AI + Human RCM Workforce Behind Your Platform

No platform closes 100 percent of the revenue cycle. A residual tier, often cited in the range of 10 to 30 percent of claims, calls, and exceptions, still needs a licensed person on the phone with the payer. That tier is the work a human-in-the-loop workforce owns.

Payers still require a live person for aged AR follow-up, prior authorization status and peer-to-peer reviews, eligibility escalations, and denial appeals. CMS-0057-F sets faster timelines and an API, but it does not automate the clinical decision and does not remove peer-to-peer phone reviews. A manual claim-status inquiry still averages about 25 minutes (CAQH).

A dedicated team of licensed billers, callers, and specialists who handle the human-required steps an automation platform routes out: payer calls, clinical submissions, peer-to-peer reviews, eligibility exceptions, and appeals. They work behind the platform, under its brand, and write outcomes back into the system.

Yes. The team works under your brand as your fallback workforce. Your platform stays the product. We are the dedicated humans who handle the exceptions it cannot finish, with one BAA and a 2-Week Risk-Free Pilot.

AR calling and aged claim follow-up, prior authorization status calls and peer-to-peer reviews, eligibility verification escalations such as 270/271 failures and member-not-found, and denial triage, appeal writing, and appeal follow-up.

We work inside your platform and your payer portals through your own access controls, with role-based permissions, multi-factor login, and audit logging, under a signed BAA. Your software routes the exception, our specialist works it on the phone or portal, and the outcome is written back into your system, so the pod runs as an extension of your exception queue, not a detached BPO. Deployment runs in 48 to 72 hours.

Yes. We operate under HIPAA-aware workflows with SOC 2 Type II, HITRUST, and ISO 27001 alignment, signed BAAs, role-based access, and audit logging. Teams work from biometric-secured facilities.

The platform automates the structured, high-confidence work, the touchless and straight-through claims. The human-in-the-loop workforce handles the low-confidence exceptions the platform routes out, the calls and clinical steps a payer still requires a person to do. The two run together, not in competition.

Yes. It is managed RCM outsourcing, a HIPAA-compliant healthcare BPO model with dedicated, remote virtual specialists assigned to your platform rather than a shared offshore pool. Teams work from biometric-secured facilities under signed BAAs and are billed at a flat fee per specialist, not a percentage of collections.

Staffingly provides dedicated, white-label RCM outsourcing built to sit behind AI and automation platforms. Licensed AR callers and prior authorization, eligibility, and denials specialists handle the human-required work your software routes out, under your brand, with one BAA and a 2-Week Risk-Free Pilot.

Pricing is a flat fee per dedicated specialist: $349 per week for 5 or more FTEs and $299 per week at 10 or more FTEs, not a percentage of collections. A fully loaded in-house biller often runs around $5,000 or more per month, so a dedicated remote FTE typically costs a fraction of that at the same coverage.

Usually yes. A dedicated, remote specialist is billed at a flat weekly fee with no recruiting, turnover, benefits, or management overhead, while a loaded in-house biller commonly runs around $5,000 or more per month. You scale headcount up or down month-to-month instead of carrying fixed in-house cost.