Specialized revenue cycle management exclusively focused on international medical claims. We maximize reimbursement for healthcare providers delivering emergency medical care to foreign patients.
Proudly serving Caribbean & Latin American Hospitals: Aruba, Dominican Republic, Mexico, Chile
We specialize in helping international healthcare facilities recover U.S. insurance claims with expertise tailored to each region's unique needs.
From benefits verification to final reimbursement, we oversee all aspects of insurance billing for international healthcare providers with unmatched expertise and accuracy.
2-hour verification of health insurance coverage, 24/7/365. Clear understanding of third-party reimbursement and patient responsibility before care delivery—critical for reducing financial risk with international patients.
Simplified, paperless experience for admissions staff and patients. Secure collection of disclaimers, waivers, and compliance documentation—all streamlined for efficiency and compliance with international healthcare billing standards.
Timely, accurate claim submissions by international billing specialists who understand payer requirements. Our experienced team ensures maximum reimbursement through proper documentation and payer-specific protocols.
Availability for direct communication with patients and their travel companions, including post-discharge support for claim resolution.
When standard follow-up and appeals are exhausted, our legal department issues demand letters to insurance companies where legal grounds exist, prompting payment resolution and positioning for further legal action if necessary.
As a hospital facility in a high-tourism region, we treat international patients daily, and our emergency room is one of the most financially at-risk areas in our business. To protect our financial position, we partner with Riviera RCM to verify insurance coverage for emergency medical services and evacuation benefits. This collaboration has significantly reduced the financial risks we previously encountered and streamlined the reimbursement process, leading to faster payment for services rendered.
Our hospital has used several international claims management companies who always made promises they could not keep. Riviera is true to their word, solid in their business dealings, and has exceeded our expectations, outperforming any other 'partner' we have utilized in the past. So glad to have finally found a business who truly cares about our success.
Managing emergency medical claims exclusively from Caribbean and Latin American facilities, offering personalized service which reduces financial risk in international healthcare.
2-hour benefits verification available 24/7/365 significantly reduces financial risk. Our rapid response ensures timely access to essential information, helping providers make informed, responsible fiscal decisions.
Riviera partners with a select group of international providers ensuring our clients receive focused attention and customized solutions.
Riviera ensures top-tier international claims recovery at industry low fees, ensuring maximum reimbursement with minimal cost.
Our proprietary patient-referral platform operates in a secure, paperless environment, tailored for both provider and direct patient engagement. Designed to save time for hospital staff and patients, our process is effortless and efficient.
Riviera provides patient support for policy coverage education, explanation of patient financial responsibility, and collaboration throughout claims resolution.
All Riviera services are performed by real people based in the U.S. Nothing is outsourced or handled offshore – every case is managed by skilled professionals.
Real recovery success for a Caribbean healthcare provider
A Caribbean hospital treated a U.S. patient during the COVID-19 pandemic. Despite receiving a valid Guarantee of Payment from the patient's U.S. insurance company, the $260,000+ claim remained unpaid for over four years with zero response to repeated inquiries. After the hospital engaged Riviera RCM, we secured full payment within 39 days through coordinated escalation, persistent communication, and strategic engagement with multiple insurance company departments.
Over 50 years of combined expertise in healthcare billing, insurance operations, and international claims recovery. Knowledge which translates directly to your bottom line.
Principal & Director of Operations
30 years of leadership in the health insurance industry with executive positions guiding teams nationwide. Deep expertise in group health plans, member advocacy, complex claims resolution, and insurance contract language. Strategic vision focused on operational excellence and client success.
Principal & Director of Global Strategies
30 years of expertise in healthcare billing and revenue recovery. Recognized industry leader in establishing robust coverage verification processes and designing efficient billing workflows. Proven track record of building long-standing partnerships with top-performing hospitals across the Caribbean and Latin America.
Schedule a consultation to discuss how Riviera RCM can reduce your financial risk and significantly improve recovery of international insurance claims for your facility.