Enterprise RCM & Prior Authorization Outsourcing
One operating partner for RCM, prior authorization, credentialing, eligibility, AAPC-credentialed coding, virtual medical assistants, AI automation, compliance, and IT support. HIPAA-compliant, SOC 2 Type II, HITRUST, and ISO 27001. Up to 70 percent savings.
Built for multi-site networks, MSOs, and PE-backed groups.
Remote, AI-Powered teams that run as an extension of your in-house operations.
One vendor collapses eight separate back-office shops into a single operating partner for hospital systems and IDNs.
What is enterprise healthcare outsourcing for hospital systems?
What is hospital system and IDN outsourcing?
Hospital system and IDN outsourcing is the practice of moving RCM, prior authorization, credentialing, eligibility verification, AAPC-credentialed coding, virtual medical assistant, AI automation, compliance, and IT support work to one operating partner that serves the whole hospital system or integrated delivery network under one Business Associate Agreement. It lets the system run every administrative function around the clinical encounter under one vendor and one set of weekly SLAs instead of separate contracts per function.
Enterprise healthcare outsourcing for hospital systems is the contracted delegation of revenue cycle management, prior authorization, credentialing, eligibility verification, AAPC-credentialed medical coding, denial management, and virtual medical assistant work to a HIPAA-compliant Business Associate operating under a signed BAA. For IDNs and acute-care systems, this typically covers claims management, AR follow-up, payment posting, and patient access, with HL7 and FHIR integration into Epic, Oracle Health, athenahealth, Cerner, eClinicalWorks, NextGen, or Allscripts. According to industry research, 70 percent of hospitals and health systems plan to expand RCM outsourcing engagements through 2026.
Billing, coding, denials, prior auth, credentialing, eligibility, VMA, AI automation, compliance, and IT support all sit under one BAA and one set of weekly SLAs.
How does it differ from regular RCM outsourcing?
Regular RCM is scoped to one pillar; enterprise outsourcing covers every administrative function around the clinical encounter under one vendor, removing the handoff seams a hospital system normally absorbs across separate contracts.
Tell us what you need. A named director replies within one business day.
Send us one workflow or your whole back office. We scope it, price it by the hour, and keep you month-to-month. No long-term lock-ins, no revenue share.
- Named director, one business day response
- HIPAA-compliant, SOC 2 Type II, BAA signed
- US-based oversight, billed by the hour
- 2-Week Risk-Free Pilot to prove the work first
By submitting, you agree to be contacted about the 2-Week Risk-Free Pilot. We do not share data with third parties.
The numbers your finance team already tracks.
Margin pressure, denial rate creep, and the PA workload have hit at the same time. We move all three within 90 days.
Healthcare outsourcing for hospital systems, end to end.
Same certified team, same Staffingly.AI Enterprise platform, same four-certification stack across all eight.
NPI, CAQH, payer enrollment, recredentialing, multi-state licensure, CVO support for hospital systems.
Explore ServiceReal-time eligibility, benefits investigation, COB, specialty drug benefits, pre-visit verification.
Explore ServicePA for procedures, surgeries, imaging, biologics, GLP-1s with CMS-0057-F window tracking, appeals, and peer-to-peer support.
Explore ServiceEnd-to-end billing, coding, charge capture, denials, AR recovery, CDI, HCC. AAPC-credentialed coders.
Explore ServiceFront desk, scheduling, clinical inbox, scribes, CCM, RPM, AWV, TCM coordination.
Explore ServiceStaffingly.AI Enterprise: ambient scribing, AI eligibility, denial prediction, claim scrubbing, coding assist.
Explore ServiceHIPAA program management, SOC 2 readiness, BAA management, OIG monitoring, audit response.
Explore ServiceEHR optimization, clearinghouse setup, EDI, ERA, zero-trust access. Epic, Oracle Health, Meditech, athenahealth.
Explore ServiceHow does Staffingly run RCM, prior auth, and credentialing for a hospital system?
It is a 14-day onboarding that follows the same four steps every time: Discovery, BAA and Security, Pilot Kickoff, then Scale or Refine.
Day 1 to 2. Scope pillars, EHR, payer mix, denial pattern, and pilot success criteria.
Day 3 to 5. BAA signed; EHR, clearinghouse, and payer portal access provisioned under zero-trust with MFA and audit logging.
Day 6 to 10. Named pilot lead and AAPC-credentialed staff trained on your workflows; shadow runs with daily QA.
Day 11 to 14. Claims, PAs, and tickets flow live with weekly QA and daily dashboards; decide at day 14 whether to scale.
Which EHRs and clearinghouses do you integrate with?
Staffingly operates as an overlay inside your existing infrastructure. We establish secure connections through your existing access interfaces without requiring complex system migrations:
- Native EHR Environments: Epic Systems (Hyperspace/Rover), Oracle Health (Cerner Millennium), Meditech (Expanse), athenahealth (athenaOne), eClinicalWorks (11e), NextGen Healthcare, and Allscripts.
- Clearinghouse Integrations: Real-time EDI transaction routing via Availity Essentials, Waystar, Trizetto Provider Solutions, and direct-to-payer regional gateways.
