AIMost healthcare executives treat insurance approval as a single, isolated event. You secure the permission, you deliver the care, and you submit the bill. In the complex environments of long-term care, skilled nursing, and continuous specialty therapies, that static view of the world is fundamentally broken. It assumes getting approval is a one time task. […]
AIThe goal of modern revenue cycle management is not to battle payers. The goal is to collaborate through clarity, accuracy, and mutual accountability. Payers require specific, structured data to approve claims efficiently, while providers require timely, accurate reimbursement to sustain patient care operations. However, in the modern healthcare economy, this collaborative relationship is complicated by […]
AIThe foundation of a high-performing healthcare enterprise is not its clinical technology. It is the institutional knowledge held by the people managing the front desk and the back office. Yet, healthcare leaders are watching this critical foundation erode daily. A typical front desk coordinator or Revenue Cycle Management (RCM) specialist spends two to four hours […]
Account receivablesFrom Labor Arbitrage to AI Revenue Cycle Management: Why “AI-Sourcing” Is Replacing Traditional Outsourcing “AI-sourcing” is a structural shift in how revenue cycle work gets done, moving task execution from human-dependent BPO and offshore teams to AI agents that complete workflows end-to-end, with staff redirected to exceptions and judgment calls. This is not a staffing […]
EngineeringThe fastest gains in AI revenue cycle management are no longer found in claim scrubbing or coding queues. They live in voice-heavy workflows: payer calls for automated prior authorization, benefits verification, claim status follow-up, peer-to-peer reviews, and pharmacy support. Every hour a specialist spends on hold or reworking a call that produced no documentation directly […]
AIMost CFOs spend considerable energy on contract negotiations, and rightly so. But contracted rates only set the ceiling and what actually reaches the bank account is determined by execution inside prior authorization, benefits verification, claims processing, and accounts receivable. Preventable friction in these workflows quietly erodes net collection rate and drives up cost to collect […]
I was surprised at really how smooth and natural Joy's voice sounded. I really felt like I was talking with my sister. I've used a lot of other AI agents for other tasks and I've always found the voices to be staccato, with intermittent response times. Joy was smooth, easy. It was a very natural conversation. For us, it's probably job satisfaction and the ability to get patients into the system and get their treatment going quicker, faster, and easier.
Prior Authorization
7
Full-service
18
PT locations
Dr. Charles A. Bush-Joseph, MD
Sportsmedicine Physician/Surgeon at Midwest Orthopaedics at Rush
I was surprised at really how smooth and natural Joy's voice sounded. I really felt like I was talking with my sister. I've used a lot of other AI agents for other tasks and I've always found the voices to be staccato, with intermittent response times. Joy was smooth, easy. It was a very natural conversation. For us, it's probably job satisfaction and the ability to get patients into the system and get their treatment going quicker, faster, and easier.
Prior Authorization
7
Full-service
18
PT locations
Dr. Charles A. Bush-Joseph, MD
Sportsmedicine Physician/Surgeon at Midwest Orthopaedics at Rush
