Las mejores empresas de externalización para la sanidad en EE.UU. (Comparación 2026)

Administrative costs eat up a whopping 25-30% of total hospital expenditures in the US – a figure far higher than most other developed countries. That’s money that could be put to far better use – like patient care, equipment upgrades or giving staff a well-deserved bonus. Meanwhile, healthcare providers are struggling to find the right people – not just in clinical roles, but support staff too. We’re talking about patient services, billing, coding, insurance verification and the IT support needed to keep all the different systems running that docs have to juggle every day.

Outsourcing isn’t new in healthcare of course. What’s changed is the quality of services being offered. Today’s healthcare BPO providers are a lot more sophisticated than they used to be – they have all the necessary HIPAA compliance in place, special training for clinical workflows, smooth integration with EHR systems and flexible terms that let you scale up or down as needed – no more getting locked into a 3 year contract you can’t get out of.

This guide takes a closer look at what are currently the top customer support outsourcing companies for healthcare  and we’re focusing on what mid-sized providers really need from an outsourcing partner: strong compliance credentials, a smooth onboarding process, a culture that really gets what’s important to US patients and pricing that’s clear and straightforward, so your procurement team doesn’t have to be a financial analyst to understand it.

Spolier: For mid-sized healthcare providers in the US, what you need from an outsourcing partner is someone who gets HIPAA, can get up and running quickly and won’t bog you down with all the bureaucracy associated with a big company.

• Helpware CX has a great option for flexible and compliant healthcare BPO 
• Accenture and Cognizant are a good fit for the big hospital systems, but if you’re looking to save a buck and don’t care so much about speed and alignment with your brand then an offshore-heavy provider might be the way to go.

What Do Healthcare BPO Services Actually Cover?

Healthcare outsourcing reaches far beyond what you’d think of as just call centers. Modern healthcare providers do everything from answering front-desk patient questions to managing complex back-office work when it comes to their revenue cycle.

Patient Support & Call Centre Outsourcing

We’re talking about everything from scheduling appointments and handling prescription refills to checking if patients are covered by insurance and if their bills are sorted. In this space, the key thing is – the quality of service really counts. Every time a patient interacts with your team, you’re either making them happy or worse off, and that will show up in their online reviews and patient satisfaction ratings. Your call centre staff should get training in healthcare jargon, be good at understanding and helping anxious patients, and know how to use your scheduling and electronic health record systems inside and out.

Studies show that healthcare orgs who use specialized call centre outsourcing see a 20-30% boost in appointment show rates if their agents know what they’re doing and can follow up on schedule confirmations properly.

Revenue Cycle & Back Office Support

We’re talking medical billing, claims processing, coding (that’s ICD-10 and CPT), dealing with rejected claims, payment postings and tracking down money that’s owed to you. And these are all things that directly affect how quickly you get the cash in the bank. The benchmarks say that when you get your revenue cycle operations sorted out you should see a 15-25% reduction in the amount of time your money is stuck in accounts receivable and a jump in your clean claim rates from 75-80% up to 90-95%.

You need a partner who’s got certified coders, billing specialists who understand what each payer wants, and experts who know how to make a solid case for claims that got rejected.

Technical Support Outsourcing for Healthtech

When you’re running some sort of telehealth platform, EHR system, patient portal or health SaaS, you need people answering the phones who can actually help out with technical issues without sounding like they’re following a generic script off the back of a IT textbook. That means they should be able to get to grips with how healthcare works, what the HIPAA rules are when it comes to remote access, and the specific pain points that clinicians will be feeling when some bit of tech isn’t working for them in the middle of a patient visit.

Healthtech companies have found out that using specialized technical support teams to look after their product can shave 30-40% off the average time it takes to get a technical issue sorted out.

How We Evaluated the Top Healthcare Outsourcing Companies

We focused on what really matters to mid-sized healthcare outfits – the kind that can’t just throw cash at the problem, like some of those massive hospital systems.

HIPAA compliance – don’t even think about cutting corners

Do they actually have a HIPAA compliance program documented, Business Associate Agreements in place (BAAs), annual audits and training for staff on handling protected health information? This isn’t optional, it’s a must-have.

Where are their call-centre staff located ? US or offshore ?

Purely offshore models are cheap, but they’ll introduce communications headaches and make a mess of compliance. Getting staff onshore or nearshore costs more, but it makes things a lot smoother.

