HIPAA-Compliant Healthcare BPO That Reduces Costs & Improves Patient Care
Medical billing, revenue cycle management, prior authorizations, clinical documentation, and patient support — all handled by certified healthcare specialists. Free your clinical staff to focus on patients, not paperwork.
Let Your Clinical Staff Care for Patients — We'll Handle the Rest
Healthcare providers lose up to 30% of potential revenue through billing errors, denied claims, and inefficient revenue cycle processes. Meanwhile, clinical staff spend nearly 35% of their time on administrative tasks. SynthesisBPO's healthcare BPO solution eliminates both problems — improving collections and freeing your team for patient care.
- HIPAA-certified staff with healthcare domain expertise and continuous compliance training
- 99.2%+ claims accuracy rate reducing denials and accelerating reimbursements
- Certified medical coders (CPC, CCS, CCS-P) across all specialties and payer types
- Seamless integration with Epic, Cerner, Meditech, Athenahealth, and all major EHR platforms
- 24/7 operations with SOC 2 Type II certified data security and full audit trails
Complete Healthcare Back-Office Outsourcing Solutions
Every healthcare administrative function — from charge capture to collections — delivered by certified specialists who understand clinical workflows and payer requirements.
Medical Billing & Coding
Certified medical coders (CPC, CCS) handling charge entry, ICD-10/CPT/HCPCS coding, claim submission, ERA/EOB posting, and denial management across all payer types and specialties.
Learn more →Revenue Cycle Management (RCM)
End-to-end RCM from patient registration and eligibility verification through charge capture, claim submission, payment posting, and accounts receivable follow-up — optimizing every step of your revenue cycle.
Learn more →Prior Authorizations
Fast, accurate prior authorization submissions and follow-ups with payers — reducing treatment delays, administrative burden on clinical staff, and the risk of avoidable claim denials.
Learn more →Clinical Documentation & Transcription
Medical transcription, clinical documentation improvement (CDI), chart abstraction, and EHR data entry — accurate, HIPAA-compliant, and delivered within agreed turnaround times.
Learn more →Patient Scheduling & Registration
Appointment scheduling, new patient registration, insurance eligibility verification, referral coordination, and patient reminder calls — keeping your schedules full and your no-show rates low.
Learn more →Patient Support & Helpdesk
Patient enquiry handling, billing statement queries, prescription refill assistance, care coordination support, and post-visit follow-up — improving patient satisfaction and HCAHPS scores.
Learn more →Revenue Cycle Management — Recapture Lost Revenue
Our end-to-end RCM service identifies revenue leakage at every stage of the cycle and implements systematic improvements that increase collections and accelerate cash flow.
Recover Up to 35% More Revenue Through Optimised RCM
Most healthcare providers are leaving significant revenue on the table — through coding errors, eligibility misses, slow AR follow-up, and unworked denials. Our RCM team systematically closes every revenue leakage point, delivering measurable improvement within the first 90 days.
- Eligibility Verification: Every patient verified against payer databases before service — eliminating surprise denials from coverage gaps or inactive policies.
- Denial Management & Appeals: Every denial worked within 24 hours — root cause analysed, corrected, resubmitted, and tracked through to resolution or appeal.
- AR Follow-Up at Every Age Bucket: Systematic follow-up on all outstanding claims at 30, 60, 90, and 120+ day buckets — no claim abandoned, no revenue left uncollected.
- Monthly RCM Performance Reporting: Comprehensive dashboards showing clean claim rate, denial rate, collection rate, days in AR, and payer-level performance trends.
Clinical Documentation & Coding Excellence
Accurate clinical documentation and medical coding is the foundation of proper reimbursement. Our certified coders ensure every encounter is coded correctly — maximising legitimate revenue and minimising audit risk.
Certified Coders That Capture Every Legitimate Dollar
Under-coding costs providers revenue. Over-coding creates compliance risk. Our certified medical coders operate in the precise middle — ensuring every encounter is coded to the highest specificity supported by documentation, maximising reimbursement while maintaining full compliance with coding guidelines.
- Multi-Specialty Coding: CPC and CCS-certified coders experienced across primary care, surgery, hospital medicine, oncology, radiology, pathology, and all major specialty lines.
