A revenue and payment cycle management company sought to simplify the insurance claims process for Medicaid and health insurance providers. The manual submission was time-consuming, prone to errors, and often resulted in reimbursement delays. Implementing RPA significantly enhanced efficiency, improved accuracy, and achieved employee satisfaction by allowing the team to focus on more important tasks.
BENEFITS
- Efficiency: RPA significantly reduces the time and effort required for claims submission.
- Improved Accuracy: Reduction in data entry errors, reducing the risk of claim denials and delays.
- Compliance: Ensures claims are generated and submitted in compliance with Medicaid and third-party payer requirements, reducing compliance-related issues.
- Cost Savings: Reduction in administrative costs associated with manual claims submissions.
- Employee Satisfaction: Elimination of employees completing highly repetitive and mundane tasks and focused on claims required human intervention.
- Faster Reimbursement: Timely and accurate submission results in faster reimbursement, improving cash flow.
- Audit Trail: RPA provides a detailed audit trail of the claim submission process for compliance and reporting purposes.
TECHNOLOGIES
We employed UiPath, a leading robotic process automation (RPA) platform, to develop and implement the automated claims submission solution.
PROCESSES
The project embraced a Hybrid Agile Methodology, coupled with a Two-in-a-box Development Approach. This collaborative approach enabled close coordination between the development team and the business, ensuring that the bot's features were continuously aligned with client needs for an efficient and effective development process.