Let’s see what actual healthcare buyers are saying online

What are healthcare buyers saying on review sites like Clutch, G2 and others? We weighted more recent reviews (2024-25) than older ones.

Can they handle mid-sized teams ?

Can they get a team up and running in weeks, not months? Do they treat a 20 person team the same as a 200 person operation? Big BPOs often end up ignoring smaller customers.

How long does it take to get started ?

How long from signing a contract to actually being up and running? For organisations in the midst of taking off or dealing with crisis situations, 8-12 weeks is way too long.

Transparency on pricing – how much is it really going to cost ?

Do they publish their pricing ranges or just make you contact their sales team to find out? If they’re transparent, you’re looking at a cost of around $18-35 per hour depending on location and complexity. If not, it often means they’re charging enterprise prices.

Putting customers at ease while still getting the medical jargon right:

Training call centre staff in healthcare is a unique challenge. They need to be able to understand the stress patients are under, the urgency of medical situations and the language of the industry – without coming across as a robot spouting medical jargon.

Top Healthcare Outsourcing Companies in the US

#1 Carmatec — Healthcare Software Development & Digital Innovation

Carmatec focuses on building secure and scalable healthcare technology solutions for providers, startups, and healthcare organizations that want to modernize their digital infrastructure. They specialize in developing custom healthcare software, integrating systems like EHR/EMR, and creating digital platforms that improve operational efficiency and patient engagement. Compared to large consulting enterprises, Carmatec is more focused on delivering practical, technology-driven solutions that help healthcare businesses launch and scale faster.

Pros:

Carmatec offers strong expertise in desarrollo de software sanitario personalizado, including telehealth platforms, healthcare CRM systems, remote patient monitoring solutions, and healthcare mobile applications. Their team helps organizations streamline workflows through system integrations, automation, and cloud-based infrastructure. They also support healthcare analytics and AI-driven solutions that help providers make better clinical and operational decisions. For healthcare startups and growing companies, Carmatec can be a reliable technology partner to design, develop, and scale digital healthcare products.

Contras:

While Carmatec is strong in technology development and digital transformation, they may not operate at the same global consulting scale as large enterprise consulting firms that handle massive multi-year healthcare transformation programs. Organizations looking for very large enterprise consulting engagements or global strategy consulting may need additional partners alongside development-focused teams.

Best fit:

Carmatec is a good fit for healthcare startups, digital health companies, clinics, and mid-sized healthcare organizations looking for a technology partner to build or scale healthcare software solutions, integrate healthcare systems, and accelerate digital transformation initiatives.

#2 Helpware CX — Best for Mid-Size & Scaling Healthcare Organizations

Helpware CX built its healthcare practice with mid-market providers in mind – folks who need HIPAA-compliant operations but can’t stomach the complexity and costs associated with enterprise-focused BPOs. They can get you up and running with a fully trained team in a couple of weeks – not months – which makes all the difference when you’re expanding a practice, launching a new health-tech product, or dealing with an unexpected surge in volume.

Their delivery model blends U.S.-based management with nearshore and offshore teams, so you can pick and choose the balance of cost and quality that works best for your business – sometimes that means going with U.S. or nearshore teams for roles that require cultural fluency and accent clarity, and offshore teams for tasks like revenue cycle work that don’t involve as much patient interaction.

What really sets them apart is how they handle training. They don’t just give their agents generic scripts – they actually immerse them in your workflow, your patient population, and your brand voice. They’ve got a 4.8 to 4.9 rating on Clutch, and their healthcare clients just rave about how their support ‘feels like part of our team’ and how fast they can get them up and running without sacrificing quality.

What they’re really good at

Patient call centers (scheduling appointments, insurance verification, and billing support), technical support for health-tech platforms (troubleshooting EHR systems, telehealth support, and patient portal help), back office admin tasks, and customer experience operations for digital health products.

They keep HIPAA compliance on lock with documented policies, BAA reviews, annual security audits, and mandatory staff training. Their infrastructure is all about keeping data safe, with encrypted comms, access controls, and audit logging that meets the OCR requirements.

Cost structure

Mid-range pricing, with transparent hourly rates that take into account where their agents are based and how complex the work is. Typical rates are around $22-$32 an hour for patient support, and go up for specialized clinical functions. And they offer month-to-month flexibility, so you don’t get locked in with a long contract.

