CX Solutions for Healthcare

Patient experience that builds trust, meets compliance, and improves outcomes.

The team behind rethinkCX has led CX atMejuri·Canada Goose·Lululemon·Tangerine·AIG·ING France·and more

Patient experience is not just a satisfaction metric. It is a reimbursement factor, a loyalty driver, and increasingly, a regulatory requirement. CMS ties HCAHPS scores to hospital reimbursement rates. Patients choose providers based on Google reviews the same way they choose restaurants. Yet healthcare consistently ranks among the lowest-performing industries for customer experience. We help close that gap through patient journey mapping, HIPAA-compliant outsourcing, and closed-loop VoC programs.

HIPAA
Compliance built in
BAA
Required of partners
24/7
Patient coverage
Annual
Audit recertification

What we solve

HIPAA-Compliant Operations

We work exclusively with BPO vendors who maintain Business Associate Agreements, conduct annual compliance audits, and enforce physical and digital security controls across their facilities.

Patient Scheduling and Access

Streamlined scheduling workflows across phone, web, and patient portal channels that reduce wait times and no-show rates at a cost structure in-house teams cannot match.

Billing and Insurance Navigation

Compassionate, clear billing support teams that reduce payment disputes, improve collections rates, and maintain patient trust through a process that often feels adversarial.

Appointment Reminders and Follow-Up

Automated reminder sequences, post-visit check-ins, and prescription refill outreach that reduce no-shows and improve care continuity.

Empathetic Agent Training

Healthcare-specific training covering clinical workflows, plain-language medical communication, distress recognition, and crisis de-escalation protocols.

QA and Compliance Monitoring

Call recording review, interaction scoring, and compliance spot-checks built into every healthcare outsourcing engagement from day one.

Compliance built in

What HIPAA-grade outsourcing actually looks like

Compliance is not a checkbox at the end of vendor selection. These are the standards we apply when evaluating BPO partners for our healthcare clients.

Required from every partner

  • Signed Business Associate Agreement (BAA) before access
  • HIPAA-trained agents with annual recertification
  • PHI encryption in transit and at rest
  • Physical security controls and clean-desk policies
  • SOC 2 Type II or equivalent audit history
  • Documented incident-response procedures

Verified before launch

  • Recorded calls reviewed for compliance and empathy
  • PHI access scoped to least-privilege roles
  • Quarterly compliance calibration sessions
  • Plain-language patient-communication standards
  • Clinical escalation protocols documented
  • Annual HIPAA risk assessments on file

Compliance-First Outsourcing

Healthcare outsourcing requires a level of diligence that goes beyond standard BPO vendor selection. Every interaction must be HIPAA-compliant. Every system must protect PHI. Every agent must be trained on privacy protocols before they handle a single patient inquiry. We build the compliance infrastructure first, then optimize for experience.

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In-house vs outsourced

Patient support, two operating models

A side-by-side look at the cost, scale, and compliance trade-offs between running patient support in-house and engaging a vendor-neutral outsourcing partner.

Hiring & training cost
In-house team

High and ongoing. Recruitment, onboarding, and attrition all sit with you.

Vendor-neutral outsourcing

Built into the per-seat rate, with trained backfill on standby

Time to scale capacity
In-house team

8–12 weeks for net-new headcount in most markets

Vendor-neutral outsourcing

2–4 weeks for trained, HIPAA-certified agents

After-hours coverage
In-house team

Often gaps on nights, weekends, and holidays

Vendor-neutral outsourcing

24/7/365 across multiple geographies as standard

HIPAA compliance burden
In-house team

Yours alone. Policies, audits, training, and incident response.

Vendor-neutral outsourcing

Shared with a vetted partner under a formal BAA

Technology investment
In-house team

Upfront capex for telephony, CRM, QA, and workforce management

Vendor-neutral outsourcing

Included in engagement. No licenses to procure.

Quality monitoring
In-house team

Manual scorecards, often inconsistent across team leads

Vendor-neutral outsourcing

Built-in QA scorecards with monthly calibration reviews

How we help

01

Compliance mapping

We document your regulatory obligations and PHI handling needs before recommending partners.

02

Vendor verification

We review BAA, audit history, and security certifications for every candidate partner.

03

Journey mapping

We map every patient-facing interaction to surface compliance risks and experience gaps.

04

Training design

We design healthcare training covering HIPAA, empathy, and clinical escalation.

05

Launch & monitoring

QA scorecards and calibration sessions keep quality high and audit-ready from day one.

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15 minutes. No pitch. Just clarity on your next step.

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Frequently Asked Questions

Can I outsource healthcare customer service while maintaining HIPAA compliance?
Yes. We work exclusively with BPO vendors who are HIPAA-trained and maintain Business Associate Agreements. Their facilities meet physical security requirements, their systems encrypt PHI in transit and at rest, and their agents complete annual HIPAA training and certification. Compliance is audited annually, not assumed. Every outsourcing engagement includes a formal BAA review before any patient data is accessed.
What patient experience metrics should healthcare organizations track?
The most important metrics are: HCAHPS scores for hospitals, Patient Satisfaction (CSAT) for all provider types, Access metrics including speed to answer and scheduling lead time, Net Promoter Score measured post-visit, First Contact Resolution for billing and clinical inquiries, and No-Show Rate as an indicator of scheduling effectiveness and patient engagement.
How do outsourced agents handle the emotional complexity of healthcare calls?
Healthcare interactions are uniquely sensitive: patients may be frightened, confused, or in pain. We require BPO vendors to train agents in empathy-led communication, healthcare literacy (explaining medical terms in plain language), and crisis de-escalation protocols. Agents are also trained to recognize and escalate situations that require clinical intervention, ensuring patient safety is never compromised.
What types of healthcare organizations benefit most from outsourcing?
We work across the full healthcare continuum: hospitals and health systems, multi-site physician groups, dental and specialty practices, health insurance payers, home health and behavioral health providers, and digital health and telehealth companies. The common thread is high-volume patient communication that requires consistency, empathy, and compliance. All of these characteristics are well-suited to a managed outsourcing model.
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