Healthcare organizations can have the right technology and still face capacity gaps. Prior authorizations, patient communication, billing, records, and other critical workflows still depend on people completing the work accurately and on time.
Prior authorization is often one of the first pressure points. Teams must verify eligibility, work payer portals, follow up on requests, resolve missing information, and keep cases moving. When volume increases faster than staffing, delays can affect both patient access and revenue.
Patient support creates similar pressure. High call volumes, scheduling requests, follow-ups, and service questions can quickly overwhelm internal teams. Longer response times can affect the patient experience even when the underlying care is not the problem.
The impact often continues downstream into revenue cycle operations. Missing authorizations, incomplete documentation, and eligibility issues can contribute to denied claims, additional rework, and growing accounts receivable workloads.
Hiring locally does not always solve these problems quickly. Healthcare organizations may struggle to find experienced billing, authorization, and patient support professionals while existing teams continue carrying the workload.
We have seen these challenges firsthand. For one U.S. healthcare technology company, 1840 built a patient support team that was fully operational in under 30 days and reduced support costs by more than 70%.
From patient access to revenue cycle support, we help healthcare organizations add capacity to labor-intensive workflows without building every function locally. Depending on your needs, teams can operate as dedicated extensions of your organization or as managed outsourced operations.
01
Handle inbound patient calls, ticket logging, outbound education and follow-up, and escalation for urgent or clinical questions. Teams work within your scripts, processes, and brand voice.
02
Manage inbound and outbound scheduling, confirmations, rescheduling, and reminder outreach. This gives appointment workflows dedicated coverage and helps reduce missed appointments.
03
Handle payer portal submissions, status follow-up, eligibility and benefits verification, and patient estimates.
04
Support claim preparation and submission, denial follow-up, accounts receivable follow-up, and payment posting. This keeps recurring revenue-cycle work moving after care is delivered.
05
Handle record indexing, document processing, data entry, and validation against defined accuracy standards. This gives high-volume records work clear ownership.
06
Support candidate sourcing, screening, coordination, and recruiting administration for healthcare employers. Internal recruiters can manage more open roles without adding to their workload.
07
Handle call and case QA, scorecard management, scheduling, and capacity planning across the support operation. This gives larger teams more structure as volume and headcount grow.
Key Roles
Healthcare roles vary widely in how they’re best staffed, from patient-facing work to backend billing and compliance. These are the roles we commonly help healthcare companies hire, along with the markets that tend to fit each one best.
Role
What they own
Where we typically place
Claims intake, payer submissions, status follow-up, and authorization workflows
Claim preparation, submission, denial follow-up, payment posting, and reconciliation
Records indexing, document handling, data entry, and validation
Payer submissions, status follow-up, and authorization throughput
Philippines, India
Eligibility and benefits verification and patient estimates
AR follow-up, payment posting, and reconciliation
Philippines, India, South Africa, LATAM
Inbound patient calls, ticket logging, updates, and escalation
Philippines, South Africa, LATAM
Scheduling, confirmations, reminders, and follow-up
Philippines, South Africa, LATAM
Sourcing and recruiting delivery for healthcare employers
Call and case QA against defined scorecards
Scheduling, capacity planning, and service-level tracking
Systems and process coordination across platforms
Not seeing your role? We can recruit for many other full-time healthcare operations positions that can be performed remotely.
Cost advantage
Compare annual hiring costs for healthcare support roles in the United States and the Philippines.
Role
United States
Philippines
Medical Billing Specialist
Data Entry Specialist
*Sources: U.S. salary benchmarks are based on Salary.com data from mid-2026. Philippines figures reflect minimum annualized rates from 1840 hiring data and may vary by experience, location, and role requirements.
The cost advantage becomes more significant for larger teams. For a medical SaaS company in Los Angeles, we built a six-person offshore billing team that saved ~$270,000 a year.
Georgia healthcare technology company launched a 4-person team for patient calls, follow-up, and scheduling.
Los Angeles medical SaaS company built a 6-person billing team for authorizations, eligibility, and payments.
They helped us source candidates incredibly rapidly, they got devices to them on time, and have been very communicative throughout the process.
CEO, medical SaaS company
Security
Remote professionals complete applicable employment or engagement documentation, including confidentiality and non-disclosure obligations. Additional data-protection requirements can be incorporated based on the engagement and your policies.
