Honest Taskers, Omega Healthcare, and Neolytix lead this year's shortlist of healthcare business process outsourcing companies, nine firms ranked by which parts of the revenue cycle they cover: front office, middle office, back office, or all three. Most buyers describe their problem as one thing and discover it spans two, so the useful comparison is function-by-function rather than vendor-by-vendor.
Last updated: 2026-08-21
Disclosure: Honest Taskers publishes this list and appears at position 1. We're judged on the same five published criteria as every other company here.
At a glance
- 1Honest Taskers
- 2Omega Healthcare
- 3Neolytix
- 4Access Healthcare
- 5Medusind
- 6AGS Health
- 7Coronis Health
- 8Cloudstaff
- 9Firstsource
On this page
- How we chose these companies
- Companies compared
- The 9 companies
- Should healthcare BPO cover one function, the whole cycle, or people to run it?
- What are the risks of healthcare business process outsourcing?
- How much does healthcare BPO cost?
- What should you look for in a healthcare business process outsourcing company?
- How do you get started with a healthcare business process outsourcing company?
- Methodology and sources
How we chose these companies
The revenue cycle splits into three stages, and almost every outsourcing decision goes wrong at the seams between them. Front office is everything before care: scheduling, registration, eligibility and benefits, prior authorization, patient intake. Middle office is what turns care into a claim: clinical documentation, coding, charge capture. Back office is what turns a claim into money: submission, payment posting, denials, appeals, accounts receivable, patient balances.
Practices usually describe the problem as "billing" and mean something upstream. A denial rate that won't fall is often an eligibility problem, which is front office. A coding backlog is middle office and needs credentialed people, not more billers. So the comparison here is built around which stages each firm covers, alongside client types, published pricing, delivery locations, and compliance credentials.
The distinction also decides whether one vendor or several makes sense. A firm covering all three stages can close the seams, which is worth real money if your problem lives at a handoff. A firm covering one stage well may still be the better buy if your other two are healthy, and paying an all-in vendor to run a process you already run properly is a common and expensive mistake.
Compliance is a gate rather than a tiebreaker. Every firm here handles protected health information at some stage, so the business associate agreement the U.S. Department of Health and Human Services requires is the floor. Where a company names ISO 27001 or another issued certification we say so, and where it names nothing we say that too, because in this field silence is the more common answer. The local-hire figure to hold these quotes against comes from the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics, which reports a median $21.53 an hour for customer service representatives, about $44,770 a year.
Companies compared
| Company | Front office | Middle office | Back office | Published pricing | Delivery and compliance (as stated) |
|---|---|---|---|---|---|
| Honest Taskers | Yes: scheduling, intake, eligibility, prior auth | Scribing and coding roles staffed | Yes: billing, posting, AR follow-up | $10.00 to $12.65/hr | Recruits PH, LatAm, India, Pakistan; works client's US hours; HIPAA verified by Accountable; BAA when PHI is accessed |
| Omega Healthcare | Yes, stated as front office | Yes, stated as middle office | Yes, stated as back office | Not publicly listed | Boca Raton; career locations US, PH, India, Colombia; no certifications stated |
| Neolytix | Yes: eligibility, credentialing, enrollment | Coding audit | Yes: RCM, billing | Not publicly listed | Chicago headquarters; delivery not stated; ISO 27001 certified |
| Access Healthcare | Yes: scheduling, eligibility, patient access | Yes: medical coding, autonomous coding | Yes: claims, denial management | Not publicly listed | Dallas, Chennai, Manila referenced; no certifications stated |
| Medusind | Credentialing | Yes: medical and dental coding | Yes: billing, AR follow-up, payment posting | Not publicly listed | Delivery not stated; no certifications stated |
| AGS Health | Prior authorization, enrollment, credentialing | Yes: coding and CDI | Yes: claims, AR, denials | Not publicly listed | Washington DC and Chennai; Cybersecurity Transparent Designation 2023 |
| Coronis Health | Not itemized | Yes: coding | Yes: billing, claims and AR follow-up | Not publicly listed | Delivery not stated; no certifications named |
| Cloudstaff | Staffed as managed teams | Staffed as managed teams | Staffed as managed teams | Not publicly listed | PH, Colombia, India, Kenya; HIPAA, ISO 27001, ISO 9001, PCI-DSS, GDPR |
| Firstsource | Customer experience | Not itemized | Intelligent Back Office, collections | Not publicly listed | Delivery not stated; no certifications stated |
1. Honest Taskers
Best for: organizations that want one stage covered by people inside their own systems.
