Last updated: 2026-08-21
Honest Taskers, Omega Healthcare, and Sagility lead this year's shortlist of medical outsourcing companies, nine firms ranked on where each one draws the line between administrative work and clinical work, published pricing, delivery locations, client types, and compliance credentials. That line is the criterion this category needs most, because several firms sell services that sound clinical and are staffed by people who are not clinicians. Below we set out the choice between administrative, clinical-adjacent and licensed clinical outsourcing, whose exposure it is when staff work beyond a license, what it costs, whether a company writes that scope down, and which tasks it should cover.
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
- 3Sagility
- 4AGS Health
- 5Transcure
- 6Neolytix
- 7Access Healthcare
- 8Staffingly
- 9Cloudstaff
On this page
- How we chose these companies
- Companies compared
- The 9 companies
- Should you choose administrative outsourcing, clinical-adjacent, or licensed clinical?
- Whose exposure is it when outsourced staff do work needing a license?
- How much does medical outsourcing cost?
- Does the medical outsourcing company write down what its staff may not do?
- Which tasks should medical outsourcing cover, and which stay in-house?
- Methodology and sources
How we chose these companies
Medical outsourcing spans work that sits at sharply different distances from patient care, and the distance is what should drive the decision. Purely administrative work covers scheduling, eligibility, claims, and payment posting: no clinical judgement, no license required. Clinical-adjacent work covers documentation, care coordination outreach, remote patient monitoring support, and chart preparation: it touches clinical content, but the judgement stays with your clinician. Licensed clinical work covers assessment, triage, and utilization review, and legally it can only be performed by someone holding the appropriate license.
We compared five things: where each firm draws that line, published pricing, stated delivery locations, client types named, and compliance credentials. The line is the criterion that separates a safe purchase from an unsafe one, because the failure mode here isn't a bad service, it's a non-clinical person making a call that required a clinician. That risk sits with your practice, not with the vendor.
Two examples make the distinction concrete. A care coordinator calling a patient to confirm they collected a prescription and to book a follow-up is doing clinical-adjacent work, and an administrative professional can do it well. A person on the phone deciding whether a patient's chest pain needs the emergency department is performing triage, which is clinical assessment, and only an appropriately licensed clinician should do it. The words on a vendor's website often don't distinguish those two.
Compliance is the gate. Every firm here handles protected health information, so a business associate agreement of the kind the U.S. Department of Health and Human Services requires has to be in place before anything begins. Where a firm names an issued certification we say so, and where it names none we say that too. 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 | Where the clinical line sits | Published pricing | Delivery locations (as stated) | Client types named | Compliance credentials (as stated) |
|---|---|---|---|---|---|
| Honest Taskers | Administrative and clinical-adjacent; scribes document, clinicians decide and sign | $10.00 to $12.65/hr | Recruits PH, LatAm, India, Pakistan; works the client's US hours | US practices, small to mid | Compliance officer; HIPAA verified by Accountable; BAA when PHI is accessed; SOC 2 audit ready |
| Omega Healthcare | Administrative plus care coordination and health data curation | Not publicly listed | Boca Raton; career locations US, PH, India, Colombia | Providers, payers, life sciences and health tech | Not stated; cites a 97.8/100 KLAS score, February 2026 |
| Sagility | Names payer clinical services including utilization and care management | Not publicly listed | Not stated on its homepage | Payers primarily; 7 of 10 top health plans; also hospital networks | Not stated |
| AGS Health | Administrative plus clinical documentation improvement | Not publicly listed | Washington DC headquarters; Chennai, India | Large systems; names Banner Health, Baylor Scott & White | Cybersecurity Transparent Designation 2023 |
| Transcure | Administrative; coding by AAPC-certified staff | 3% to 5% of monthly collections | Texas, New Jersey, Florida offices | Small practices through health systems, 40+ specialties | ISO 27001; AAPC-certified billers and coders |
| Neolytix | Administrative; coding audit and credentialing | Not publicly listed | Not publicly listed; Chicago headquarters | 270+ organizations, 31 specialties, 40 states | ISO 27001 certified; HIPAA compliance stated |
| Access Healthcare | Administrative; coding including an autonomous coding platform | Not publicly listed | Dallas, Texas; Chennai, India; Manila referenced | Hospitals, health systems, RCM partners, dental groups, payers | Not stated |
| Staffingly | Administrative plus scribing; AI-assisted with human verification | $399/wk at 45 hrs; $349 at 5+; $299 at 10+ | India, Pakistan, Bangladesh | Practices of all sizes | SOC 2 Type II; ISO/IEC 27001:2022; HIPAA; GDPR; signed BAA; $5M E&O and cyber policy |
| Cloudstaff | Administrative; healthcare as one vertical, roles not itemized | Not publicly listed | Philippines, Colombia, India, Kenya | 1,000+ companies across verticals | HIPAA; ISO 27001, ISO 9001, PCI-DSS, GDPR; 99.5% monthly staff retention |
1. Honest Taskers
Best for: practices wanting clinical-adjacent support with the clinical line held explicitly.
