Last updated: 2026-08-21
Honest Taskers, Omega Healthcare, and Access Healthcare lead this year's shortlist of outsourcing partners for revenue cycle management companies, seven firms ranked on how they take on an RCM firm's overflow load, from eligibility verification and charge entry through accounts receivable follow-up, denial management, and the patient contact work that sits either side of a claim. The buyer here already sells revenue cycle for a living, so the useful comparison is delivery footprint, security evidence you can forward to your own clients, and whether you are buying hours or handing over a process.
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
- 3Access Healthcare
- 4Sagility
- 5Plutus Health
- 6Helpware CX
- 7Ubiquity
How we chose the best outsourcing partners for revenue cycle management companies
We ranked these firms on five facts, each read at the provider's own website on August 21, 2026. Those facts are whether the firm states it works for revenue cycle firms and industry partners rather than only for providers, the delivery footprint and time-zone coverage, published pricing, the engagement model, and named security certifications. An RCM company buying capacity has a problem a practice never has: whatever you buy has to survive your own clients' due diligence. That pushes security evidence and delivery location to the front, and it makes the staffing-against-outsourcing choice the real decision, because subcontracting a process to a firm that also sells handing over the whole revenue cycle puts a competitor inside your accounts. Blank facts read "not publicly listed" instead of a guess.
Best outsourcing partners for revenue cycle management companies compared
The table ranks all 7 on the same columns, Honest Taskers first because we publish the list. Facts were read August 21, 2026 and change often, so treat them as a starting point, not a quote.
| Company | What it takes on for an RCM firm | Delivery locations | Published pricing | Engagement model | Compliance named |
|---|---|---|---|---|---|
| Honest Taskers | Placed staff for eligibility, charge entry, AR follow-up, denial rework, patient billing calls | US clients; recruiting in the Philippines, Latin America, India and Pakistan | $10.00–$12.65/hr | Staffing by the hour, your workflow | Compliance officer; HIPAA compliance verified by Accountable; BAA when PHI is accessed |
| Omega Healthcare | Whole-cycle RCM, patient access, business office, care coordination, payer operations, data curation | Boca Raton, Florida; the Philippines; India; Colombia | Not publicly listed | Outsourced service at enterprise scale | Not publicly listed |
| Access Healthcare | Front, mid, and back-end revenue cycle; names revenue cycle partners and billing companies as clients | Dallas, Texas; Chennai, India; Manila, Philippines | Not publicly listed | Outsourced service plus its Echo platform | Not publicly listed |
| Sagility | Claims and membership, payment integrity, provider network operations, engagement services | Not publicly listed | Not publicly listed | Business process as a service | Not publicly listed |
| Plutus Health | Billing, coding, denial management, AR, eligibility, prior authorization, coding audits | Dallas, Texas; states coverage in 40+ US states | Not publicly listed | Outsourced service with automation | HIPAA; SOC 2 Type II; AAPC-certified audits |
| Helpware CX | Patient support, insurance verification, billing and claims, medical coding, back office | 19 locations including the USA, Mexico, the Philippines, Ukraine, Georgia and Uganda | $8–$15/hr (stated range) | Managed team, hourly | SOC 2 Type II; ISO 27001; HIPAA; GDPR; PCI DSS |
| Ubiquity | Back office, claims processing, HIPAA-compliant medical billing, collections, patient contact | New York; Texas; El Salvador; Guatemala; Colombia; Ghana; the UK; the Philippines; India | Not publicly listed | Managed team, outcome-focused | States HIPAA-compliant services; no certification named |
The pattern is uncomfortable but worth saying plainly: the two firms most likely to match an enterprise RCM company's volume, Omega Healthcare and Sagility, publish no certifications and no pricing at all, while the two that publish the most, Helpware CX and Plutus Health, are smaller and less specialized in pure revenue cycle. Delivery footprint is where the list genuinely differentiates, from a single Texas location to nine countries across four continents.
1. Honest Taskers
Best for: RCM firms that want extra revenue cycle staff inside their own workflow, billed by the hour, without putting a competing RCM firm next to their client accounts.
