Automated Billing Dispatcher

Business Challenges

The payment system’s complexity and diversity, which includes various specialized systems and external systems managed through Excel files, presents a considerable challenge. Each system has its unique operating procedures, necessitating significant time investment from personnel to learn and adapt. The meticulous verification and disbursement process involves numerous steps, potentially leading to delays and an increased risk of errors. Furthermore, the traditional method of dispatching payment notification letters and tax withholding certificates through postal services can introduce additional delays and costs, along with the risk of document loss or damage. The extensive workload results in prolonged processing times and necessitates dealing with repetitive and intricate tasks.

Business Challenges

The payment system’s complexity and diversity, which includes various specialized systems and external systems managed through Excel files, presents a considerable challenge. Each system has its unique operating procedures, necessitating significant time investment from personnel to learn and adapt. The meticulous verification and disbursement process involves numerous steps, potentially leading to delays and an increased risk of errors. Furthermore, the traditional method of dispatching payment notification letters and tax withholding certificates through postal services can introduce additional delays and costs, along with the risk of document loss or damage. The extensive workload results in prolonged processing times and necessitates dealing with repetitive and intricate tasks.

Solution

The initiation of this process involves healthcare facilities submitting billing claims, which then prompts a governmental healthcare agency to process these claims for payment. This necessitates the generation of various documents, which are then retrieved by automation bots to be sent back to the healthcare facilities. To streamline this workflow, Robotic Process Automation (RPA) is utilized to automatically download the necessary documents through specified systems. This automation extends to extracting data from Excel files to prepare and dispatch payment notification letters and tax withholding certificates via electronic mail (email) to the healthcare facilities. This automated process is triggered when personnel upload the requisite files into the RPA platform.

Impact

  • Significant Time Reduction: Implementing RPA technology has achieved a 98% reduction in process time, cutting down from 255 hours to under 3 hours a month. This substantial decrease in operational time significantly boosts efficiency.
  • Enhanced Operational Workflow: Automation via RPA has simplified what were once complex and labor-intensive tasks, freeing up personnel to concentrate on more critical functions.
  • Improved Accuracy and Efficiency: The shift to automated processes reduces the likelihood of human error, ensuring accurate and timely delivery of documents to healthcare facilities.