Healthcare Collections &
RCM Support
Healthcare Collections & RCM Support
Healthcare Collections & RCM Support
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
THE FUSION CX-FACTOR
Certified
Tech Support
PCI-DSS
Certified
28
Language
Support
Ensured Business
Continuity
AI-powered
man-machine solutions
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