Stages: All three, staffedPricing: $10.00 to $12.65/hrCoverage: Client's US hoursFirst hire: Two-week working trial
Honest Taskers covers all three stages, but as staffing rather than as a managed process, which is a meaningful difference when you're deciding where the seams sit. Front office runs through scheduling, patient intake, insurance verification, and prior authorization specialists; the middle through scribes and coders; the back office through billers handling submission, payment posting, denial follow-up, and accounts receivable. Because these are named people working inside your own EHR and clearinghouse on your US hours, no handoff is created between you and a vendor platform, which is where seam problems usually start.
It publishes rates of $10.00 to $12.65 an hour, recruits in the Philippines, Latin America, India, and Pakistan, and reports 99.6% average monthly retention supported by healthcare coverage for eligible team members, interest-free loans, wellness programs, and performance-based raises. Compliance runs on quarterly HIPAA and data privacy training led by a dedicated compliance officer, a Business Associate Agreement signed where the professional will access PHI, remote work screening covering a dedicated password-protected computer with VPN and antivirus requirements, and a security environment described as SOC 2 audit ready, with HIPAA compliance verified by Accountable. A two-week working trial applies to the first hire. See the multi-purpose virtual medical assistant page for scope.
Limitation: staffing all three stages doesn't fix a broken process, and coding decisions still need someone appropriately credentialed to make them. If your seams are the problem rather than your capacity, a managed vendor is the better structure.
2. Omega Healthcare
Best for: organizations whose problem sits at the handoffs between stages.
Stages: All three, namedPricing: Not publicly listedLocations: Boca Raton; US, PH, India, ColombiaScore: KLAS 97.8/100, Feb 2026
Omega Healthcare is the only firm here that describes its revenue cycle work in exactly these terms, offering control across front, middle, and back office operations as a single scope. For an organization that has already worked out its problem lives at a handoff, that framing is the product rather than marketing. It also runs four other lines: care coordination, health data curation, payer operations, and drug access and affordability, so the outsourcing conversation can extend past claims. It publishes a Boca Raton headquarters with career locations in the US, Philippines, India, and Colombia, and cites a 97.8 out of 100 KLAS performance score from February 2026.
Limitation: the scale figures on its own site render as placeholders, and no certifications are stated, so both size and security need establishing in a call rather than from the page.
3. Neolytix
Best for: smaller organizations wanting front-office and credentialing work, not just billing.
Stages: Front and back, plus coding auditPricing: Not publicly listedScale: 270+ organizations, 40 statesCert: ISO 27001
Neolytix is unusually strong at the front end, covering credentialing through an NCQA-relevant CVO function, provider enrollment, and licensing alongside revenue cycle management, billing, and coding audits. That combination matters because enrollment and credentialing problems produce denials that look like billing failures and can't be fixed downstream. It reports serving over 270 organizations across 31 specialties in 40 states, publishes explicit small-practice and mid-market tiers, and states ISO 27001 certification with HIPAA compliance.
Limitation: it publishes no pricing and no delivery location, so cost and the where of the work both take a conversation.
4. Access Healthcare
Best for: larger organizations wanting automation applied across all three stages.
Stages: All threePricing: Not publicly listedDelivery: Dallas, Chennai, ManilaTech: Autonomous coding platform
Access Healthcare covers the full span, from patient scheduling and eligibility verification at the front, through medical coding and an autonomous coding platform in the middle, to claims operations and denial management at the back. Automation is built into the operation rather than sold separately, which for a high-volume organization is where the cost curve bends. It publishes a Dallas headquarters and a Chennai delivery address, with job postings also naming Manila, and serves hospitals, health systems, revenue cycle partners, dental groups, and health plans.
