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Healthcare RCM Services for US Practices

Dedicated offshore billing, coding, A/R and verification specialists who work inside your practice management system on US hours, priced per full-time specialist, per month.

RCM SERVICES

WHAT OUR RCM TEAM HANDLES

01

Medical Billing & Charge Entry

Charge entry, claim creation and scrubbing, electronic claim submission, and payment posting from ERAs and EOBs, so clean claims go out every day.

Best for: Physician groups, clinics and medical billing companies

02

Dental Billing

Dental claim submission with CDT codes, attachments and narratives, pre-appointment insurance checks, and patient balance follow-up.

Best for: Dental practices and dental service organizations

03

Medical Coding

ICD-10-CM, CPT and HCPCS coding from your provider documentation, with modifier and payer-edit checks before claims are submitted.

Best for: Practices that want fewer coding-related denials

04

A/R Follow-Up & Denial Management

We work aged A/R by bucket, check claim status by phone or payer portal, correct and resubmit claims, and file appeals, with denial root-cause tracking.

Best for: Practices with growing 60+ and 90+ day A/R

05

Eligibility, Verification & Credentialing

Insurance eligibility and benefits verification, prior authorizations, and provider credentialing and re-credentialing with payers, including CAQH upkeep.

Best for: Practices adding providers, locations or payers

WHY BUILDCORE

WHY PRACTICES OUTSOURCE RCM TO US

Dedicated Specialists

A named full-time specialist who learns your payers and workflows

Lower Cost per FTE

Offshore rates for full-time billing output

Works in Your Systems

Your PM/EHR, clearinghouse and payer portals

US-Hours Coverage

Same-day work on claims, calls and follow-ups

HIPAA-Aware Handling

Access limited to the assigned team; we sign your BAA

OUR PROCESS

HOW OUR RCM SUPPORT WORKS

STEP01

DISCOVERY

We review your specialty, payer mix, claim volume, systems and current A/R.

STEP02

ACCESS & SETUP

BAA and NDA signed, then secure access to your PM/EHR, clearinghouse and payer portals.

STEP03

TRAINING & SOPS

Your specialist learns your fee schedules, payer rules and workflows, and we document SOPs.

STEP04

DAILY PRODUCTION

Charges, claims, posting, follow-up and verification worked every US business day.

STEP05

REPORTING

Weekly reports on claims submitted, payments posted, A/R by aging bucket and denial trends.

Our RCM specialists work from our Ahmedabad delivery center on US business hours, with a named specialist and a single point of contact in BuildCore management for every engagement.
PRICING

RCM PRICING

DEDICATED RCM FTE
Per FTE
per month

One full-time specialist working exclusively on your accounts: billing, coding, A/R follow-up or verification.

Medical & dental
What you can engage
Dedicated RCM specialist (FTE)
Flat monthly fee per full-time specialist
Medical or dental billing team
Priced per FTE, sized to your claim volume
A/R clean-up project
Quoted to your aged A/R backlog
Provider credentialing
Quoted per provider and payer

Final pricing and terms are confirmed in the service agreement.

FAQ

HEALTHCARE RCM QUESTIONS

Do you work under HIPAA?
Yes. We sign a Business Associate Agreement and NDA before work begins, limit access to the assigned team, and work only inside your systems.
Which systems do you work in?
We work in the practice management or EHR system, clearinghouse and payer portals you already use, for medical and dental practices.
How is RCM pricing calculated?
You pay a flat monthly fee per dedicated full-time specialist. Projects such as A/R clean-up or credentialing are quoted separately.
Do you support both medical and dental billing?
Yes. We support medical billing and coding as well as dental billing, insurance verification and claim follow-up.
How fast can we get started?
After a discovery call, we set up access and SOPs with you, and your specialist starts on live work as soon as access is in place.

Let’s clean up your revenue cycle

Book a 30-minute call to review your claim volume, A/R and systems, and get a per-FTE quote.

Book a call30 minutes · no obligation