Upward Health, Automates Revenue Cycle Management (RCM)
Company Profile:
INDUSTRY: HealthTech
SOLUTION(S): RCM
LOCATION: New York, USA
EMPLOYEES: 201 – 500+
BUSINESS NEEDS:
- Streamline medical billing processes by implementing an RCM solution to handle claims, payments, and patient billing effectively.
- Automate workflows for claim processing, payment collection, and exception management.
- Provide detailed reports and dashboards for better insight into billing operations.
- Train internal staff to ensure smooth adoption of the new RCM solution.
SOLUTION IMPLEMENTED:
- Configured Elixir RCM to automate claim processing for primary and secondary insurances, including claim modifiers and payments.
- Integrated patient responsibility calculations and set up patient payment collection flows.
- Built customized templates for patient statements, enabling batch processing and payment plan setup with email reminders.
- Created 10 automated flows for exception management and reporting, along with 15 reports and 5 dashboards to support RCM workflows.
- Conducted comprehensive training sessions to ensure successful adoption of the RCM system.