Driving Efficiency in Healthcare RCM: How Optimax Achieved 80% Faster AR Processing with Automation
Optimax Consulting Service LLC is a premier provider of medical billing, coding, and revenue cycle management (RCM) services. The company partners with healthcare practices to streamline financial operations, increase revenue, and ensure regulatory compliance allowing medical professionals to focus on patient care.
Optimax has long been recognized for its meticulous, client-centric approach to medical billing. However, as its portfolio of healthcare clients continued to expand, the company’s reliance on manual processes once the cornerstone of its service delivery began to present operational challenges, posing risks to both scalability and efficiency.
Key Bottlenecks:
Manual Accounts Receivable (AR) Follow Up
High cost of hiring, rehiring & training people
To scale operations without proportionally increasing headcount, while maintaining exceptional accuracy and turnaround time. Optimax needed a solution that could:
The central challenge for Optimax was to significantly increase operational capacity while maintaining the precision and quality that clients relied upon. The dependency on manual processes meant that scaling the business required a proportional increase in headcount leading to higher costs and operational complexity.
To remain competitive and achieve sustainable growth, Optimax required an advanced solution that could handle high volumes of work more efficiently, while enabling their team to focus on high-value, strategic functions rather than repetitive administrative tasks.
Phase 1: Automating AR Follow Up
Phase 2: Automating Client Reporting
Results & KPIs
Metric | Before RPA | After RPA | Improvement |
AR Claim Verification Time | 10 min/claim | 2 min/claim | 80% faster |
AR Team Efficiency | Fully manual | Focus on high-value work | Significant boost |
Client Report Turnaround | Delayed | Near real-time | 100% faster |
Error Rate in Reports | Higher risk | Virtually eliminated | — |
Scalability | Headcount-dependent | Process-dependent | Cost-optimized |
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