For healthcare engagements involving PHI, security and workforce requirements can be structured around the client’s HIPAA obligations, including appropriate access controls, device requirements, and data-handling procedures.
If your team uses employee-owned devices, we can provide managed BYOD security designed to help protect the devices used to access your systems and data.
You can use your existing VPN and security infrastructure, or we can provide managed VPN protection with encrypted connections, threat protection, and controlled access to company resources.
We often consider the Philippines when a healthcare team needs more capacity across prior authorization, billing and AR, patient support, appointment setting, records, or QA. It can also support U.S.-aligned or later shifts.
77%
Typical cost savings
Mexico works well when the role requires daytime coordination with U.S. patients or internal teams. Hiring often centers on scheduling, patient support, and English-Spanish roles that require same-day communication.
60%
Typical cost savings
55%
Typical cost savings
Build a full-time, dedicated team for patient support, billing, prior authorization, scheduling, or records. You manage the team while we handle sourcing, vetting, payroll, HR, and compliance.
Outsource defined healthcare support and back-office workflows to a dedicated team managed by 1840. We handle staffing, scheduling, team oversight, and reporting against agreed service levels.
Top-rated by Clutch
We’re proud to be named by Clutch as a trusted leader in outsourcing and staffing.
Need help deciding how to build or scale your healthcare support team? Talk with our global workforce experts.
The workflows we see most often are prior authorization, eligibility verification, billing and AR, patient support, scheduling, records, data entry, and QA. Prior authorization is currently our highest-volume healthcare workflow, with specialists handling payer submissions, status follow-up, eligibility, and benefits verification.
You define the policies and obligations that apply to your organization. We build onboarding, confidentiality documentation, and device requirements around those requirements and the role being hired. For one medical SaaS client, we procured and delivered HIPAA-compliant computers to every offshore hire before they started
You define what each role can access, including which systems, which records, and under what authentication. We require applicable confidentiality and NDA documentation before work begins and align onboarding with the access and device controls you set for the role. Where needed, we can also add managed BYOD security or encrypted VPN access.
Yes, within the access boundaries you set for each role. Prior authorization specialists, for example, can work payer portals for submissions, status follow-up, eligibility checks, and benefits verification. We scope access around the work the person is responsible for.
How quickly can 1840 get a healthcare support team up and running?
Across our current healthcare cost benchmarks, savings can reach up to 77% for patient support, 75% for prior authorization, and 72% for medical billing. Cost may vary by role, seniority, location, and requirements. For example, a medical billing specialist benchmarks at about $43,741 per year in the U.S. versus about $7,280 per year in the Philippines.
Yes. With our client-managed staffing model, you interview, select, train, and manage the people on your team. They work within your operation while we handle sourcing, HR, compliance, payroll, and equipment. One medical SaaS client used this model to build a six-person offshore billing team while keeping hiring decisions and day-to-day direction in-house.
Yes. You can start with an individual hire or a small team rather than building the full operation at once. One digital health client started with two prior authorization specialists and expanded to eight over nine months. You can add headcount as authorization volume, coverage, or workload increases.
What Our Clients Are Saying
Casey H
Manger Of Training, Homelight
Danielle R
VP of Client Services, Pentius
Mike M
Owner, Carve Financial
Andrew C
VP Finance, Bluestone Lane
Undisclosed
CEO, Startup Incubator
Undisclosed
HR Manager, Tech Company
Undisclosed
Senior Vendor Manager, Ooma
Undisclosed
HR Manager, Tech Company
Casey H
Manger Of Training, Homelight
Danielle R
VP of Client Services, Pentius
Mike M
Owner, Carve Financial
Andrew C
VP Finance, Bluestone Lane
Undisclosed
CEO, Startup Incubator
Undisclosed
Senior Vendor Manager, Ooma
Undisclosed
Senior Vendor Manager, Ooma
Undisclosed
HR Manager, Tech Company
Undisclosed
CEO, Startup Incubator
Andrew C
VP Finance, Bluestone Lane
Mike M
Owner, Carve Financial
Danielle R
VP of Client Services, Pentius
Casey H
Manger Of Training, Homelight
Casey H
Manger Of Training, Homelight
Danielle R
VP of Client Services, Pentius
Mike M
Owner, Carve Financial
Andrew C
VP Finance, Bluestone Lane
Undisclosed
CEO, Startup Incubator
Undisclosed
HR Manager, Tech Company
