Medical Billing & Virtual Care Coordinators for a Growing US Provider Group

Healthcare Back-Office

Provider Group

United States

Client Snapshot

Client
Healthcare Back-Office
Industry
Provider Group
Region
United States
Engagement
22-person offshore healthcare back-office team
Go-Live
First hires onboarded in week 4; full ramp by week 14

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

1

Discovery & Assessment

VRS recruited candidates with prior US healthcare back-office experience, including professionals who had supported payer, provider, and revenue cycle management operations.

2

Team Recruitment

Billing specialists were required to hold CPB or CPC certification, with credentials verified before final selection.

3

Training & Onboarding

VRS established a dedicated HIPAA-compliant workspace with badged access, locked-down endpoints, no removable media, and full audit logging.

4

Process Integration

The team completed client-led training on the group’s EHR, payer mix, clinic workflows, and clinical specialties before starting production work.

5

Go-Live & Ramp Up

VRS built a daily performance dashboard covering claims worked, denials touched, A/R aging, prior authorisation turnaround, and team productivity.

6

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

-24 days

Days in A/R Reduction

Days in A/R dropped from 58 to 34, improving cash flow and revenue cycle performance.

96%

Clean Claim Rate

Clean claim rate rose to 96% within two quarters, reducing rework and delays.

55%

Cost Reduction

Reduced total back-office operating cost compared with the prior US RCM vendor.

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