Scope: Admin and clinical-adjacentPricing: $10.00 to $12.65/hrCoverage: Client's US hoursFirst hire: Two-week working trial
Honest Taskers works at the administrative and clinical-adjacent end and is explicit about where that stops. Scribes document what the clinician says and decides, and every note stays the clinician's note, reviewed and signed by them. Care coordinators and remote patient monitoring support handle outreach, scheduling, data collection, and follow-up, escalating anything that needs judgement to your clinical staff rather than resolving it. Prior authorization and insurance verification specialists work the payer side. Nobody assesses, diagnoses, or triages, and that boundary is stated rather than left for you to discover.
Rates run $10.00 to $12.65 an hour, recruiting spans the Philippines, Latin America, India, and Pakistan, professionals work the client's US time zone, and reported retention is 99.6% average monthly, 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. See the virtual patient care coordinator page for the clinical-adjacent scope.
Limitation: we don't supply licensed clinicians for assessment, triage, or utilization review. If the work genuinely requires a license, this is the wrong purchase and a clinical staffing firm is the right one.
2. Omega Healthcare
Best for: organizations outsourcing care coordination alongside revenue cycle.
Scope: Admin plus care coordinationPricing: Not publicly listedLocations: Boca Raton; US, PH, India, ColombiaLines: Five
Omega Healthcare runs care coordination as a named service line aimed at value-based care goals, alongside revenue cycle management, health data curation, payer operations, and drug access and affordability. That combination suits organizations whose outsourcing question has moved past claims into patient outreach, medication adherence, and the data work that supports both. 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: it doesn't state which parts of care coordination are performed by licensed staff, so establish that before any patient contact carries clinical weight. Scale figures on its site render as placeholders and no certifications are named.
3. Sagility
Best for: health plans outsourcing utilization and care management.
Scope: Named payer clinical servicesPricing: Not publicly listedClients: 7 of 10 top health plansTenure: 18-year average
Sagility is the one firm here that names clinical services outright, offering payer clinical services covering utilization management and care management, alongside claims and membership management, payment integrity, and provider network operations. Utilization review is regulated clinical work in most states, so a vendor naming it is describing licensed capability rather than administrative support, which makes this the entry to look at if that's genuinely what you need. Its published relational metrics are strong: an 18-year average client tenure and 95% client retention.
Limitation: it's payer-weighted, so a provider organization buys from the smaller half of its business, and it publishes neither delivery locations nor certifications, nor the licensure held by its clinical staff.
4. AGS Health
Best for: health systems needing clinical documentation improvement.
Scope: Admin plus CDIPricing: Not publicly listedDelivery: Washington DC and ChennaiClients: Banner Health, Baylor Scott & White
AGS Health names clinical documentation improvement alongside coding, claims, accounts receivable, denials, prior authorization, and provider enrollment. CDI sits right on the line this article is about: it reviews clinical documentation for accuracy and completeness without making clinical decisions, and done properly it needs people who understand both the medicine and the coding. It's also the function most vendors skip. AGS publishes a Washington DC headquarters and a Chennai delivery center and names Banner Health and Baylor Scott and White 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.
