Medical Billing Outsourcing Savings Calculator
Compare the fully loaded cost of in-house U.S. revenue cycle staff against offshore medical billing, coding, AR follow-up, eligibility, prior authorization, payment posting, denials, and medical virtual assistant support from the Philippines.
Estimate your staffing model
Adjust the assumptions to match your current hiring plan.
$44,200 per year
Based on 1 staff member working 40 hours per week as a medical biller.
- U.S. wage plus employer burden and overhead
- Offshore hourly staffing estimate for planning
- Full-year cost comparison at the selected weekly hours
Why medical billing outsourcing savings are larger than the hourly rate difference.
Many healthcare organizations compare only the hourly wage of a U.S.-based employee against the hourly cost of offshore RCM support. That misses a large part of the actual staffing cost. In-house hiring usually includes payroll taxes, benefits, recruiting time, equipment, software administration, training, supervision, and the operational cost of turnover.
This calculator uses employer burden to help you compare a more realistic U.S. staffing cost against a planning estimate for offshore RCM staffing. It is designed for medical billing companies, physician practices, RCM vendors, and healthcare service teams evaluating whether to add offshore staff from the Philippines.
RCM Staff is a staff augmentation model. Specialists work inside your existing EHR, practice management system, clearinghouse, payer portals, workqueues, and SOPs. The goal is not to replace your workflow. The goal is to give your team added production capacity for the revenue cycle tasks that are already defined.
For a fuller operational view, compare this estimate with your current claim volume, days in AR, denial backlog, front-end eligibility workload, prior authorization queue, and payment posting volume.
Savings are only useful when the staffing model can actually support your workflow.
Offshore RCM staffing works best when the role is clearly scoped, the specialist works inside your existing systems, and performance is measured against revenue cycle outcomes such as clean claim rate, days in AR, denial rate, and workqueue completion.
Compare fully loaded cost
Look beyond hourly wage by including employer burden, payroll taxes, benefits, recruiting, equipment, and management overhead.
Model role-specific staffing
Estimate savings for medical billers, coders, AR specialists, eligibility staff, prior authorization support, payment posting, denials, and medical virtual assistants.
Use it for planning
The calculator is a starting point for budget conversations. Final pricing depends on role scope, experience level, coverage hours, and onboarding needs.
Use the calculator for the RCM roles you are considering offshore.
Each role has a different market rate and workflow scope. Start with the suggested defaults, then adjust the inputs based on your market, specialty, payer mix, schedule, and experience requirements.
Medical billing outsourcing
Estimate savings for charge entry, claim submission, billing queues, ERA/EOB posting, and day-to-day billing production.
Learn moreMedical coding outsourcing
Compare the cost of U.S.-based coding support against offshore medical coders who support CPT, ICD-10, HCPCS, and documentation review.
Learn moreAR follow-up staffing
Model the staffing cost difference for aging report work, payer follow-up, claim status checks, and unresolved insurance balances.
Learn moreEligibility verification staff
Plan front-end RCM coverage for benefit checks, payer portal lookups, copay review, deductible review, and authorization flags.
Learn morePrior authorization support
Estimate support costs for PA submissions, payer follow-up, approval tracking, retro-authorizations, and authorization-related billing issues.
Learn moreMedical virtual assistants
Compare in-house administrative hiring with offshore medical VA support for scheduling, intake, patient communication, and EHR tasks.
Learn moreQuestions prospects ask before comparing in-house hiring with offshore RCM staffing.
What does the medical billing outsourcing savings calculator estimate?
The calculator estimates the annual and monthly cost difference between hiring in-house U.S.-based RCM staff and using offshore RCM staff from the Philippines. It includes hourly wage, weekly hours, number of staff, and an employer burden percentage for benefits, payroll taxes, recruiting, equipment, and overhead.
Which RCM roles can I compare?
You can compare medical billers, medical coders, AR specialists, eligibility verification specialists, prior authorization specialists, medical virtual assistants, payment posting specialists, and denial management specialists.
Are the RCM Staff hourly rates final pricing?
No. The hourly rates are planning estimates only. Final pricing depends on role complexity, experience level, schedule, volume, workflow scope, training needs, and client requirements.
Why does the calculator include employer burden?
Hourly wage alone usually understates the full cost of hiring in-house staff. Employer burden can include benefits, payroll taxes, recruiting time, equipment, management overhead, software access, and turnover costs.
Can offshore RCM staff work in our existing systems?
Yes. RCM Staff specialists work inside your existing EHR, practice management system, clearinghouse, payer portals, and client workflows. The model is staff augmentation, not a forced software migration.
Is this calculator only for medical billing companies?
No. It can help medical billing companies, physician practices, RCM vendors, and healthcare service organizations compare in-house hiring against offshore RCM staffing from the Philippines.
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