Pricing: $10.00–$12.65/hrLocation: US clients; PH, LatAm, India and Pakistan recruitingModel: Staffing by the hourFirst hire: Two-week working trial
Honest Taskers sells staff, not revenue cycle services, which is the whole reason it leads for this buyer. Every other firm on this list also sells the whole revenue cycle to providers, so subcontracting to them means introducing a competitor to your clients. Placed staff work in your systems on eligibility verification, charge entry, claims submission, payment posting, accounts receivable follow-up, denial rework, and patient billing calls, and your payer strategy and client relationships stay yours. Candidates are trained on HIPAA and data privacy under a dedicated compliance officer, work in your time zone, and a Business Associate Agreement is signed before anyone touches protected health information, with HIPAA compliance verified by Accountable. Rates begin around $10 an hour and reach about $12.65 depending on role, background, schedule, and location, the talent pool includes licensed nurses and physicians for clinically adjacent work, and the first hire comes with a two-week working trial. Honest Taskers reports 99.6% average monthly retention. See the full virtual medical billing service for role details.
Limitation: this is staffing, so it will not absorb a whole process or carry outcome risk, and it describes its security environment as SOC 2 audit ready rather than holding a SOC 2 or ISO report to forward to your clients.
2. Omega Healthcare
Best for: RCM firms at enterprise volume that need one partner across revenue cycle, patient contact, and clinical data work.
Pricing: Not publicly listedLocation: Boca Raton, PH, India, ColombiaModel: Outsourced service, enterprise scaleTrial: Not publicly listed
Omega Healthcare is the only firm here that names industry partners as a client type alongside providers, payers, and life sciences and health technology firms, which is precisely the box an RCM company sits in when it buys capacity. Its service map is wide: whole-cycle revenue cycle broken into patient access, mid-revenue cycle, and business office; care coordination covering phone and message triage, a customer contact center, and remote patient management; payer operations for value-based care and provider and member engagement; drug access and affordability work including benefit verification, prior authorization, and co-pay assistance; and a health data curation practice for clinical trial data, registry data, and validation of machine learning models. Delivery spans Boca Raton, Florida plus the Philippines, India, and Colombia, which gives real follow-the-sun coverage.
Limitation: it publishes no certification, no pricing, and its own statistics render as placeholders on the site, so everything has to come from a sales conversation.
3. Access Healthcare
Best for: RCM firms that want to buy one stage of the cycle at a time, from a partner that says in writing it works for revenue cycle firms.
Pricing: Not publicly listedLocation: Dallas, Chennai, ManilaModel: Outsourced service plus automationTrial: Not publicly listed
Access Healthcare structures its catalogue the way an RCM firm thinks about its own operation, in three stages you can buy separately. Front-end covers patient scheduling, eligibility verification, prior authorization, and registration. Mid-cycle covers charge entry and audit, medical coding, clinical documentation improvement, and revenue integrity. Back-end covers remittance processing, accounts receivable, denial management, credit balance, and provider enrollment. It also runs payer-side operations including claims, benefits configuration, premium billing, appeals and grievances, and utilization management, and it sells an automation layer called Echo that includes autonomous coding and payment tools. Its stated client types include revenue cycle partners and medical billing companies, and it reports a 60% reduction in cost to collect from day one as a company-reported figure. Delivery is from Dallas, Chennai, and Manila.
Limitation: its site names no security certification, which is a hard gap when your clients run vendor due diligence on your subcontractors.
4. Sagility
Best for: RCM firms whose growth is on the payer side, in claims operations, payment integrity, or provider network work.
Pricing: Not publicly listedLocation: Not publicly listedModel: Business process as a serviceTrial: Not publicly listed
Sagility is the payer specialist on this list, and that makes it a different kind of partner. Its services are claims and membership management, payment integrity, provider network operations, provider services, payer clinical services, engagement services, and consulting, delivered as what it calls business process as a service with an orchestration platform it names Synchrony. If your book is moving toward payer contracts, delegated arrangements, or payment integrity work, this is the firm on the list built for it. Company-reported figures include serving seven of the ten top health plans, an 18-year average client tenure, a 95% client retention rate, and more than 25 years of healthcare experience, which is the longest stated relationship record here.