5. Transcure
Best for: practices wanting purely administrative outsourcing at a published price.
Scope: AdministrativePricing: 3% to 5% of collectionsOffices: Texas, New Jersey, FloridaStaff: 1,100+ certified
Transcure stays firmly on the administrative side, covering billing, coding, audits, MIPS reporting, eligibility, and credentialing across more than 40 specialties, and it's the only firm here publishing what that costs at 3% to 5% of monthly collections. For an organization that wants revenue cycle handled and clinical work kept entirely in-house, the clean separation is a feature rather than a limitation. It names offices in Texas, New Jersey, and Florida, over 1,100 certified billers and coders, ISO 27001, and AAPC certification.
Limitation: nothing clinical-adjacent is on offer, so scribing, care coordination, and patient outreach need a second vendor, and percentage pricing rises as your revenue does.
6. Neolytix
Best for: smaller organizations wanting credentialing and coding audit alongside billing.
Scope: AdministrativePricing: Not publicly listedScale: 270+ organizations, 40 statesCert: ISO 27001
Neolytix covers revenue cycle management, billing, coding audits, CVO credentialing, provider enrollment, and licensing, with explicit small-practice and mid-market tiers that most firms in this article don't offer. Coding audit is the closest it comes to the clinical line, and it's genuinely useful: an audit finds documentation and code-selection problems before a payer does. It reports serving over 270 organizations across 31 specialties in 40 states and states ISO 27001 certification.
Limitation: no clinical-adjacent services are offered, and it publishes neither pricing nor delivery location.
7. Access Healthcare
Best for: high-volume organizations wanting automated coding within an administrative scope.
Scope: AdministrativePricing: Not publicly listedDelivery: Dallas, Chennai, ManilaTech: Autonomous coding
Access Healthcare covers revenue cycle services, payer BPO, and patient access and engagement, with an automation platform including autonomous coding. Autonomous coding is worth understanding before buying: software assigns codes from documentation, with human review over some proportion of the output. At volume the economics work, and the question to settle is which proportion gets reviewed and by whom, because code assignment carries compliance consequences regardless of what produced it.
Limitation: its stated 60% reduction in cost to collect is company-reported with no published methodology, and it names no certifications, pricing, or headcount.
8. Staffingly
Best for: practices wanting scribing and back office at a flat weekly cost.
Scope: Admin plus scribingPricing: $399/wk at 45 hrsVolume: $349 at 5+, $299 at 10+Cover: $5M E&O and cyber
Staffingly covers billing, coding, prior authorization, scribing, and front office from stated secured facilities in India, Pakistan, and Bangladesh, at $399 a week per full-time equivalent covering 45 hours, dropping to $299 at ten or more people. Scribing puts it on the clinical-adjacent side, and its compliance disclosure is the most complete in this article: SOC 2 Type II, ISO/IEC 27001:2022, HIPAA, GDPR, a signed business associate agreement, and a $5 million errors and omissions and cyber policy.
Limitation: its workflow is AI-assisted with a person verifying output rather than fully human, which for clinical documentation needs pinning down precisely, since a note drafted by software and skimmed by a reviewer is a different product from a scribe writing it.
9. Cloudstaff
Best for: organizations building administrative teams behind named certifications.
Scope: AdministrativePricing: Not publicly listedLocations: PH, Colombia, India, KenyaCerts: ISO 27001, PCI-DSS, GDPR
Cloudstaff supplies managed offshore teams with the fullest certification set here, covering HIPAA, ISO 27001, ISO 9001, PCI-DSS, and GDPR with a 99.99% SecurityScorecard rating, four named delivery countries, 99.5% monthly staff retention, and over 1,000 companies served. For administrative work at scale behind a procurement process that wants issued certifications, it's the most straightforward entry on this list.
Limitation: healthcare is one vertical among many with no medical roles itemized, so nothing clinical-adjacent is defined and you'd be supplying the process knowledge yourself.
Should you choose administrative outsourcing, clinical-adjacent, or licensed clinical?