How long does enterprise onboarding actually take?
A single-pillar pilot runs the 14-day path above; a full multi-pillar deployment runs 4 to 6 weeks depending on pillar count and security review depth.
How does Staffingly compare to in-house operations and traditional enterprise BPOs?
Against in-house, Staffingly is roughly 70 percent cheaper at the same coverage. Against a traditional enterprise BPO, Staffingly is faster to live, certified deeper, and free of the revenue-share and 7-year lock-in terms.
| In-House | Traditional Enterprise Vendor | Staffingly | |
|---|---|---|---|
| Pricing model | Fully-loaded salary plus benefits plus taxes | Revenue-share or percent of net patient revenue | Transparent $299/wk blended, $299 to $399 per week per resource |
| Contract terms | Open-ended W-2 headcount | 5 to 10-year exclusive contract minimums | Month-to-month, no lock-in, no setup fee |
| Onboarding speed | 6 to 12 weeks to hire and train one role | 6 to 12 months to full implementation | 2 weeks for pilot, 4 to 6 weeks for full multi-pillar |
| Certifications | Internal HIPAA training, varies by site | HIPAA training, sometimes SOC 2 | HIPAA-compliant, SOC 2 Type II, HITRUST, ISO 27001 |
| Payer independence | Yes | Often payer-owned or payer-affiliated | Fully independent, no payer ownership |
| AI layer | None or one bolt-on vendor | Patchwork of acquired point solutions | Staffingly.AI Enterprise built into every pillar |
| Pilot offer | Not applicable | Paid implementation, no risk-free path | 2-Week Risk-Free Pilot, no obligation to continue |
| Systemic Risk Alignment | Full internal absorption of staffing overhead, turnover friction, and training costs. | High exposure to vendor concentration limits. Contingent pricing penalizes increases in gross patient volumes. | Predictable operating expense models. Vendor-absorbed turnover protection with built-in clearinghouse redundancy to insulate claim flows from single-point network outages. |
All four certifications are independently verifiable. Current certificates available under NDA on request.
How much can a hospital system save by outsourcing the back office?
A mid-size hospital system spending around $2 million per year on in-house revenue cycle staff typically spends around $600,000 per year with Staffingly at the $299/week volume rate, roughly a 70 percent reduction with the same coverage and AAPC-credentialed staff.
The 70 percent figure is based on US Bureau of Labor Statistics median compensation plus typical fully-loaded employer cost. Savings vary by region, payer mix, and pilot scope.
What does this actually look like for hospital systems running with us?
Three anonymized engagements. Reference calls available under NDA.
Denial rate moved into single digits within two quarters on a high-volume specialty PA scope; AR aging on the same buckets cut by roughly a third.
Onboarding compressed after a 6-month queue at the prior vendor; pilot ran on PA across two service lines, then scaled into eligibility and AR.
AR backlog cleared inside 90 days of pilot kickoff under daily QA; the system retained the work and added two more pillars the next quarter.
All outcomes verified against internal records.
Enterprise-grade compliance, end to end.
HIPAA-compliant workflows and current SOC 2, HITRUST, and ISO 27001 attestations are in place across our hospital and IDN operating footprint.
Current certificates available under NDA on request.
Run a 2-week pilot on one service line.
Pick the pillar where you want depth fastest. No setup fee, no revenue-share, no 7-year lock-in.
Common questions from enterprise healthcare leaders.
Seven buyer-side questions we get on every enterprise call. Direct, conversational, web-verified answers.
What is enterprise healthcare outsourcing for hospital systems?
How much does enterprise healthcare outsourcing cost for a hospital system?
How quickly can Staffingly onboard a hospital system?
What certifications should a hospital system look for in an outsourcing vendor?
How do you handle the Change Healthcare-style concentration risk?
Which EHRs and clearinghouses do you support for hospital systems?
What pilot scope do you recommend for a first engagement?
Outsource enterprise healthcare operations. Run a 2-week pilot on one service line. Decide from real data.
Pick one pillar. Hand us one queue. See denial trend, AR recovery, SLAs, and clean-claim rate in under 14 days. Month-to-month after the pilot. No 7-year lock-ins. No revenue-share.
- End-to-end RCM, denial management, AR follow-up, AAPC-credentialed coding
- Prior authorization, eligibility, credentialing, payer enrollment
- BAA management, OIG/SAM monitoring, HIPAA risk and SOC 2 readiness
- EHR optimization across Epic, Oracle Health, athenahealth, eClinicalWorks, NextGen, Allscripts, AdvancedMD, Meditech
HIPAA-Compliant . SOC 2 Type II . HITRUST . ISO 27001 . MGMA 2026 . 800+ providers served . Up to 70 percent savings.
Dan Nandan is the President and CEO of Staffingly, Inc. With 25+ years across IT consulting, healthcare BPO operations, and AI automation, he was one of the earliest U.S. operators to set up an RPO/BPO delivery network in India over 20 years ago. Today his work centers on production AI deployments inside hospital systems, IDNs, MSOs, and PE-backed healthcare groups across North America.
