AI Powered Precision Medicine Facility Automates Medical Billing

Company Profile:

INDUSTRY: HealthTech

SOLUTION(S): RCM

LOCATION: North Carolina, USA

EMPLOYEES: 100+

Streamline medical billing for revenue cycle management.
Implement a complete billing solution for claim management, payment collection and patient statements
Manage the entire claim lifecycle and ERAs
Handle claim rejections and denials
Support Subscription based payment management with installment- based payments for patients.
Integrate with a payment gateway to enhance payment collection efficiency.
Ensure staff are trained to use the new system effectively for a successful transition.

Configured automated workflows for efficient processing of primary and secondary insurance claims.
Enabled automated posting of claim payments to reduce manual errors and improve accuracy.
Implemented claim modifiers for precise adjustments.
Developed detailed reports for claims by status, payer, and aging to enhance financial oversight.
Implemented accurate calculations for patient financial responsibilities.
Set up processes for automated and manual patient payment collection.
Created and generated patient statement templates and set up batch processes for statement file generation.
Integrated with a credit card processor compatible with Salesforce for seamless payment processing.

Enhanced Efficiency: Reduced claim processing time by 40% and payment workflows by 35%, resulting in faster revenue realization and decreased overhead.
Improved Accuracy: Achieved a 25% reduction in manual errors and discrepancies.
Better Financial Management: Enhanced financial transparency with a 30% increase in reporting accuracy and 20% better insights.
Seamless Transition: Achieved a 95% user adoption rate with minimal disruption, reducing the transition period by 50% compared to previous implementations.
Ongoing Support: The 60-day warranty addressed and resolved 90% of post-implementation issues, ensuring system stability and user confidence.