Healthcare RCM Collections
Healthcare RCM Collections
Healthcare RCM Collections
Improving Patient Financial Experience While Reducing AR Days
Healthcare collections are uniquely complex. Patients are not typical “debtors”—they are individuals navigating medical uncertainty, financial strain, insurance confusion, or unexpected care costs. This requires compassionate, compliant, patient-friendly communication that supports financial resolution without harming trust in the healthcare provider.
Fusion CX’s Healthcare RCM Collections Services are designed to improve point-of-service collections, post-visit billing resolution, and past-due patient account recovery—all while elevating the overall patient experience.
We help providers and revenue cycle teams meet rising financial pressures through a blend of empathy, clarity, healthcare-specialized training, and AI-enabled performance support.
Why Healthcare Collections Demand a Specialized Approach
Patient financial responsibility continues to rise. Providers now face:
- Growing patient deductibles & out-of-pocket burdens
- Confusing insurance coordination
- High AR days & write-offs
- Sensitive patient interactions that require empathy
- Complex regulatory expectations (HIPAA, CMS, state laws)
Fusion CX bridges these gaps with healthcare-trained agents, clear financial communication, and workflows tailored specifically for clinical and patient environments.
Our Healthcare RCM Collections Services
Pre-Service & Pre-Visit Financial Engagement
- Insurance verification
- Co-pay and deductible reminders
- Financial counseling
- Pre-authorization follow-up
- Payment plan setup
Point-of-Service Collections Support
Increase upfront collections by guiding patients through estimates, insurance expectations, and payment options.
Post-Visit Billing & Follow-Ups
- Patient-friendly outreach
- Explanation of charges
- Invoice clarification
- Payment reminders
- Billing dispute handling
Past-Due Patient Account Recovery
Soft, compassionate outreach for:
- Aged self-pay accounts
- Residual balances
- Payment plan reactivation
- Insurance lapse follow-up
Insurance & Payer Follow-Up Support
Reduce AR delays caused by insurers:
- Denial follow-up
- Documentation requests
- Re-submissions
- Balance resolution
Patient Financial Counseling
Help patients understand coverage, financial options, and payment pathways with clarity and empathy.
Secure Payment Processing & Assistance
PCI-DSS compliant workflows for:
- Online payments
- Automated recurring payments
- On-call payment support
- Payment plan adjustments
Omnichannel Patient Engagement
Reach patients the way they prefer:
Voice | SMS | Email | Chat | App Notifications | Patient Portals
The Fusion Advantage for Healthcare RCM Collections
Patient-First, Empathy-Driven Approach
Agents trained in healthcare sensitivity, emotional intelligence, and transparent financial communication.
HIPAA-Compliant Operations Across All Touchpoints
Every workflow ensures patient data protection, regulatory adherence, and secure payment handling.
AI-Enabled Performance via Arya
Arya AI Co-Pilot: real-time guidance for difficult conversations
Arya Quality Auditor: 100% interaction monitoring for compliance
Healthcare-Trained Collections Specialists
Collectors deeply understand:
- CPT/ICD codes
- Explanation of Benefits (EOBs)
- Co-pay/deductible structures
- Payer behavior
- Common patient barriers
Rightshore Delivery for Cost-Effective Scalability
Domestic, nearshore, offshore, or hybrid models to match provider requirements and regulatory needs.
Healthcare Segments We Support
Fusion CX provides RCM collections solutions for:
Hospitals & Health Systems
Reduce AR days and increase patient payments
Specialty Clinics & Physician Groups
Tailored workflows by specialty
Dental & Vision Networks
High-volume patient billing support
Behavioral Health Providers
Sensitive, empathetic financial communication
Health Insurance & Payers
Premium billing and follow-up
Telehealth & Virtual Care Platforms
Digital-first financial engagement
RCM Companies & Billing Firms
Scalable back-office & patient support
Each segment receives industry-specific training, quality controls, and compliance frameworks.
Business Impact You Can Expect
Healthcare partners typically experience:
10–25% improvement in patient
payment recovery
Lower AR days across self-pay
and insurance balances
Higher patient
satisfaction & trust
Reduced escalations and
billing confusion
Lower operational cost with
scalable rightshoring
Better financial clarity for
both patient and provider
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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