Things to consider

They’re pretty picky about who they take on as clients. If your top priority is cutting costs to the bone, and you don’t care about getting up and running quickly or finding an outsourcing partner that fits your brand, then an offshore-heavy provider might be the way to go. But if that’s not your thing, then Helpware CX is worth a look.

Who they’re best for

Mid-sized healthcare providers (100-500 beds), MSOs, health-tech SaaS platforms, specialty clinics, and digital health companies that need flexible, HIPAA-compliant support operations that can scale up quickly without getting bogged down in long enterprise sales cycles.

#3 Accenture — Enterprise-Scale Healthcare Transformation

Accenture operates at one end of the healthcare consulting spectrum: they are a global consulting giant with deep roots in healthcare expertise, have poured a ton of money into technology investments and can handle the kind of big, complex project that other firms shy away from – a multi-year marathon rather than a sprint.

Pros:

If you’re a big hospital system thinking of tearing up your whole revenue cycle, plonking in some new EHR systems and overhauling patient experience workflows all at the same time, Accenture has got the strategic nous and sheer scale to take that on. Their SynOps platform is a clever combination of automation, AI, and good old humans who know how to get the best out of your processes – even when you’re trying to do that at an enterprise level.

They have a really solid understanding of the way payers work, provider networks, value-based care and population health management. What they bring to the table is strategic thinking – not just the kind of tactical know how that lots of other consultants might bring.

Contras:

Their charges can be eye-wateringly high – more reflective of what you’d pay for some top-end consulting advice rather than the BPO labour costs you’d expect. Getting started with them can take anywhere from 8 to 12 weeks or even longer if you’re trying to tackle really complicated projects. And be warned – their business model is geared up for multi-year partnerships with big budgets – not one-off projects with a quick pay-off. Small fish like mid-size healthcare organisations often find themselves struggling to get the attention they need alongside the bigger clients.

Best fit: If you’re a large hospital system, a major payer or some other kind of healthcare heavyweight with a budget well over $5m a year and a willingness to play the long game – then Accenture might be the kind of partner you need.

#4 Cognizant — Revenue Cycle + IT Integration Depth

Cognizant has an impressive two decades of experience in delivering healthcare-specific BPO. They’ve really carved out a niche for themselves in revenue cycle management and healthcare IT services, and have a platform called TriZetto that gives them a distinct edge over the run-of-the-mill BPOs.

Pros:

Their core strengths in medical coding, claims processing, denial management, and payer operations are hard to match. Plus, because their staff have a deep understanding of the healthcare industry, they already know the ropes when it comes to Medicare/Medicaid requirements, commercial payer nuances, and regulatory compliance – no extra training required.

They’ve also got the flexibility to mix onshore and offshore delivery, which gives you options to cut costs without losing control of quality. And they’re continually investing in the latest tech including automation tools, analytics platforms, and integration with major EHR vendors.

Contras:

Cognizant’s pricing and contract structures are geared towards really big organisations with steady, high-volume work. Of course, this means you can get customised solutions, but it will set you back on cost and time. Some mid-sized orgs have also complained they get left in the shade when competing against Cognizant’s big-name clients.

Best fit: From our analysis, it looks like mid-to-large healthcare organisations (think over 250 beds) who already have a solid revenue cycle operation in place and are looking to scale and optimise. Those using TriZetto systems might particularly benefit from Cognizant’s expertise.

#5 Conduent — Government Healthcare Program Experience

Conduent (formerly Xerox) knows its stuff when it comes to government healthcare programs, and in particular; the administration of Medicaid . They’re pros at handling big-scale back office work too.

Pros:

Conduent has deep down knowledge of the public sector in terms of how healthcare works – they know their way around Medicaid enrollment, seeing whether people qualify for it, and processing claims. Plus, they have a strong track record of doing back office work on a massive scale with workflows that are repetitive and don’t require much variation.

Contras:

Conduent gets mixed reviews from clients when it comes to how quickly they respond, and how well they manage client accounts. You might notice that they put a lot more focus on getting the jobs done efficiently rather than the experience patients have when dealing with their outfit.

Best fit:Government healthcare departments, as well as health providers who deal with public programs and have to ensure they are fully compliant. In these situations, what matters most is getting it right from a bureaucratic standpoint, rather than going above and beyond for patients.

#6 EXL — Analytics-Driven Revenue Cycle Management

EXL is positioning itself as a Business Process Outsourcer that gets a lot of its value from analytics, and specifically has a very strong background in optimising the way revenue is handled and paid out to providers.