Limitation: it is built around health plans rather than provider-side revenue cycle, and it publishes neither delivery locations nor any certification.
5. Plutus Health
Best for: RCM firms that need an audited security report on the record to clear client due diligence.
Pricing: Not publicly listedLocation: Dallas, TexasModel: Outsourced service with automationTrial: Not publicly listed
Plutus Health is the security answer for an RCM firm that keeps losing time to questionnaires, because it names SOC 2 Type II and HIPAA together with AAPC-certified coding audits. Services cover patient registration, eligibility verification, prior authorization, charge entry, claim submission and scrubbing, denial management, accounts receivable, complex claims, coding audits, inpatient and HCC coding, and risk adjustment validation, with robotic process automation applied across the billing workflow. Company-reported figures include 1,600 agents, $1.7 billion in annual claims, more than 9,000 providers, 15 or more years of operation, a 97% clean claim rate, a 5% denial rate, and 25 days in accounts receivable. Its named client types are behavioral health, ambulatory surgery centers, free-standing emergency rooms, multi-physician enterprise practices, and private-equity-backed platforms.
Limitation: no pricing is published, and its specialty concentration means a broad primary care book is not where it is strongest.
6. Helpware CX
Best for: RCM firms that need patient-facing contact volume covered as well as back-office claims work, at a published rate.
Pricing: $8–$15/hrLocation: 19 locations across four continentsModel: Managed team, hourlyTrial: Not publicly listed
Helpware CX publishes more than anyone else here, which for an RCM firm is the point. It states an hourly range of $8 to $15 for healthcare work and names SOC 2 Type II, ISO 27001, HIPAA, GDPR, and PCI DSS, all described as third-party audited, so you have documents to forward rather than assurances to relay. The healthcare line covers patient support, appointment scheduling, insurance verification, billing and claims, prescription support, and member services, with medical coding and medical data entry sold separately. Its named client types include telehealth platforms, hospital networks, health plans, and patient engagement platforms. Company-reported figures include a 98% quality assurance score, an error rate under 2% on patient records, 90% customer satisfaction, and an average client partnership of five or more years across 19 locations.
Limitation: it is a general customer experience firm with a healthcare practice rather than a revenue cycle specialist, so deep payer knowledge is not its selling point.
7. Ubiquity
Best for: RCM firms that need nearshore coverage in Latin America for daytime patient calls and collections.
Pricing: Not publicly listedLocation: US, El Salvador, Guatemala, Colombia, Ghana, UK, PH, IndiaModel: Managed teamTrial: Not publicly listed
Ubiquity has the widest nearshore footprint on this list, with sites in New York and Mission, Texas, plus San Salvador, San Pedro Sula, Guatemala City, and Bogotá, alongside Accra, Sheffield, several Philippine cities, and Ahmedabad. For an RCM firm that needs Spanish-language patient calls and collections during US business hours, that geography is the argument. Its services span customer care, technical support, sales, collections, and retention, plus back-office and data work, identity verification, claims processing, chargebacks, and a specialized line it describes as HIPAA-compliant medical billing. Healthcare and wellness is one of seven named industries alongside technology and software and finance and insurance. Company-reported figures include more than 350 clients, 96% client retention, and 96% employee retention.
Limitation: healthcare is one vertical among seven and it names no security certification beyond describing services as HIPAA-compliant.
Should an RCM firm add an assistant, subcontract a process, or automate?
Add staff when the knowledge has to stay in your building. Payer-specific appeal strategy, client escalation habits, and the judgement calls in denial rework are what your clients are paying for, and hourly people working inside your systems keep that. An in-house medical records and billing specialist earned about $51,140 a year, roughly $24.59 an hour before benefits, according to the U.S. Bureau of Labor Statistics May 2025 wage data for medical records specialists, against roughly $8 to $15 an hour for offshore and placed remote staff. Subcontract a whole process when you want to stop managing it and the process is well bounded, which describes eligibility verification, prior authorization queues, and credentialing better than it describes denials. Automate the pattern work, since claim scrubbing, remittance posting, and status checks are rule-driven, and several firms here sell that layer. What automation will not do is negotiate with a payer or explain a denial trend to your client, so it moves your cost per claim rather than replacing the team. For the denial workflow specifically, see how a virtual assistant works denials and appeals.
