Staffingly Video

What is LTC Pharmacy Billing Outsourcing

What this video covers

This video defines LTC pharmacy billing outsourcing in plain terms: what functions transfer to the external team, what stays in-house, how data access and compliance work, and what a typical engagement looks like. It is for LTC pharmacy owners and administrators hearing about outsourcing for the first time or comparing it against hiring additional billers.

  • You keep control. The pharmacy retains its billing software, payer contracts, and bank accounts. The outsourced team works inside your systems under your oversight.
  • Full-cycle coverage. Outsourced scope typically spans claim submission, rejections, prior authorizations, census management, facility statements, and aged receivable follow-up.
  • Compliance framework. Legitimate partners sign a BAA and operate under HIPAA and SOC 2 controls, with audit trails on every account touched.
  • Economics of the model. Dedicated offshore billing teams commonly cost up to 70% less than equivalent local staff, with flat predictable weekly pricing.

Staffingly provides dedicated LTC pharmacy billing teams as part of its services to 800+ US healthcare providers. US-based account management directs offshore billers working in your system 24/7, under HIPAA, SOC 2 Type II, and ISO 27001 compliance. Flat pricing starts at $399 weekly with a 2-Week Free Trial. Learn more about Staffingly’s LTC & Retail Pharmacy services.

Explore LTC Billing Outsourcing for Your Pharmacy

Book a 20 to 30 minute strategy call. We review your current workflow, show you the benchmarks for your specialty, and map what a dedicated team would cost. 2-Week Free Trial, BAA signed.

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Key highlights of every Staffingly engagement

You pay for the resource. Everything else is included.

Your flat weekly rate covers one dedicated specialist. The management layer around them, backup coverage, quality reviews, training, escalation, reporting, and custom automation comes standard at no added cost. Here is what every Staffingly account includes.

See the 8 things every account includesHide the 8 inclusions

  • Who manages my account day to day?

    An account manager plus a customer success manager. Two named people own your account: the account manager runs daily operations and quality, the customer success manager handles onboarding and communication tools like ClickUp or Teams, so your team never chases an answer.

  • What if something needs to go higher?

    VP-level escalation, US and offshore. A direct path above your account manager to Vice President level leadership on both sides, US-based and at our offshore delivery centers. You are never stuck in a ticket queue waiting for someone with authority.

  • What happens when my specialist is out or leaves?

    Backup coverage and same-week replacement. A cross-trained backup covers absences so your work never sits idle. If a specialist leaves or underperforms, we replace them the same week, trained on your workflows before the handoff.

  • How are holidays and leave handled?

    Planned in advance. Specialists receive approved US holidays and two weeks of paid leave per year. Coverage for those dates is arranged with you ahead of time, so continuity is planned, not improvised.

  • How do I know the work is getting done?

    Daily quality stand-up plus daily and weekly reports. Every account starts the day with a stand-up: what came in, what went out, what is stuck, and who is fixing it. You get a daily activity report and a weekly performance report, so nothing slips for a month before you hear about it.

  • How are specialists trained before they touch my account?

    AI-enabled, HIPAA-controlled training. Specialists train in simulations of your EMR and workflows inside our secured environment, with quizzes requiring an 80 percent passing score and AI-moderated final assessments. See how our training works.

  • Do I pay extra for automation?

    No. Custom AI and automation workflows are free. We build automation around your account at no charge: document intake, EMR data entry assistance, and status tracking, always with human review. Faster turnaround and fewer errors reaching the payer, without an extra software bill.

  • Will my rate change, and how do I add people?

    12-month price lock, easy scaling. Your rate is fixed for twelve months from your start date. Need more agents later? An email from your authorized representative is enough. Once confirmed in writing, new agents fall under your existing agreement. No new contract, no work order.

Dedicated specialists, never shared, working inside your EMR and payer portals under a signed BAA. One flat weekly price per operator covers all of the above.Book a Strategy Call