Limitation: its stated 60% reduction in cost to collect is company-reported with no published methodology, and the site names no certifications or pricing.
5. Medusind
Best for: groups running both medical and dental operations.
Stages: Middle and back, plus credentialingPricing: Not publicly listedDelivery: Not publicly listedCoverage: 30+ specialties
Medusind is the strongest firm here for organizations with both medical and dental lines, covering billing, coding, and credentialing on both sides along with accounts receivable follow-up and payment posting across more than 30 specialties. Dental revenue cycle differs enough from medical, in payer behavior, in fee schedules, and in how treatment plans convert to claims, that most medical billing firms handle it badly. Its named client types are specific: physician groups, federally qualified health centers, behavioral health, home health, dental practices, and dental service organizations.
Limitation: front-office work beyond credentialing isn't itemized, and it publishes neither pricing, delivery location, nor certifications.
6. AGS Health
Best for: health systems needing middle-office depth including CDI.
Stages: All three, CDI includedPricing: Not publicly listedDelivery: Washington DC and ChennaiClients: Banner Health, Baylor Scott & White
AGS Health is the middle-office specialist in this group, because it's the only firm naming clinical documentation improvement alongside coding. CDI is where documentation quality turns into correct reimbursement, and it's the function small vendors skip entirely. It also covers prior authorization, provider enrollment and credentialing at the front, and claims, accounts receivable, and denials at the back, with a Washington DC headquarters, a Chennai delivery center, and Banner Health and Baylor Scott and White named as clients.
Limitation: it's built for health systems rather than practices, and its only named credential is a 2023 cybersecurity designation rather than SOC 2, ISO, or HITRUST.
7. Coronis Health
Best for: behavioral health organizations and community health centers.
Stages: Middle and backPricing: Not publicly listedDelivery: Not publicly listedFocus: Behavioral health, CHCs
Coronis Health concentrates on the back half of the cycle, covering medical billing and coding, revenue cycle management, and claims and accounts receivable follow-up. Its distinguishing feature is the client types it names: behavioral health organizations and community health centers alongside hospitals, health systems, and physician groups. Both segments carry payer mixes and reporting obligations that general billing firms handle poorly, so a vendor naming them explicitly is worth a conversation if that's your setting.
Limitation: front-office work isn't itemized at all, and it publishes neither pricing, delivery location, nor any named certification, the thinnest disclosure on this list.
8. Cloudstaff
Best for: organizations building their own teams across stages with certifications in place.
Stages: Any, as managed teamsPricing: Not publicly listedLocations: PH, Colombia, India, KenyaCerts: ISO 27001, PCI-DSS, GDPR
Cloudstaff supplies managed offshore teams rather than a defined revenue cycle product, so the stage coverage is whatever you build. That flexibility suits an organization that knows exactly which functions it wants staffed and doesn't want a vendor's process imposed on top. It publishes four named delivery countries and the fullest certification set here, covering HIPAA, ISO 27001, ISO 9001, PCI-DSS, and GDPR with a 99.99% SecurityScorecard rating, plus 99.5% monthly staff retention and over 1,000 companies served.
Limitation: healthcare is one vertical among many with no revenue cycle roles itemized, so you're providing the process knowledge, not buying it.
9. Firstsource
Best for: organizations wanting patient-facing and back-office work from one accountable team.
Stages: Front and backPricing: Not publicly listedDelivery: Not statedIndustries: Nine, including providers
Firstsource covers the two ends without the middle, pairing customer experience work at the front with intelligent back office processing of documents, transactions, and exceptions, plus AI-driven collections. Its stated model is that strategy, build, and run sit with one accountable team rather than being split across vendors, which addresses exactly the seam problem this article is organized around, even if the coding middle is missing from its published scope.
Limitation: healthcare is one of nine industries, coding isn't itemized, and its site publishes no delivery locations, certifications, or scale figures.
Should healthcare BPO cover one function, the whole cycle, or people to run it?
