Professional Revenue Cycle Management Services
- Faster payments
- Lower denial rates
- Reduced AR days
- Clear, actionable reports
Why RCM Needs More Than Just Software
Many practices invest in RCM software and receive monthly reports, yet still wonder why cash isn’t coming in. Software alone doesn’t fix claims, appeal denials, or follow up with payers. Without a hands-on process, unpaid claims just sit there, ageing silently.
At Horizon Healthcare RCM, we’ve seen providers frustrated by:
- High denial rates no one is working on
- Slow patient collections due to unclear billing
- Missed timely filing deadlines causing revenue loss
- Payers rejecting claims but no follow-ups done
- Improve clean claim submission rate
- Reports filled with numbers but no real resolution
That’s why our revenue cycle management services deliver action, not just reports. We resolve each unpaid dollar quickly, so you see money in your account, not just numbers on a dashboard.
Revenue Cycle Management Services We Provide
Managing your revenue cycle involves controlling every financial stage, not just claims or payments, to ensure seamless collections and maximum cash flow efficiency.
At Horizon Healthcare RCM, we deliver end-to-end RCM solutions designed to minimize denials, accelerate reimbursements, and provide complete visibility into your revenue performance.
Eligibility & Benefits Verification
We verify patient coverage upfront to prevent eligibility-related denials and ensure smooth reimbursement processing.
Medical Coding & Charge Capture
Certified coders ensure accurate CPT, ICD-10, and HCPCS coding for maximum compliance and fewer rejections.
Claim Preparation & Submission
Automated, payer-ready workflows prepare clean claims quickly, ensuring faster approvals and improved collections efficiency.
Payment Posting & Tracking
Real-time posting and tracking prevent unnoticed payment gaps, improving overall revenue transparency and control.
Denial Management & Appeals
We resolve denials rapidly, filing appeals within 48 hours to recover maximum pending revenue.
Patient Statements & Follow-Ups
Simplified, mobile-friendly statements and flexible payment options improve patient experience and timely payments.
Let’s Optimize Your RCM Without Adding Work for You
Switching to Horizon Healthcare RCM is simple. Outsource revenue cycle management with us, and we’ll audit your process for free, fix revenue leaks, and implement faster, smarter workflows — while your team stays focused on patient care.
How Our RCM Process Transforms Your Cash Flow
RCM isn’t just about submitting claims — it’s about creating a recovery system that prevents delays, minimizes denials, and accelerates payments.
Our expert team analyzes your entire revenue cycle, identifies bottlenecks, and designs optimized workflows to stabilize your cash flow.
Claim Review & Audit
Each claim is thoroughly reviewed before submission to ensure accuracy and compliance:
• Catch errors upfront → fewer rejections
• Apply payer-specific rules automatically
• Shorten resubmission delays
Active Payer Follow-Up
We don’t just submit claims — we own them until payment is posted:
• Dedicated payer-specific follow-up teams
• Faster escalation for stuck claims
• Weekly reminders prevent silent write-offs
Patient Balance Resolution
We simplify patient collections to improve your payment rates:
• Clear, mobile-friendly patient statements
• Flexible payment plans to avoid defaults
• Courteous and professional billing support
What We Uncover in Every RCM Audit
Most practices lose thousands in silent revenue leaks without realizing it. Every time we audit a new client, we find the same issues hurting collections.
What’s Happening | Why It Slips | How Horizon Healthcare RCM Fixes It |
Claims denied for small errors | Codes copied incorrectly | AI-driven audits + certified coding |
AR keeps climbing | No one actively monitors ageing claims | Dedicated RCM follow-ups every 7–10 days |
Patients ignoring bills | Confusing statements | Simple, transparent bills + digital payments |
Denials unresolved | No appeals filed | 48-hour denial resolution workflows |
Revenue gaps overlooked | No real-time reporting | Predictive dashboards show leaks instantly |
These results show how our team consistently posts payments with speed and accuracy to protect your revenue cycle.
RCM Technology and Tools We Use
Efficient revenue cycle management today depends on automation, analytics, and real-time insights. Without the right tools, delays, denials, and missed revenue opportunities become inevitable.
At Horizon Healthcare RCM, we integrate advanced RCM automation and technology with human expertise, helping you achieve faster reimbursements, better transparency, and smarter revenue cycle performance.
AI-Powered Claim Scrubbing
We use AI-driven scrubbing tools to catch coding, modifier, and compliance issues before submission, reducing rejections significantly.
Automated Denial Tracking
Our system automatically flags and prioritizes denials, allowing quick action and faster resolutions without manual intervention.
Real-Time RCM Dashboards
Our real-time RCM dashboards display collections, AR trends, denial patterns, and key metrics — giving providers instant, actionable financial insights.
Eligibility & Benefit Verification Tools
Integrated verification tools confirm patient coverage instantly, preventing eligibility-related claim denials and reducing upfront billing errors.
Predictive Analytics for Revenue Forecasting
We use predictive analytics to anticipate reimbursement delays, identify risks early, and proactively protect your cash flow.
Secure, HIPAA-Compliant Data Systems
We manage all RCM workflows and patient data on encrypted, HIPAA-compliant RCM platforms, ensuring data security and audit readiness.
Why Practices Choose Horizon Healthcare RCM for Revenue Cycle Management
Most RCM companies submit claims and move on. We don’t. At Horizon Healthcare RCM, we own your revenue cycle until every dollar is collected — so you always know exactly where your payments stand.
- 99% clean claim rate and 98% first-pass approval rate for faster reimbursements
- Payments processed within 25–30 days on average
- Denials resolved 35% faster than industry benchmarks with an 85% denial recovery rate
- AR days reduced by up to 5% for most clients
- Real-time reporting shows you what’s collected and what’s pending
- Dedicated RCM specialists available whenever you need clear updates
We manage your RCM like it’s our own revenue, ensuring collections stay smooth and your financial performance remains predictable and secure.
See Where Your Revenue Is Stuck — And How We Fix It
Ready to accelerate your reimbursements and eliminate revenue leaks?
Let’s analyze your RCM process together and show you exactly where payments get delayed — and how we fix them permanently.
Comprehensive Support
24/7
Book a Consultation
Thank you for your interest in Horizon Healthcare RCM, a premier U.S. medical billing service provider. We are excited to connect with you. Let’s get in touch and explore how we can best meet your needs.