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Dedicated remote staff · Updated August 2026
Hire the seat, keep the process
Not every practice wants to hand over the revenue cycle. Some just need the chair filled by somebody who already knows what a carve-out is. That is a different product, and we sell it separately.
Recura Health places dedicated full-time remote specialists inside behavioral health and ABA practices: billers, prior-authorization specialists, AR follow-up callers, credentialing coordinators and intake staff. They work your hours in your systems under your process, at a fixed monthly rate rather than a percentage of collections. Typical range is $1,200–$2,600 per full-time specialist.
Which model should you choose?
This is the question most vendors avoid, because they only sell one. The honest answer depends on whether your process works and just lacks hands, or whether the process itself needs an owner.
| Dedicated remote staff | Full RCM on collections | |
|---|---|---|
| You pay | Fixed monthly rate per person | 4–8% of net collections |
| Who owns the outcome | You do. We supply and manage the person. | We do. The fee moves with what gets collected. |
| Best when | Your process works and you need capacity, coverage or a role you cannot hire locally. | Denials are high, AR is aging, or nobody currently owns the whole cycle. |
| Cost in a slow month | Unchanged — it is a salary equivalent. | Falls with your collections. |
| Scales by | Adding people. | Absorbing volume without you adding people. |
| Poor fit when | You want somebody to fix the process, not staff it. | Your collections are small enough that the monthly floor dominates the percentage. |
Roles we place
Medical biller
Charge entry, claim submission, rejection handling and payment posting in CentralReach, SimplePractice, Qualifacts, Netsmart or Office Ally.
Prior authorization specialist
Initial requests, concurrent review, reauthorization tracked against remaining units. Calls placed during US payer hours.
AR follow-up caller
Aged AR worked oldest-first by payer, with call notes documented against each claim rather than a spreadsheet nobody reads.
Credentialing coordinator
Payer enrollment, revalidation calendars, CAQH maintenance and roster updates — the work that silently blocks revenue when it slips.
Intake & eligibility coordinator
Benefit verification before the first session, carve-out identification, and patient financial responsibility communicated up front.
Virtual front-office assistant
Scheduling, reminders, inbound calls and referral coordination for practices that lose revenue at the front desk rather than the clearinghouse.
How compliance actually works with a remote team
Business Associate Agreement
Signed before access, extending to any subcontractor. HIPAA has no geographic exemption — an offshore team carries identical Privacy, Security and Breach Notification obligations.
State-level restrictions
Florida limits offshore storage of records for providers using certified EHR technology. Texas privacy law reaches organizations handling a Texas resident's records wherever they sit. We scope around both.
42 CFR Part 2 records
SUD records are handled as a distinct category from general PHI, with separate consent handling — necessary since OCR gained civil penalty authority over Part 2 on 16 February 2026.
Access discipline
Named individual logins in your systems, no shared credentials, access revoked same-day on role change, and an audit trail you can pull without asking us.
How it actually works
Your systems, your process, our people
Named individual logins in your practice management system — never shared credentials. Access revoked same-day on any role change, and an audit trail you can pull yourself without asking us. Up to eight hours of overlap with US business hours, so payer calls happen while payers are open.
Tell us the role, not the job spec
Describe the work that is not getting done. We will tell you whether it needs a staffed seat or a process owner — including when the answer is that you do not need us yet.