Why RSi?

RSi is an award-winning revenue cycle management (RCM) services provider. Headquartered in Columbia, S.C., RSi has been serving healthcare systems and hospitals across the United States for more than 25 years.

We share our clients’ pursuit of success in patient service and revenue performance. Our goal is to be your best employee. It’s not a slogan; it’s the standard we hold ourselves to with every client.

  • 97%+

    annual client retention rate

  • 300+

    hospital and health system clients

  • 6 years

    average client tenure

“I don’t think I have ever said this to any vendor. I could not put into words how impressed I am with RSi.”

— VP, Revenue Cycle

Our Experience

RSi provides revenue cycle management services at an extraordinarily high level. It’s our niche, and it’s the most significant factor behind our sustained growth.

Our team understands the complexities and nuances of the healthcare revenue cycle. Our robust quality assurance program ensures that our representatives meet high legal, compliance, and ethical standards.

We also understand the pressures of shifting priorities, dynamic payer landscapes, technological adoption, and talent shortages. Helping clients navigate these challenges is what RSi does best.

We do this by:

  • Attracting, retaining, engaging and developing the best talent.

  • Customizing engagements with accountability for results.

  • Applying AI and automation to tackle nanoprocesses and resolve macro problems fast and at scale.

  • Bringing functions together into a single closed loop, so every cycle produces better results than the last.

Awards and Recognition

Best in KLAS

2025 & 2026 – Debt Collections, KLAS Research

USA Today Top Workplaces

2026 USA Today National Top Workplaces

  • SOC 1 and SOC 2 certified

  • 2025 – 2026 Healthcare Industry Top Workplaces

  • 2025 USA Today Top 100

    Top 100 Company — Top Workplaces

  • 2024 Top Workplaces National Culture Excellence

    Leadership — Purpose & Values – Work Life Flexibility – Innovation

  • 2026 Top Workplaces National Culture Excellence

    Compensation & Benefits — Employee Appreciation — Employee Wellbeing — Professional Development

  • 2025 Remote Employer

    Top Workplaces

Our History

Founded in 1999, RSi began with a single commitment: deliver revenue cycle results that healthcare providers can measure, verify, and build on. Over two and a half decades of sustained growth, RSi has grown its team, capabilities, technology, and client base. RSi became a SOC1 and SOC2 tested and certified organization in 2022.
  1. 1999

    Founding

    RSi's original commitment to delivering real, measurable results for healthcare providers, establishing the bedrock of our operational philosophy.

  2. 2014

    CEO Brent Rollins Joins RSi

    Key leadership expansion marking a new era of operational excellence and strategic scaling across diverse healthcare networks.

  3. 2023

    Compliance Leadership

    Successfully became a SOC1 and SOC2 tested and certified organization, reinforcing our institutional reliability and security standards.

  4. 2023

    A Milestone Recognition

    Honored with our first Best in KLAS award for operational excellence in healthcare.

  5. 2026

    Excellence Redefined

    Three-time Best in KLAS and 22+ Top Workplaces awards and counting. Leading the future of RCM with leadership and reach across every state in the country.

Today, RSi operates nationwide, helping leading providers with the most complex and skill-intensive parts of the revenue cycle.

One thing that hasn’t changed: RSi’s original commitment to delivering real, measurable results.

Keep learning
about RSi

Find out more about what it’s like to work with RSi, or reach out now to learn more about our services.

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