Healthcare BPO Services

Revenue Cycle Outsourcing

Magellan Solutions runs the administrative side of your revenue cycle — the coding, billing, claims, verification, and authorization work that decides whether you get paid, and how fast. Our teams work inside your EHR/EMR, practice management system, and payer portals, following your documentation standards and HIPAA-conscious workflows, so clean claims go out sooner, denials come back less often, and your clinical staff stay on patients instead of paperwork.

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1-800-371-6224

At a Glance

Best For Independent and small-group physician practices, medical billing companies, behavioral health and mental health providers, physical therapy and chiropractic clinics, and DME suppliers
Core Support Medical billing, medical coding, claims processing, insurance benefits verification, prior authorization
Delivery Philippines-based delivery inside your EHR/EMR, practice management system, clearinghouse, and payer portals

A broken revenue cycle is expensive in ways you don't always see

Denied claims, aging receivables, and eligibility errors don't announce themselves — they show up weeks later as revenue that never arrived. Coding backlogs delay billing. Unverified benefits turn into write-offs. Missed prior authorizations become denied procedures that a patient already received. A BPO that treats revenue cycle like generic data entry compounds every one of those problems. Hire us, and put your revenue cycle with a team that has supported healthcare providers since 2005.

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Our Revenue Cycle Capabilities

From first claim to final payment, our specialists cover the full administrative revenue cycle. Each function can be outsourced on its own or run together as one integrated program.

Medical Billing

Charge entry, claim submission, payment posting, and accounts-receivable follow-up. We keep claims moving through the cycle, chase aging balances, and work denials to resolution so cash keeps flowing and your AR days come down.

Medical Coding

Accurate ICD-10, CPT, and HCPCS coding by trained coders who work to your specialty and documentation standards. Correct codes the first time mean fewer rejections, cleaner claims, and audit-ready records.

Medical Claims Processing

End-to-end claims handling — scrubbing, submission, status tracking, and rejection management through your clearinghouse. We catch errors before payers do and keep first-pass acceptance high.

Insurance Benefits Verification

Eligibility and benefits confirmed before the visit, not after. We verify coverage, co-pays, deductibles, and plan limits so patients know their responsibility up front and you bill the right payer the first time.

Prior Authorization Solutions

Authorization requests initiated, tracked, and followed up to approval. We handle the payer back-and-forth that stalls procedures, so approvals land before the date of service and fewer claims deny for missing auth.

Why Healthcare Organizations Outsource the Revenue Cycle

The revenue cycle is process-driven, volume-heavy, and measurable — exactly the kind of work that outsources well. Every hour your staff spends on hold with a payer, re-keying eligibility data, or reworking a denied claim is an hour not spent on patients or on higher-value work.

Cost Reduction

Philippine delivery runs 40–60% below onshore, freeing budget for care instead of administrative overhead.

Faster, Cleaner Cash Flow

Higher first-pass claim acceptance and disciplined AR follow-up shorten the gap between service and payment.

Fewer Denials

Accurate coding, verified benefits, and secured authorizations remove the most common reasons claims come back.

Compliance

Billing, coding, and claims handled under HIPAA-conscious, regulation-aware process.

One Partner Across the Cycle

Coding, billing, claims, verification, and authorization under one team, not five vendors.

Compliance and Data Security, Built In

Outsourcing revenue cycle work means trusting someone else with protected health information and payment data — and that trust is only worth extending to a partner who can show its safeguards. Magellan Solutions operates under certified security standards, documented confidentiality policies, and business-continuity planning.

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Certified Standards

Magellan holds ISO 27001, PCI-DSS, and HIPAA certifications — the recognized benchmarks for information security, payment data, and protected health information. See our certifications.

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Controlled Data Access

Network and IT infrastructure sits in secured, IT-only locations. Workstations and servers are password-protected across access levels, and physical data-entry points are disabled to prevent unauthorized transfer.

Enforceable Confidentiality

Every employee signs a confidentiality agreement before job assignment — subject to Philippine law and prosecutable on breach. Access to your data is limited to the team working your account.

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Continuity You Can Count On

Continuous data backup with off-site copies, a co-location plan with a backup center outside a 10-mile radius, and power-blackout protection — so patient support doesn't stop when circumstances change.

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    Who We Support

    Independent & Small-Group Practices

    Medical Billing Companies

    Behavioral & Mental Health

    Physical Therapy

    Chiropractic

    DME Suppliers

    Dental

    Home Care

    Our Onboarding Process

    Requirements Setting

    1

    1

    Call center outsourcing

    Recruitment

    2

    2

    Agent Training

    3

    3

    Campaign Incubation

    4

    4

    Campaign Go Live

    5

    5

    Frequently Asked Questions

    FAQ
    What is revenue cycle outsourcing?
    It's delegating the administrative revenue cycle — coding, billing, claims processing, benefits verification, and prior authorization — to a specialized partner, so clinical and front-desk staff aren't tied up chasing payment.
    Which parts of the revenue cycle can I outsource?
    Any of them, individually or together. Some clients hand us coding only; others run the full cycle from eligibility verification through AR follow-up as one integrated program.
    Is outsourced revenue cycle work HIPAA compliant?
    Yes — our teams operate under HIPAA-conscious workflows: signed BAAs, privacy training, controlled system access, and documented handling procedures for PHI and payment data.
    Can your teams work in our EHR/EMR and clearinghouse?
    Yes. We are platform-agnostic and train to your systems — EHR/EMR, practice management, clearinghouse, and payer portals — rather than moving you onto ours.
    How do you reduce claim denials?
    By fixing the causes upstream: accurate coding, benefits verified before the visit, authorizations secured before the date of service, and claims scrubbed before submission.
    How fast can a program launch?
    Most programs go live in 4–6 weeks: requirements, recruitment, training, incubation, then launch.

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      Toll Free: 1 800 371 6224

      US:  +1 650 204 3191

      UK: +44 8082 803 175

      AU: +61 1800 247 724