Healthcare Collections &
RCM Support

Healthcare Collections & RCM Support

Collections Services for Healthcare Providers

Improving Patient Financial Engagement and Reducing AR Days Through Compassionate, HIPAA-Aligned Services

Healthcare collections are fundamentally different from traditional debt recovery. Patients are navigating medical challenges, insurance confusion, rising out-of-pocket costs, and significant financial stress. They need guidance—not pressure.

Fusion CX provides Healthcare RCM Collections Services that combine empathy, clarity, medical billing expertise, and airtight HIPAA compliance to help providers improve cash flow while maintaining trust in the care experience.

We support hospitals, physician groups, specialty clinics, dental/vision networks, and RCM companies with patient-friendly, highly compliant financial communication that enhances both recovery and patient satisfaction.

Industry Challenges We Solve

Healthcare organizations face increasing financial pressure due to:

Rising Patient Responsibility

Higher deductibles and co-insurance shift more financial burden onto patients.

AR Bottlenecks & Denials

Incomplete documentation, payer disputes, and insurance delays impact revenue cycles.

Confusing Financial Pathways for Patients

Patients struggle to understand EOBs, coverage, and billing details.

Sensitivity of Healthcare Conversations

Financial discussions must be empathetic, non-aggressive, and clinically aware.

Strict Data Privacy & Compliance Requirements

HIPAA, HITECH, CMS guidelines, and state laws require flawless execution.
Fusion CX bridges these gaps with a model tailored for the clinical environment and the patient experience.

How Fusion CX Supports Healthcare & RCM Organizations

Pre-Service & Pre-Visit Financial Outreach

  • Benefit verification
  • Co-pay & deductible reminders
  • Pre-authorization follow-up
  • Cost estimates
  • Payment plan setup

Point-of-Service Collections

Increase upfront collections with clear financial counseling and guided payment options.

Post-Visit Billing Engagement

  • Patient-friendly outreach
  • Statement clarification
  • Insurance vs. self-pay breakdown
  • Billing dispute resolution
  • Payment reminders

Past-Due Self-Pay Collections

Compassionate, soft collection strategies designed for:

  • Aged accounts
  • Residual balances
  • Missed payment plans
  • Returned mail or contact gaps

Insurance Follow-Ups & Claims Support

Reduce AR delays through:

  • Denial follow-up
  • Documentation requests
  • Re-submissions
  • Coordination with payers

Payment Plan Enrollment & Maintenance

Transparent, flexible options reduce non-payment while supporting patient financial stability.

Dedicated Patient Call Center Support

Healthcare-trained agents handle billing questions, document needs, disputes, and portal navigation.

Omnichannel Patient Communication

Meet patients where they are:
Voice | SMS | Email | Chat | App Alerts | Patient Portals

Why Healthcare Organizations Choose Fusion CX

Compassionate, Patient-First Approach

Our agents are specially trained in healthcare sensitivity, emotional intelligence, and medical billing clarity.

Strict HIPAA Alignment

Protected health information (PHI) is handled with rigorous security across all workflows. 

Healthcare-Specific Collections Expertise

Deep knowledge of CPT codes, EOBs, payer behavior, prior authorizations, and clinical workflows.

AI-Enhanced Performance Through Arya

  • Arya AI Co-Pilot: guides agents in sensitive conversations
  • Arya Quality Auditor: monitors 100% of interactions
  • Behavioral scoring: identifies patients needing support

Rightshore Delivery for Cost Optimization

Domestic, nearshore, offshore, or hybrid models to adjust to budget, patient preference, and regulatory needs.

Segments We Support Across Healthcare

Fusion CX delivers collections and RCM support for:

Hospitals & Health Systems

Physician Groups & Specialty Clinics

Dental & Vision Providers

Behavioral Health Networks

Ambulatory & Outpatient Centers

Telehealth & Virtual Care Platforms

RCM Companies & Billing Vendors

Healthcare Payers (Premium Collections)

Each receives tailored training, scripts, compliance frameworks, and patient experience protocols.

Business Impact for Healthcare & RCM Partners

Typical outcomes include:

10–25% increase in
patient payments

Reduced AR days across self-pay
& insurance receivables

Improved patient
satisfaction scores

Lower dispute and
escalation volumes

Higher point-of-service
collections

Reduced operational load
on in-house staff

Improved billing
transparency for patients

Delivering AI-First CX

01
AI QMS

AI QMS

Enterprise QA Solution

AI-QMS delivers AI-powered, automated, real-time QA scoring, moving from sample audits to up to 100% coverage with coaching insights.

02
Accent Harmonizer

Accent Harmonizer

Bridging Accent Gaps

AI-powered, real-time accent translation boosts voice clarity in every customer interaction—faster resolutions, fewer repeats/escalations, more comfortable calls.

03
Sayin.ai

Sayin.ai

Enterprise-Grade Voice AI

GenAI voice agents for inbound and outbound calling with built-in telephony, integrations, and analytics to optimize voice workflows.

04
MindWorkPlace

MindWorkPlace

AI-powered People Platform

Automates agent assessment and supports employee life-cycle management, fast onboarding, and upskilling with performance tracking and productivity visibility.

Power of GenAI . Human-in-the-loop . Secure . Auditable

THE FUSION CX-FACTOR

Certified
Tech Support

PCI-DSS
Certified

28+
Language
Support

Ensured Business
Continuity

AI-powered
man-machine solutions

GET IN TOUCH

Contact Us Kindly fill-out the following form and we will get back to you.

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