Outsourcing one function suits organizations whose other stages are healthy. It's cheaper, easier to reverse, and lets you keep the institutional knowledge that makes the rest work. The risk is that you create a new seam at the boundary, so agree who owns the handoff before anything moves.
Outsourcing the whole cycle suits organizations whose problem is the process rather than the capacity, and where the seams are already leaking. One vendor accountable end to end removes the finger-pointing that makes multi-vendor arrangements exhausting. You pay for that with visibility and with switching costs that get steeper every quarter, so the reporting and exit terms deserve as much attention as the price.
Hiring people to run the process you already have is the third route, at $10.00 to $12.65 an hour for staffed roles. It suits organizations that know their process works and simply lack hands. It's also the only option that leaves the knowledge inside your building, which matters more than it seems until the day you want to change vendors.
What are the risks of healthcare business process outsourcing?
- Diagnosing a front-office problem as a billing problem, then outsourcing the wrong stage.
- New seams created at the boundary between what you kept and what you moved.
- Delivery location unpublished, so your BAA can't name where the work happens.
- Certifications absent entirely, which is common here even among large firms.
- Coding decisions made by people whose credentials you never checked.
- CDI skipped, so documentation quality problems persist under a new vendor.
- Performance claims with no published methodology.
- Process knowledge leaving your organization, making the arrangement hard to reverse.
- Exit terms that strand your data, credentials, and payer portal access.
How much does healthcare BPO cost?
Only one firm on this list publishes a rate: Honest Taskers at $10.00 to $12.65 an hour for staffed roles. The other eight quote against scope. Elsewhere in this market, Transcure publishes 3% to 5% of monthly collections and Staffingly $399 a week per full-time equivalent, which are the two published figures worth carrying into any conversation here.
Price the stage, not the vendor. Work out how many hours your front office, middle, and back office each consume in a month, multiply by a staffed rate, and you have a floor for each stage separately. A managed proposal that exceeds the floor for one stage may still be correct if it removes a seam or brings credentialed coders you can't hire. A proposal that exceeds it across all three usually means you're buying packaging rather than capability. Rates move, so confirm before you sign.
What should you look for in a healthcare business process outsourcing company?
- Which stages the firm covers, named on its own site.
- Who owns each handoff, written into the agreement.
- A signed BAA before any access is granted.
- Delivery countries named, including any subcontractors.
- Named certifications and who issued them.
- Coder credentials, where coding is in scope.
- Whether CDI is included or assumed to be your job.
- Reporting that shows outcomes rather than activity.
- Exit terms covering data, credentials, and portal access.
How do you get started with a healthcare business process outsourcing company?
- Map your own cycle into the three stages and find where the money stalls.
- Confirm the diagnosis with data, since denials often trace upstream to eligibility.
- Decide whether you're buying one stage or the whole cycle.
- Shortlist firms that name that stage on their own site.
- Ask where the work is performed and what certifications they hold.
- Ask who owns each handoff, and get it in writing.
- Agree reporting, escalation, and exit terms before signing.
- Move one stage first and hold the others steady.
- Review at 30 and 90 days on the specific metric you set out to move.
Methodology and sources
We verified each company at its own website on August 21, 2026, recording which revenue cycle stages each names, client types, published pricing, stated delivery locations, and compliance credentials. Stage coverage is recorded only where a firm names the work itself; where a stage is absent from its published scope, the table says "not itemized" rather than assuming it's available. Business associate requirements come from the U.S. Department of Health and Human Services. Anything unpublished is marked "not publicly listed", and self-stated figures are labelled company-reported. R1 RCM and GeBBS Healthcare Solutions block automated retrieval and could not be read from source. Conifer Health, Optum, Infosys BPM and Cognizant TriZetto surfaced in search but were not verified. This list and our other outsourcing guides share some companies, because they are keyword variants of one buying question rather than separate markets; organizing by revenue cycle stage produces a different roster and order here than our delivery-location and buyer-tier guides.
Related outsourcing guides
If eligibility and authorization are the upstream problem, our guide to how a virtual assistant handles prior authorization covers that front-office work.
If the back office is the gap, our virtual medical billing page sets out the scope.
Speak with Honest Taskers about outsourcing your admin workload.