What are the risks when an RCM firm subcontracts assistant work?
Your risk profile is different from a practice's, because you are the business associate and you are adding a subcontractor beneath you. Five questions surface most of it.
- Competitive exposure. Six of the seven firms here sell the whole revenue cycle to providers. Ask directly whether they will approach your clients, and get non-solicitation terms in the contract.
- The subcontractor chain. Get the subcontractor Business Associate Agreement in writing, since your client agreements in all likelihood restrict who else touches the data and where.
- Due diligence you cannot answer. Four of these firms publish no certification. If your clients audit vendors, that becomes your problem, not theirs.
- Performance attribution. Agree upfront how days in accounts receivable and clean claim rate are measured on the work they touch, because a shared queue makes blame unprovable.
- Time-zone coverage. Confirm what share of the team overlaps US business hours, since payer calls, patient calls, and client conversations all happen during the day.
How do these firms price assistant work sold to an RCM firm?
Only one firm on this list publishes a rate. Helpware CX states $8 to $15 an hour for healthcare work, and Honest Taskers publishes $10.00 to $12.65 an hour depending on role, background, schedule, and location. Omega Healthcare, Access Healthcare, Sagility, Plutus Health, and Ubiquity are all quote-only, and the units they quote in differ: per full-time equivalent per month, per transaction, per claim, or as a percentage of what they collect. Ubiquity frames its own model around outcomes rather than headcount. That variety is the real difficulty, because a rate per hour and a rate per claim cannot be compared until you know throughput per hour, so the only workable approach is to fix one unit yourself, usually fully loaded cost per claim or per full-time equivalent per month, and make every firm answer in it. Rates and quotes were checked August 2026 and change often. For the neighbouring service most RCM firms buy first, see our list of the best insurance and eligibility verification companies.
What should an RCM firm look for in an assistant partner?
Competitive alignment, security evidence, delivery footprint, and a single comparable price unit cover most of the decision.
- Whether they compete with you. A staffing firm has no reason to want your clients. A whole-service RCM firm does. Price that difference into the decision.
- Documents, not adjectives. Ask for the SOC 2 Type II report or ISO 27001 certificate. Helpware CX and Plutus Health name theirs; four firms here name nothing.
- Delivery footprint against your coverage gap. Match geography to the hours you need covered, whether that's US daytime patient calls or overnight batch work.
- Process boundaries. Prefer a partner that sells the cycle in stages, so you can move one queue without restructuring your operation.
- One price unit for everyone. Fix the unit before the calls, then hold all of them to it.
To scope which queues to move first, the medical billing duties breakdown lists the work task by task.
How does an RCM firm start with an assistant partner?
Start with the model decision, because staffing and process outsourcing lead to different halves of this list and there is no point interviewing both.
- Name the queue that is hurting, whether that's aged accounts receivable, prior authorization, or patient billing calls.
- Decide whether you are buying hours inside your process or handing the process over.
- Check your client contracts for offshore and subcontractor restrictions before you shortlist.
- Ask two or three firms for the same price unit and for their security documents in the same email.
- Pilot on one client or one payer, measure clean claim rate and days in accounts receivable against your own baseline, then expand.
For the hiring path on the staffing side, read how to hire a virtual medical assistant.
Methodology and sources
We read each company's own website on August 21, 2026, recording stated client types, delivery locations, published pricing, engagement model, and named security certifications. Wage context is from the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics for medical records specialists. Where a company didn't publish a fact, we marked it "not publicly listed"; self-stated figures such as client counts, retention rates, and cost-to-collect claims are labeled company-reported and were not independently audited. Rates were captured as dated points, not permanent quotes.
Related revenue cycle staffing guides
If you're building your own bench rather than subcontracting a process, start with the role definition. Our medical billing guide covers what a remote biller owns day to day, which systems they need to know, and how remote billing engagements are usually structured, which makes a pilot much easier to scope.
Speak with Honest Taskers about adding revenue cycle staff to your team.