AI Agents for Healthcare RCM Billing Automation

If your billing

organization struggles with the time and effort it takes to resolve exception-based

and denied claims, you are not alone. The volume and magnitude of phone calls,

faxes and portal queries is staggering, and only serve to hinder collections,

deplete margins and negatively impact the human work experience.

What if there were

a less costly, more efficient way to do this that that complements your

existing billing systems and clearinghouse solutions while offering a greater amount

of data and full transparency?

With billing AI

from Outbound AI, you can “hire” AI agents to perform claims follow-up work for

you, allowing your team members to be more effective in prioritizing tasks,

more strategic in the claims they give their attention, and better equipped to

handle a larger workload. AI agents are available 24/7/365. They scale on

demand to meet fluctuating volumes and operate at four to five times the pace

of their human counterparts, making them 80% less costly on average.

Implementation is fast and easy, with out-of-the-box support for most major

payers. Capabilities include:

• Retrieve enhanced

claim status data (up to three times more than 277 EDI).

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Obtain EOB

statements (full PDFs plus discrete service line data including payer-specific

remarks and reasons).

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Verify eligibility

and benefits (especially valuable when EBV is identified as reason for claim

denial).

*

Assist your billing

team members with calling payers and waiting on hold (a significant

productivity and morale boost).

Our Claims Work solution

is tailored to meet the needs of IDNs/health systems, physician groups of all

sizes, RCM/billing companies as well as EHR and other complementary technology

providers.