- Clinical Documentation Improvement: CDI specialists working with physicians to improve documentation specificity — supporting accurate risk scoring and appropriate reimbursement.
- HCC / Risk Adjustment Coding: Comprehensive HCC capture for Medicare Advantage and other risk-based contracts — ensuring your risk scores reflect your actual patient population.
- Coding Audit & QA: Regular internal coding audits with feedback to coders and clinical staff — maintaining consistently high accuracy rates and audit readiness.
Healthcare BPO Built on Compliance First
Every SynthesisBPO healthcare engagement is governed by strict compliance standards — protecting your patients, your practice, and your revenue.
HIPAA Compliant
Full HIPAA Privacy and Security Rule compliance — BAA agreements, PHI handling protocols, and staff training as standard on every engagement.
SOC 2 Type II Certified
Data security, availability, and confidentiality certified through independent SOC 2 Type II audit — protecting patient data at enterprise grade.
CPC & CCS Certified Coders
All medical coders hold AAPC or AHIMA certifications — CPC, CCS, CCS-P, and CPC-H as applicable to specialty and service line.
OIG Compliance Program
All billing operations governed by an OIG-aligned compliance program with regular audits, corrective action protocols, and staff certifications.
Why Healthcare Providers Choose SynthesisBPO
HIPAA-First Operations
Every staff member is HIPAA-trained and certified. All systems are BAA-covered. PHI handling is audited continuously. Compliance is not an add-on — it's the foundation of everything we do.
35% Average Revenue Uplift
Our RCM clients see an average 25–35% improvement in net collections within 90 days through denial reduction, improved coding accuracy, and systematic AR follow-up.
EHR-Agnostic Integration
We work in Epic, Cerner, Meditech, Athenahealth, eClinicalWorks, NextGen, and all major platforms. No migration, no disruption — we operate in your existing systems from day one.
Certified Clinical Specialists
CPC, CCS, and CDI-certified coders. CHAA-certified patient access staff. Experienced RCM analysts who understand both clinical documentation and payer adjudication logic.
Transparent Performance Reporting
Monthly dashboards showing clean claim rate, denial rate, days in AR, collection rate by payer, and coding accuracy — full visibility into your revenue cycle health at all times.
Scalable Across Any Practice Size
From single-provider practices to multi-site hospital groups — our healthcare BPO scales to match your volume, with no minimum transaction thresholds and flexible pricing models.
Getting Started with Healthcare BPO in 4 Steps
Free RCM Assessment
We audit your current billing and RCM processes, identify revenue leakage points, and deliver a detailed proposal with projected improvement metrics.
Team Assignment & BAA Execution
Specialist teams are assigned, Business Associate Agreements signed, system access established, and HIPAA compliance protocols verified before any PHI is handled.
Parallel Operations & Calibration
We operate in parallel with your current process for 2–4 weeks to calibrate coding patterns, payer rules, and documentation standards before full handover.
Full Transition & Reporting
Complete operational transfer with monthly KPI reporting, quarterly business reviews, and a dedicated healthcare account manager as your single point of contact.
We Work in Your Healthcare Technology Stack
Clinical Expertise Across Every Specialty
"SynthesisBPO took over our entire billing and RCM operation. In 60 days our clean claim rate went from 82% to 97%, our days in AR dropped from 48 to 31, and our net collections improved by 28%. Exceptional results."
"The prior authorization team is a lifesaver. We were losing 3–4 hours of PA admin daily across our nursing staff. Synthesis handles all of it now — faster approvals and virtually zero treatment delays due to PA issues."
"Our HCC coding accuracy and capture rate improved dramatically. The CDI team works closely with our physicians on documentation quality. We saw a meaningful improvement in our RAF scores within two quarters."
Common Questions
Ready to Transform Your Revenue Cycle?
Get a free RCM assessment and see exactly how much revenue your practice is leaving on the table.
🏥 Get Free RCM Assessment →Let's Work Together
Get in touch for a free healthcare BPO assessment. We'll review your current operations and deliver a tailored proposal within 24 hours.
Call Us
+1 800 427 4470Email Us
info@synthesisbpo.comOur Office
No. 37, Lane 13, Hadapsar, Pune, Maharashtra 411028Business Hours
Mon–Fri: 9AM–6PM EST | Operations 24/7Request a Free Healthcare BPO Assessment
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