Pros:

EXL approaches the whole revenue cycle thing with a data-driven mindset. They use data to identify patterns where claims get denied, and to help health providers and insurance companies make better choices based on data about claims, how people use the service, and how the network is performing.

EXL is really big on having clear and measurable outcomes: how often are claims clean, how long do they spend in accounts receivable, how often are claims denied, and how much does it cost to process each one.

Contras:

EXL isn’t all about customer experience. They’re more about making sure everything runs like clockwork, and that the numbers stack up and are useful for making decisions – rather than caring about how patients feel and what they think of the service. If you need to sort out a lot of back office work but don’t need patient-facing support, they are probably a good fit. And when it comes to pricing, you can expect that they will be quite expensive.

Best fit: Health insurance companies, big health provider groups, and any healthcare organisation where revenue cycle data and optimising processes is more important than making sure patients are happy.

#7 WNS Global Services — Mature Offshore Healthcare Operations

WNS is a global player with a solid track record in healthcare Business Process Outsourcing, covering payer, provider, and pharmaceutical clients – mainly in India but also elsewhere offshore.

Pros:

It’s their ability to keep costs down thanks to their offshore model, as well as having mature processes in place that stay running 24/7. And on top of that, they can tackle a pretty broad range of tasks, right from processing claims to handling clinical data.

Contras:

You’ve got to consider the fact their model is pretty heavy on the offshore side – that means you’ll need to put some investment into making sure quality is up to scratch and that your communication channels are all in order. Also, if you’re going to be using patient-facing staff, you’ll need to factor in any cultural differences that might come into play. Hindsight is 20/20, but at the end of the day, WNS is best suited to taking care of back-office work.

Best fit: If you’re one of those organisations that puts the emphasis on cutting costs, even if it means sacrificing a bit of cultural alignment, then WNS is probably a good fit for you, particularly when it comes to revenue cycle and administrative tasks that don’t require a lot of patient interaction.

#8 HGS — Large-Scale Healthcare Call Center Infrastructure

HGS (Hinduja Global Solutions) has built up a seriously big call center operation with a real focus on healthcare. They’ve got a presence across multiple continents, and a vertical specialization in this area.

Pros:

High volumes of patient support calls – and we’re talking things like appointment scheduling, verifying insurance, answering billing queries, and refilling prescriptions. They’ve also got the capacity to scale up to hundreds of agents and their training and compliance procedures are all tailored to the healthcare industry.

Contras:

It’s fair to say that HGS is an enterprise-sized operation that’s all about delivering on a large scale – which isn’t always a bad thing, but can be a real pain for mid-market businesses trying to fit into their mould. In other words, HGS is happy to adapt to your needs, rather than the other way around.

Best fit: At the end of the day, HGS is a good fit for those big enterprises that need a high-volume call center that can just churn through a standardised set of tasks day in, day out.

#9 Concentrix — Omnichannel CX Capabilities

Concentrix brings a level of maturity in terms of customer experience operations into the healthcare space, with a particular knack for multifaceted customer support that covers all channels (phone, chat, email, SMS, and even patient access through their portals).

Pros:

What they do incredibly well is to set up a seamless experience for patients across all of those channels – you can start a conversation in a chat, then seamlessly switch to a phone call, only to finish up via the patient portal without losing any context – all thanks to their technology platforms that seamlessly integrate across different channels and even link up with healthcare systems.

A strong focus on actually improving patient experience, too – we’re talking about stuff like patient satisfaction, Net Promoter Scores, and even how much of a hassle patients find it to do things, rather than just going for the most efficient way to do things (which tends to be how most companies look at it).

Contras:

One thing to consider is that their top-notch customer experience and tech comes with a bit of a hefty price tag. Plus, they’re geared towards enterprise deals and take a while to onboard. They’ve simply got a model that’s best suited for organisations that see patient experience as a way to stand out in their market, and are willing to put in the cash to make it happen.

Best fit: Typically speaking, the kind of healthcare organisation that will really benefit from working with Concentrix are those that are already thinking pretty seriously about patient experience – places that have a decent-sized hospital (500+ beds) or are working in the digital health space where customer experience is a big differentiator.

Healthcare BPO Comparison: Quick Reference

Here’s how these providers stack up on the factors that matter most to mid-size U.S. healthcare organizations:

*Ratings reflect aggregated public review sentiment ranges from Clutch, G2, and healthcare-specific platforms (2024–2025 data).

