after a claimed profile has been reviewed against the methodology on How Scoring Works.

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