Revenue Cycle Outsourcing Services
Scale your operations, reduce overhead, and gain expert support across the entire revenue cycle—from eligibility to appeals—with flexible outsourcing solutions that grow with your needs.
Eligibility & Payor Verification
We verify patient benefits, insurance details, and treatment coverage ahead of time to reduce eligibility-related denials. Our verification team works directly with payors to ensure accurate and up-to-date information—eliminating guesswork, reducing administrative rework, and ensuring clean claim submission. With our help, practices can avoid costly delays and deliver care with confidence knowing coverage is secured.
Authorization Services
We handle the submission and follow-up of prior authorizations for services and medical equipment. Our dedicated team tracks status updates, resolves missing information requests, and escalates issues directly with payors when needed. This prevents delays in patient care, reduces claim rejections, and accelerates the revenue cycle by securing approvals faster.
Denial Recovery & Appeals
Our denial management experts identify trends, root causes, and technical errors behind rejected claims. We prepare thorough appeals, backed by documentation and payer policy references, and submit them on your behalf. From clinical to technical denials, we know what it takes to overturn decisions and get your team paid for work already performed.
Claims Management
We oversee the complete claims lifecycle—from charge entry to claim submission and correction. Our billing experts monitor clearinghouse rejections, payer edits, and underpayments to ensure all claims are accurate, timely, and fully reimbursed. We act as an extension of your team to reduce your AR days and streamline your internal workload.
A/R Follow-Up
Chasing down payments is time-consuming. Our A/R team actively follows up on unpaid claims, identifies payment delays, and contacts payers directly to resolve open balances. We prioritize high-value claims and old AR to improve your cash flow, reduce write-offs, and improve your net collection rate.
End-to-End RCM Support
For practices needing full-service RCM, we offer intake-to-payment support tailored to your systems. From verifying benefits and obtaining authorizations to submitting claims and appealing denials—we handle it all. Our integrated workflows and reporting give you full visibility while freeing up your internal staff to focus on patient care.
Let’s Customize a Solution
Not sure where to start? We’ll work with you to identify the services that make the most sense for your size, systems, and goals. Whether you need help with a single service line or want full-cycle outsourcing, RCMStreamline is ready to partner with your team.
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