Nationwide Medical Practice Saves Locations with Nearshoring

The Problem

A large multi-location medical group operating across New York, New Jersey, Georgia, and
Florida was experiencing high turnover in front office and Revenue Cycle Management (RCM)
roles. The administrator reported that rising competition from retailers and large
employers—with better pay and benefits—made it nearly impossible to retain patient-facing
staff.

Their Solution

In an attempt to stay competitive, they increased wages for RCM-related roles from
$15–$26/hour to $17–$30/hour, but turnover remained a major issue—especially in Florida.

The 2Centric Solution

To relieve the pressure, the client partnered with 2Centric, initially hiring two offshore team
members to support patient calls, scheduling, and general front office tasks for the Florida
office.

Year 1:

10 team members supporting Florida
5 in New York
3 in New Jersey

Year 2:

27 full-time offshore team members supporting all regions

Scope of Roles Supported

Front Office & Patient Support:
- Handling inbound calls and voicemails
- Appointment scheduling and follow-ups
- Patient intake and communication coordination
Revenue Cycle Management (RCM):
- Insurance eligibility verification
- Pre-authorizations and benefits confirmation
- Demographic and payment info collection
- Claims follow-up and denial resolution
- Documentation quality checks

Cost Comparison: Local vs. 2Centric

Local Employee Cost (Midpoint Analysis)
- Base wage: $23.50/hour
- With 33% overhead: $36.58/hour
- Annual cost per U.S. employee: 36.58 \times 40 \times 52 = 76,086
- 27 local hires = $2,054,322/year
2Centric Employee Cost
- All-in cost per team member: $25,000–$55,000/year
- Average across 27 hires (mixed roles/tenure): ~$35,000
- 27 2Centric hires = ~$945,000/year

Client Savings
Staffing Option Annual Cost
27 Local Hires $2,054,322
27 via 2Centric ~$945,000
Estimated Savings ~$1,109,322
% Savings Over 54%

Client paid an average of less than $35,000 per team member annually, with total costs ranging from $25K to $55K depending on role and experience.

Conclusion

By leveraging 2Centric’s offshore staffing model, this medical group drastically reduced
turnover and saved over $1.1 million annually on administrative and RCM labor. With
consistent, trained team members handling vital patient support and billing functions, the
practice strengthened its operations and freed up in-house staff to focus on delivering care—not
filling roles.