Administrative outsourcing is the largest and safest part of this market. Claims, coding, eligibility, scheduling, and payment posting involve no clinical judgement, the compliance framework is well understood, and pricing is comparable across vendors once you separate percentage from hourly. Most organizations should start here, because it's where the biggest measurable gains sit.
Clinical-adjacent outsourcing covers scribing, care coordination outreach, remote monitoring support, and chart preparation. It's genuinely valuable and it needs a written scope, because the boundary is easy to drift across under time pressure. The rule worth writing into the agreement is simple: the outsourced professional gathers, records, and escalates, and your clinician assesses, decides, and signs.
Licensed clinical outsourcing covers triage, assessment, and utilization review, and it's a different purchase requiring licensed clinicians, often licensed in your state. Nurse triage lines and utilization review vendors exist for this. The mistake to avoid is buying administrative staffing and letting it drift into clinical work, because the license requirement doesn't relax based on who employs the person, and the exposure lands on your practice.
Whose exposure is it when outsourced staff do work needing a license?
- Yours, not the vendor's, which is why triage sold as an administrative service with no licensure stated is the thing to look for.
- Triage sold as an administrative service, with no licensure stated.
- Scope drift under pressure, where a coordinator starts answering clinical questions.
- Delivery location unpublished, so your BAA can't name where the work happens.
- Certifications absent entirely, which is common here even among large firms.
- Autonomous coding with an undefined human review proportion.
- Notes signed without being read, which is the clinician's exposure.
- Care coordination outreach that crosses into clinical advice.
- Exit terms that strand your data, credentials, and portal access.
How much does medical outsourcing cost?
Three of these nine publish a price. Honest Taskers lists $10.00 to $12.65 an hour, Staffingly $399 a week at 45 hours falling to $299 at ten or more people, and Transcure 3% to 5% of monthly collections. The rest quote against scope.
Clinical-adjacent work is usually worth paying more for than administrative work, and for a reason that isn't obvious from a rate card. A scribe or care coordinator who has learned your clinicians, your templates, and your patient population produces compounding value, while a claims processor is closer to interchangeable. That makes retention the number to weigh most heavily at the clinical-adjacent end, and cost per unit of work the right measure at the administrative end. Two firms here publish retention figures. Rates move, so confirm before you sign.
Does the medical outsourcing company write down what its staff may not do?
- Ask for that scope in writing, with licensure named for anyone performing clinical work and the state it is held in.
- Licensure held by anyone performing clinical work, and in which states.
- A signed BAA before any access is granted.
- Delivery countries named, including subcontractors.
- Named certifications and who issued them.
- Coder credentials where coding is in scope.
- The human review proportion where automation assigns codes.
- Escalation paths from the outsourced team to your clinicians.
- Retention figures, in particular for clinical-adjacent roles.
Which tasks should medical outsourcing cover, and which stay in-house?
- Sort every task into those three before you shortlist, then remove anything needing a license from what you are buying.
- Remove anything requiring a license from the administrative shortlist entirely.
- Shortlist firms that state where their own line sits.
- Ask directly what the outsourced professional is not permitted to do.
- Ask where the work is performed and what certifications they hold.
- Get a BAA signed before access.
- Write escalation paths to your clinicians into the agreement.
- Start with the administrative tasks and add clinical-adjacent work once the escalation habit is proven.
- Review at 30 and 90 days on turnaround, accuracy, and how escalations were handled.
Methodology and sources
We verified each company at its own website on August 21, 2026, recording where each draws the line between administrative and clinical work, published pricing, stated delivery locations, named client types, and compliance credentials. Where a firm names a clinical service, we report that it does so without asserting what licensure sits behind it, because that isn't published. 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 the clinical boundary produces a different order and roster here than our delivery-location or revenue-cycle-stage guides.
Related outsourcing guides
If clinical-adjacent outreach is the need, our virtual patient care coordinator page sets out that scope.
If calls need clinical judgement, our telephone triage medical assistant page explains who is qualified to perform triage.
Speak with Honest Taskers about outsourcing your admin workload.