Medical Billing & Virtual Care Coordinators for a Growing US Provider Group
Client Snapshot
Client Snapshot
The Challenge
The client’s rapid clinic expansion had outgrown its back-office capacity. Revenue cycle delays, prior authorisation backlogs, and rising vendor costs were creating operational pressure across the group.
- Days in A/R had reached 58, with millions tied up in aged receivables.
- Clean claim rate was below target, creating rework, delays, and avoidable write-offs.
- Prior authorisations were taking 6–9 business days, frustrating patients and physicians.
- The client needed a scalable healthcare back-office model that could meet strict HIPAA and workflow requirements.
The VRS Solution
How We Built the Team
Discovery & Assessment
VRS recruited candidates with prior US healthcare back-office experience, including professionals who had supported payer, provider, and revenue cycle management operations.
Team Recruitment
Billing specialists were required to hold CPB or CPC certification, with credentials verified before final selection.
Training & Onboarding
VRS established a dedicated HIPAA-compliant workspace with badged access, locked-down endpoints, no removable media, and full audit logging.
Process Integration
The team completed client-led training on the group’s EHR, payer mix, clinic workflows, and clinical specialties before starting production work.
Go-Live & Ramp Up
VRS built a daily performance dashboard covering claims worked, denials touched, A/R aging, prior authorization turnaround, and team productivity.
Continuous Optimization
An experienced US-trained Team Lead in Manila owned quality assurance, escalations, coaching, and daily communication with the client’s Revenue Cycle Director.
The Results
Days in A/R Reduction
Days in A/R dropped from 58 to 34, improving cash flow and revenue cycle performance.
Clean Claim Rate
Clean claim rate rose to 96% within two quarters, reducing rework and delays.
Cost Reduction
Reduced total back-office operating cost compared with the prior US RCM vendor.
