Offshore Delivery Floors Active // EST · CST · PST Aligned
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Country Practice 03 // United States (EST / CST / PST)

HIPAA-Aligned Offshore Teams for US Home Health & Outpatient Providers.

Accelerate patient intake, eliminate prior-authorization backlogs, and recover denied payer claims. Meridian deploys full-time healthcare operations specialists under executed Business Associate Agreements (BAAs) working synchronously across US Eastern, Central, Mountain, and Pacific business hours.

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$1,750
Monthly starting fee in USD for dedicated US-hours intake & RCM talent
64%
Reduction in administrative overhead vs. US domestic W-2 employment
< 24 HR
Eligibility verification & benefit check turnaround prior to first visit
HIPAA
Signed BAA, clean-room access controls, and annual PHI privacy training
US Healthcare Scope // Intake to Reimbursement

Patient Referral Growth, Prior Auth & Revenue Cycle

Built for Home Health Agencies, Behavioral Health / ABA clinics, Private Duty Home Care, and Specialty Outpatient Groups.

US GROWTH // 01 REFERRAL & INTAKE

Patient Intake & Physician Referral Coordination

Capture referrals from hospital case managers, discharge planners, and specialist physicians before patients drift to competing agencies.

  • Real-time monitoring of CarePort / NaviHealth / WellSky referral portals
  • Outbound family welcome calls and private-duty home care inquiry conversion
  • Collecting physician Face-to-Face documentation, signed orders (485s), and H&Ps
  • Scheduling initial nursing or therapy Start-of-Care (SOC) evaluations
CAREPORT / WELLSKY / CRM SAME-DAY SOC BOOKING
US PAYER OPS // 02 PRE-SERVICE CLEARANCE

Insurance Verification & Prior Authorizations

Stop delivering uncompensated visits due to lapsed coverage or expired authorizations across Medicare Advantage, Medicaid, and commercial plans.

  • Checking payer portals (Availity, Optum, Anthem, Aetna, UHC) and confirming copays/deductibles
  • Submitting clinical packets for initial and concurrent Prior Authorizations
  • Tracking authorized visit/unit counters and flagging renewals 14 days before exhaustion
  • Logging authorization reference numbers directly into your EHR billing profile
AVAILITY / WAYSTAR / OPTUM ZERO UNBILLED VISITS
US RCM // 03 CLAIMS & DENIALS

Medical Billing, EVV Audit & Denial Follow-Up

Accelerate Days Sales Outstanding (DSO) by resolving Electronic Visit Verification (EVV) exceptions and payer denials daily.

  • Reconciling daily Medicaid EVV clock-in/clock-out flags in HHAeXchange or Sandata
  • Scrubbing 837P/837I claims, posting ERAs/EOBs, and reconciling secondary balances
  • Working aged AR buckets (30/60/90+ days) via payer portals and claim appeals
  • Chasing unsigned physician orders holding up Medicare RAP/final claim drops
HHAEXCHANGE / CENTRALREACH / WAYSTAR AR & EVV CLEANUP
US OPS // 04 CAREGIVER STAFFING

Caregiver Scheduling & Credentialing Compliance

Keep field caregivers and RBTs fully utilized while maintaining state licensing audit readiness.

  • Building recurring patient-caregiver schedules in AxisCare, ClearCare/WellSky, or AlayaCare
  • Managing after-hours call-outs and matching backup caregivers by geography and skill
  • Tracking state background checks, TB tests, CPR cards, driver's licenses, and OIG/SAM exclusions
  • Auditing clinician session notes and payroll timecard exceptions before Friday runs
AXISCARE / WELLSKY / ALAYACARE 24/7 CALL-OUT DESK
Transparent USD Rates // United States Desk

US Healthcare Offshore Roles & Domestic Benchmarks

Dedicated US Role Core Systems Domestic US Cost (Salary + FICA/Benefits) Meridian Offshore Rate
Patient Intake & Referral Coordinator CarePort, WellSky, Salesforce ~$54,000 – $62,000 / yr $1,750 / month ($21,000 / yr)
Prior Authorization & Eligibility Specialist Availity, Waystar, CentralReach ~$56,000 – $65,000 / yr $1,850 / month ($22,200 / yr)
RCM Billing, EVV & AR Denial Analyst HHAeXchange, Kareo/Tebra, Athenahealth ~$58,000 – $68,000 / yr $1,900 / month ($22,800 / yr)
24/7 Caregiver Scheduling Coordinator AxisCare, ClearCare, AlayaCare ~$55,000 – $64,000 / yr $1,800 / month ($21,600 / yr)