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RCM Staffing Solutions

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Streamline Your RCM Workflow. Strengthen Your Financial Health.

RCM staffing solutions built for the needs of your organization, whether you are a small independent practice or a multi location medical group or hospital.

MediCommerce provides RCM staffing for medical groups, hospitals, and multi location providers who need dedicated support in coding, prior authorization, or eligibility verification, without adding full time headcount. It scales quickly for volume surges or multi location needs, and works just as well for a smaller practice reinforcing a single function like denial management. Because this is a staffing engagement rather than a contingent fee, it fits cleanly into procurement for larger organizations while giving smaller practices flexibility right where they need it.

What's Included in RCM Staffing Solutions

We staff dedicated RCM professionals into the specific function your organization needs, including:

  • Medical Coding — Certified coders to support daily coding volume or surge capacity
  • Prior Authorization — Dedicated staff to coordinate authorizations across payers and locations
  • Benefits & Eligibility Verification — Staff focused on verifying coverage ahead of patient visits
  • Charge Entry — Standalone support for accurate, timely charge capture
  • Payment Posting — Dedicated staff to post and reconcile insurance and patient payments
  • Denial Management — Focused staff to work denials and resubmissions as their own function

Each engagement is scoped to the function you need reinforced, so you are not paying for a full outsourced billing operation when you only need support in one area.

Who This Service is For

RCM Staffing Solutions is built to flex across organization size and need:

  • Medical groups and hospitals needing to scale RCM capacity quickly across coding, authorization, or eligibility verification
  • Multi location providers needing consistent staffing support across sites
  • Organizations facing a volume surge who need temporary or ongoing coding or authorization capacity
  • Smaller practices that manage most of their own billing internally but need reinforcement in one specific function
  • Growing patient panels that have outpaced current eligibility verification capacity

Whether the need is enterprise scale or a single reinforced function, the staffing model adjusts to fit.

Roles We Staff

Referral Coordinator

Manages new patient referrals from intake through scheduling, including patient registration, appointment coordination, and communication with referral sources. Ensures every referral arrives complete and ready for care.

Authorization & Benefits Verification Specialist

Verifies insurance eligibility and benefit levels before services are rendered, secures pre certification and referral approvals, and monitors pending authorizations through to final determination, including peer to peer coordination when needed.

Charge Entry & Billing Specialist

Handles daily claim generation, review, and submission, verifies patient and insurance information, resolves clearinghouse edits, and files secondary and tertiary claims so nothing sits incomplete.

Medical Coding Analyst

Assigns accurate ICD 10 CM, CPT, and HCPCS codes from medical record documentation, resolves claim edits, and applies current coding regulations and payer specific edit logic to keep claims clean.

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Staffing Engagement vs. Contingent Fee Billing

RCM Staffing Solutions is structured differently from our Core Billing Services:

  • Predictable cost. You pay for dedicated staffing capacity, not a percentage of collections, which fits naturally into procurement and budget cycles for larger organizations.
  • Targeted scope. Bring in support for one function, such as coding or prior authorization, without restructuring your entire billing operation.
  • Flexible scale. Add capacity during a volume surge or ongoing growth, without the time and cost of recruiting and hiring full time staff.
  • Fits any team structure. Works alongside your existing internal billing team rather than replacing it.
Local Knowledge in texas for RCM

Why MediCommerce

  • Experienced RCM professionals. Staff who understand coding, authorization, and eligibility verification, not general administrative support.
  • Scales with your needs. Add or adjust capacity as volume, locations, or priorities shift.
  • No hiring overhead. Skip recruiting, training, and retention costs for a function you may only need reinforced, not permanently expanded.
  • Works for any size organization. From a single reinforced function at a small practice to enterprise wide coding support at a hospital system.
  • Local Knowledge. Familiarity with Texas payers and regional payer requirements.
texas medicommerce

Our Process

01. Needs Assessment

We identify which function or functions need staffing support and the expected scope

02. Staffing Plan

We propose the right staff and structure for your volume and budget

03. Onboarding

System access, workflow alignment, and integration with your existing team

04. Go Live

Dedicated staff begin working within your existing RCM workflow

05. Ongoing Management

Regular check ins to adjust capacity as your needs change

FAQ

What is RCM Staffing Solutions?

RCM Staffing Solutions provides dedicated staff for specific revenue cycle functions, such as coding, prior authorization, benefits and eligibility verification, charge entry, payment posting, or denial management, without requiring you to hire additional full time employees.

Core Billing Services is a contingent fee arrangement where MediCommerce manages your full billing cycle and is paid a percentage of collections. RCM Staffing Solutions is a staffing engagement, meaning you pay for dedicated capacity in one or more specific functions, which fits naturally into procurement and budgeting processes.

This service is used by medical groups, hospitals, and multi location providers needing to scale RCM capacity quickly, as well as smaller practices that manage most of their own billing but need reinforcement in one specific area.

Yes. Staffing is scoped to the specific function your organization needs reinforced, whether that is a single function or multiple.

 Yes. RCM Staffing Solutions is well suited to temporary needs, such as coding support during a volume surge (min 3 months), as well as ongoing capacity needs.

Yes. Staff work within your existing RCM workflow and alongside your internal team rather than replacing it.

 RCM Staffing Solutions is priced as a staffing engagement rather than a percentage of collections, which allows it to fit into standard procurement and budgeting processes.

 Texas is our home base and our primary focus, with concentrated experience serving practices in the DFW and Houston metros and active growth into San Antonio and Austin. That said, we also serve clients in other states such as New York, Alabama, California and Florida, so our expertise extends beyond state lines while our roots and specialization remain firmly in Texas.

Need to scale your revenue cycle capacity without adding a full time headcount?

free consultation and let us design a staffing plan around the specific function your organization needs reinforced.

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