From rapid benefits verification to final payment recovery, Riviera RCM delivers specialized revenue cycle management services designed exclusively for Caribbean and Latin American healthcare providers treating international patients.
Expert solutions tailored to the unique challenges of international medical billing. Each service is backed by over 50 years of combined experience and a proven track record of exceptional results.
With round-the-clock availability, our industry-leading service delivers benefits verification within two hours, ensuring clear, accurate information about insurance coverage, benefits and patient responsibility prior to care.
Accurate, timely claim submissions by international billing specialists who understand both payer requirements and international healthcare documentation standards.
Coordinated, strategic communication with insurance companies ensures claims move through the payment process efficiently. Our team engages multiple departments to drive resolution.
When claims are denied, our experienced team crafts compelling appeals supported by comprehensive documentation and medical necessity justification to overturn denials and secure payment.
We serve as the liaison between your facility, the patient, and their insurance company, resolving complex billing issues and ensuring patient collaboration throughout the claims process.
When standard collection efforts are exhausted, our legal department issues formal demand letters to insurance companies, leveraging legal grounds to prompt payment resolution and position your facility for further action if necessary.
A systematic approach to international claims management, refined through decades of exclusive focus on recovering insurance payments for foreign healthcare providers.
Within 2 hours of patient referral, we verify insurance coverage, benefits, and patient responsibility. Our 24/7/365 service ensures you have financial clarity before providing care.
We work with your admissions team to collect necessary patient information, secure required consents and waivers, and ensure all compliance documentation is properly completed.
Our international billing specialists review medical records, assign proper coding, format claims to payer specifications, and prepare comprehensive documentation packages.
Claims are submitted to insurance companies with all required supporting documentation, meeting payer-specific requirements and submission deadlines.
We maintain persistent communication with insurance companies, coordinating across multiple departments, escalating as needed, and documenting all interactions to drive claims to payment.
When claims are denied, we craft detailed appeals with supporting documentation and medical justification. If needed, we escalate to senior management or issue legal demand letters.
We secure maximum reimbursement, reconcile accounts, and provide detailed reporting. Your revenue is recovered and your accounts are closed.
Regular reports keep you informed of claim status, open and closed inventory, and recovery metrics. Consistent communication ensures you always know where your revenue stands.
Halfway through my beach vacation, a kidney-stone attack had me landing in the ER – in a foreign country where I had no idea what to expect. The team at Riviera was incredible. Not only did they help verify that my insurance would pay, but they worked with the hospital to confirm how much insurance would cover and what my share of the cost would be, so I didn’t have to pay for everything up front. It was a huge relief. Riviera made what could have been a nightmare so much less stressful. I’m truly grateful.
Mike L. — Salem, NH
Our specialized expertise and proven results deliver tangible benefits that directly impact your facility's financial performance and operational efficiency.
2-hour coverage verification provides financial clarity before care delivery, significantly reducing the risk of uncompensated care when treating international patients.
Our persistent follow-up, effective appeals process, and legal support when necessary result in exceptional account recovery rates that consistently exceed industry standards.
Our paperless, automated referral platform eliminates time-consuming tasks, allowing staff to focus on patient care and core operations.
Round-the-clock coverage verification and support means we're ready when your patients need care, regardless of time zone or day of the week.
Partner with the specialists in global healthcare receivables. Our proven expertise, unrivaled availability, and incomparable pricing unlocks greater value from international patient care.