US Healthcare · UK Letting · Global Recruitment

Outsourcing that
feels in-house.

Arrowshine International runs the back-office for US healthcare organizations and UK letting agencies — senior-led offshore pods that move your KPIs from month one.

Book a discovery call Explore our services
US
UK
EU
IN

Trusted by 250+ teams across US, UK & APAC

Live · Arrowshine ops floor
01
250+
Clients globally
US · UK · APAC
02
1.2M+
Cases processed
Since 2019
03
24/7
Follow-the-sun ops
EST · GMT · IST
04
98%
Client retention
Rolling 3-yr avg

Why Arrowshine International

The discipline of a top-tier consultancy.
The economics of offshore.

We don't replace your team — we extend it. Six commitments shape every Arrowshine engagement.

HIPAA & GDPR aligned

SOC 2 controls, encrypted workflows, signed BAAs — built for regulated US and UK operations.

Follow-the-sun delivery

Seamless coverage across EST, PST and GMT from a single Ahmedabad delivery hub.

Senior-led pods

Every account has a dedicated delivery lead. No call-center vibes, no revolving doors.

Live in 2–4 weeks

Structured onboarding, SOPs and QA scorecards from day one — measurable from week two.

Outcome pricing

FTE, transactional or performance-based commercial models — aligned to your KPIs.

Zero-attrition guarantee

Backup agents and shadow-trained leads ensure continuity through every leave or transition.

Three core services

Built deep, not broad.

Three specialties, each staffed by domain experts who've lived inside US clinics, UK agencies and global hiring teams.

For US Healthcare Organizations

Healthcare Solutions

End-to-end Revenue Cycle Management — eligibility, prior auth, medical coding, AR follow-up and patient support — for clinics, MSOs and DSOs.

  • Medical billing & coding
  • Prior authorization
  • AR & denials management
  • Patient contact center
Explore service

For UK Letting Agencies

Real Estate Letting Support

Back-office that lets your negotiators sell. Tenant referencing, deposit handling, inventory clerking, and property accounts — done overnight.

  • Tenant referencing & onboarding
  • Property accounts & reconciliation
  • Inventory & inspections admin
  • Maintenance coordination
Explore service

For Global Businesses

Recruitment & Staffing

Sourcing, screening and full-cycle recruitment across tech, finance, healthcare and operations — at scale, with consultant-level quality.

  • Sourcing & boolean search
  • Candidate screening
  • Coordination & scheduling
  • Executive search support
Explore service

Industries we serve

Deep expertise in the
verticals that matter.

US healthcare and UK letting are our home turf. Around them, we run pods for staffing firms, financial services and legal process operations.

See all capabilities

Hospitals & Clinics

United States

Dental & DSOs

United States

Letting Agencies

United Kingdom

Property Management

United Kingdom

Staffing Firms

Global

Finance & Insurance

US / UK

Legal Process

US / UK

Education

Global

How we engage

Four steps to a pod that performs.

Predictable, transparent, and built around your operating reality — not ours.

01

Discover

A 30-minute workshop to map your workflows, KPIs and compliance envelope.

02

Design

We build the org chart, SOPs, QA scorecards and tech stack tailored to your operation.

03

Deploy

Pods go live in 2–4 weeks with shadow-training, dual-running and daily standups.

04

Deliver

Weekly QBRs, transparent dashboards and a senior partner accountable for outcomes.

Case studies

Outcomes our clients can put in a boardroom deck.

All case studies
US Healthcare · Multi-state DSO
−42%
AR days

Cut AR days from 58 to 34 across 78 clinics

Restructured the denials workflow and deployed a 24-agent coding & AR pod that scaled with new acquisitions.

UK Letting · London & Home Counties
3.5×
Listings handled

Tripled listings throughput without adding UK headcount

Overnight tenant referencing, inventory clerking and reconciliations freed local negotiators to focus on viewings and close.

Global Staffing · Series C SaaS
92%
Shortlist hit rate

Filled 140 engineering roles in 9 months

Sourcing pod delivered pre-screened shortlists in <48 hours across 11 time zones — at one-third of agency cost.

Client voices

Trusted by teams across three continents

"Arrowshine's healthcare back-office team integrated with us in days. Our revenue cycle has never been cleaner."
Dr. Amelia Hart
COO, Coastal Medical Group
United States
"Their letting support team handles tenant queries with the polish of an in-house London office. Game changer."
James Whitfield
Director, Whitfield Lettings
United Kingdom
"We scaled a 40-person engineering team in six weeks. Quality of candidates was outstanding."
Priya Subramanian
VP Talent, NorthArc Systems
Global

Latest insights

Briefings from the Arrowshine desk.

Visit the blog
Healthcare RCMJun 2026

The 2026 prior-auth bottleneck — and how to engineer around it

Why AR days are creeping up at US clinics, and the operating model that quietly removes the blockage.

Read article
UK LettingMay 2026

Renters' Rights Bill: what letting agents should outsource first

A practical playbook for absorbing new compliance obligations without adding UK headcount.

Read article
Operating ModelApr 2026

Senior-led pods vs. classic BPO: a head-to-head on outcomes

Why the structure of your offshore team predicts results more than its size or location.

Read article

Ready to extend your team — without the overhead?

Book a 30-minute discovery call. We'll map your workflow, propose a delivery model, and quote you in under 48 hours.

Book a discovery call Explore services