AR Follow-Up & Claim Status Automation (Back End)

AR Follow-Up & Claim Status Automation (Back End)

โ€ข >95% Follow-Up Compliance
โ€ข 25% Faster Cash Collection
โ€ข 40% Fewer Denials

Overview

A provider organization faced rising AR days due to manual claim status checks and inconsistent follow-up practices. Limited visibility and staff-driven prioritization delayed collections and increased preventable denials. GeBBS deployed an RPA-enabled AR Follow-Up & Claim Status Automation solution to restore control and predictability.

Opportunities & Challenges

The organizationโ€™s manual AR workflows resulted in:
โ€ข Claims aging due to missed or delayed follow-ups
โ€ข Manual payer portal checks consuming staff time
โ€ข Inconsistent prioritization across AR teams
โ€ข Preventable denials from missed payer actions
โ€ข Limited visibility into claim status

Solution

Automated Claim Status Monitoring & AR Prioritization
GeBBS deployed RPA automation to:
โ€ข Identify claims with no payer response
โ€ข Prioritize claims based on aging and payer rules
โ€ข Extract real-time claim status from payer portals
โ€ข Route claims for payment posting, denial resolution, or escalation

Outcomes

โ€ข AR Days: Reduced through faster, consistent follow-ups
โ€ข Compliance: Over 95% timely follow-up actions
โ€ข Denials: Lower preventable denial rates
โ€ข Staff Efficiency: Focus shifted to complex resolution work
โ€ข Visibility: Standardized claim status tracking

Key Takeaways

โ€ข Automation enforces disciplined AR workflows.
โ€ข Prioritization accelerates cash collection.
โ€ข Consistent follow-up improves payer performance.

Conclusion

GeBBSโ€™ AR automation restored predictability to back-end collections, improving cash flow while reducing manual effort and denial risk.

Client Testimonial

โ€œOur AR team no longer chases claim status manually. Follow-ups are timely, consistent, and far more effective.โ€
โ€” Director, Patient Financial Services

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