Pricing Tier :

• $$ = $18–28 per hour (competitive, typically nearshore/offshore)
• $$$ = $28–40 per hour (mid-range, blended delivery)
• $$$$ = $40–60+ per hour (premium, consulting-driven, enterprise)

Making the Right Choice in Healthcare BPO

The Healthcare Outsourcing Decision Gets Made Badly When Orgs Lead With Just Cutting Costs. Yes, slashing some 30-40% off your admin expenses sounds like a dream – especially when you’re fighting for profit margins in today’s tough climate. But here’s the thing: does your outsourcing partner actually help keep patient satisfaction high, your regulatory ducks in a row and revenue cycle running smoothly?

When you make a smart choice, you start by sorting out what you mean by ‘good’. What does success look like for your specific needs? Do you need patient support or revenue cycle management – and that’s totally different ballgame from healthtech support? They then match up what you need with what your potential partner can actually deliver – and not just what they claim to offer in their sales pitches. By the way, they also make sure to check out the references from other health orgs of a similar size in the same market – they know how important it is to have similar company culture.

But when it comes to mid-sized healthcare companies and healthtech outfits, one thing becomes crystal clear: specialized outfits like Helpware CX end up being a game-changer over time. In healthcare, things change so fast – new regs pop up, patient expectations change and tech platforms get re-jiggered. What’s crucial now is having partners who can adapt to all those changes – and fast. When the next unexpected hike in CMS policy comes along or patient load increases, only one type of outfit is ready to roll: the ones who invested in flexible specialized partners rather than lumbering all-singing, all-dancing enterprise BPOs.

So here’s the takeaway: choose the partner that fits your org’s size and operational complexity – not just the biggest name on the block. Prioritize getting it right on quality and compliance before you start worrying about cutting costs. Your patients’ experience and your very survival depend on it.

Preguntas frecuentes

What’s the best outsourcing company for healthcare providers in the US?
The best choice for mid-sized healthcare providers (100-500 beds – a decent size but not too big) is Helpware CX . They nailed the balance of HIPAA compliance, speed, and flexibility that’s ideal for organisations of that size. Not too big, not too small – they get it just right. Large hospital systems with deep pockets might be better off with the bigger guys – Accenture or Cognizant have all the bells and whistles.

How do healthcare organizations evaluate BPO partners?
First things first – get proof of HIPAA compliance. Check their BAA, security certifications, and recent audit reports to make sure they’re up to speed. Then, figure out if they have experience in your specific area – maybe it’s patient support or revenue cycle or technical support. Call up some of their other healthcare clients – see if they have any similar-sized businesses. And don’t be afraid to drill down into their onboarding process, pricing model, and contract – the good providers will be transparent.

Is offshore call center outsourcing safe for healthcare?
It can work, but it’s not a no-brainer. You’ll need to keep a close eye on compliance, and make sure the offshore provider is signing up to the same security standards as you. Remember – even if they’re overseas, you’re still on the hook if a breach happens. A lot of healthcare orgs are doing a hybrid model – using offshore for back-office work that doesn’t involve patient data, and nearshore or US-based providers for patient facing work. Research suggests you’ll pay a bit more for compliance management, 30-40% extra to be precise.

What KPIs matter most in healthcare outsourcing?
For patient support, it’s all about getting the basics right: first call resolution rates, patient satisfaction scores, appointment show rates and average time to answer. For revenue cycle, you’ll want to keep an eye on clean claim rates, days in accounts receivable, denial rates, cost per claim processed, and cash collection rates. And for technical support, average resolution time, first-contact resolution rates, user satisfaction scores, and ticket backlog.

How long does healthcare BPO onboarding take?
Mid-market providers, the ones that specialise in healthcare, can usually get you up and running in 2-4 weeks. The bigger companies need 6-12 weeks or more. It varies a lot depending on how deep they need to dig into your systems and how much compliance checking they need to do. If it’s simple stuff like appointment scheduling or patient support, you’ll get up and running faster than if you’re dealing with complex revenue cycle issues.

What should be included in a healthcare BPO Business Associate Agreement?
It’s got to cover the basics: permitted uses and disclosures of patient data, the security standards that need to be met, how to deal with a breach, audit rights, and termination provisions including how to get your data back or destroyed when the contract is up. Don’t forget to get your compliance officer and lawyer to vet it before you sign.