Driving AR Productivity with RPA BOTs
- 3-5x Productivity Boost
- 40-50% Faster Claim Processing
- $150K+ Annual Cost Savings
Overview
A leading Midwest region behavioral health care provider with 250+ clinics partnered with GeBBS to address inefficiencies in their Revenue Cycle Management. By implementing GeBBSโ proprietary RPA bots, the organization significantly enhanced AR representative productivity, expedited claim processing, and reduced operational costs.
Opportunities & Challenges
Manual claim processing was hampering revenue recovery due to:
- Lengthy processing times of 10โ15 minutes per claim for EOB retrieval and denial tracking
- Rising operational costs linked to inefficient workflows
- Frustrated providers from slow resolution times and data inaccuracies
These challenges resulted in substantial revenue loss and underscored the need for a more agile, automated solution.
Goals
โข Automate claim inquiries and EOB retrieval to reduce manual effort
โข Accelerate claim processing and resolution of denials
โข Reduce operational costs and minimize manual errors
โข Reallocate staff to focus on higher-value, revenue-generating tasks
Solution:
RPA/BOT Implementation
GeBBS introduced RPA bots to transform RCM operations through:
ยท Automated EOB Retrieval: Leveraging real-time clearinghouse integrations via Availity to eliminate manual EOB processing
ยท Digital Data Handling: Reducing manual errors by 5โ8% with automated claim inquiries and adjustments
ยท Accelerated Denial Resolution: Cutting turnaround times by 20โ25% for denied claims
ยท Workflow Optimization: Automating repetitive tasks to reallocate staff to revenue-generating activities
Outcomes
โข Productivity Boost: Achieved a 3โ5x increase in staff productivity
โข Faster Processing: Reduced claim processing times by 40โ50%
โข Cost Efficiency: Realized annual cost savings exceeding $150K by lowering manual labor dependency
โข Enhanced Revenue Recovery: Faster, more accurate claim processing contributed to improved cash flow and reduced denials
Key Takeaways
- Automation can transform RCM processes, yielding significant productivity and operational efficiency gains.
- Real-time integrations and digital automation minimize errors and accelerate claim resolution.
- Streamlined workflows not only reduce costs but also enhance revenue recovery and overall service quality.
Conclusion
By implementing RPA bots, GeBBS enabled the client to overcome longstanding inefficiencies in their revenue cycle. The solution not only accelerated claim processing and reduced errors but also drove substantial cost savings and improved provider satisfaction.
Client Testimonial
“GeBBS implementing bots for workflow integration has been a game-changer. Our teamโs productivity has soared, claim processing is faster than ever, and our operational costs have significantly decreased. This solution has truly transformed our approach to revenue cycle management.”
โ [Director of Revenue Cycle]
