Welcome to Optimize RCM

we specialize in optimizing Revenue Cycle Management through
Automation, Process Optimization, and Workforce Outsourcing.

Why Choose Optimize RCM?

We help transform your revenue cycle with technology

We simplify complex healthcare revenue cycle financial data by providing easy to read executive dashboards

What We Do

We utilize technology, analytics and deep domain expertise to help our client partners maximize and realize their full revenue potential. We have refined and elevated what many refer to as revenue cycle management to be reimagined and achieved.

Our Mission

Our mission is to partner and transform our clients to achieve quality outcomes with high economic value. We’ll always do the right thing by our clients, associates and communities.

Our Vision

Bringing Innovation, Excellence, and Success to our customers.

Services

Patient Access Services

Our Pre-Billing team offers Insurance Eligibility, Benefit Verification and Prior Authorization services to ensure your claims will be paid the first time.

CLINICAL CODING & AUDITING

Our highly qualified team of Coders offer Medical Records Coding, Chart Audit, and Clinical Documentation Improvement to accelerate cash flow.

REVENUE CYCLE MANAGEMENT

Claims & Billing, Payments & Reconciliation, A/R Denial, Collections & Appeals are a few of the services we offer to ensure you collect every dollar.

Credentialing Support

Our Credentialing team will help support and streamline your Credentialing process for faster enrollments.

AUTOMATION & ANALYTICS

Our Automation BOTS, Workflow and Analytics help drive efficiency and performance for our customers.

Call Center

In January 2025, we will launch our new Call Center to handle patient access functions, allowing customers to create greater efficiency by outsourcing scheduling and incoming patient phone calls.

Genetic Counselling

At Optimize, our certified genetic counselors meticulously review clinical documentation, ensure the patient's prior authorization process meets payer requirements, assess the medical necessity of each test based on clinical information, and provide essential feedback to clinicians on documentation.

Contact Us

We look forward to hearing from you! Please complete the form below, and we will help you with any questions you may have.

Our Address

United States
310 Seven Fields Blvd, Suite 130
Seven Fields, PA 16046

India
5th Floor, Summit B, Brigade Metropolis,
Garudacharpalya, Bangalore - 560048

Email Us

info@optimizercm.com

Call Us

+1 412 654 1000