Introduction
Nalashaa, a top provider in Robotic Process Automation (RPA), partnered with leading players in U.S. healthcare to streamline the payment posting process. These clients are experts in medical billing and revenue cycle solutions, dedicated to improving practice performance.
Client Challenge
In the ePosting Process, the client encounters difficulties reconciling payments received from various payers or health insurance companies. These payments, transmitted through electronic remittance advice (ERA), require manual entry into the billing application. Manual data entry is time-consuming and prone to errors, particularly across multiple providers.
Solution
Nalashaa’s team developed a robust solution leveraging robotic process automation (RPA) to streamline the payment posting process for the client. The solution automates several key steps:
Authentication
The RPA bot securely authenticates access to the billing application, ensuring seamless interaction with provider data.
ERA Processing
The bot retrieves unposted claims from the ERA, extracting vital details such as EFT date, posted date, carrier information, and check total.
Payment Posting
Utilizing the extracted data, the bot automates the posting of payments into the billing application, adhering to predefined rules and guidelines.
Batch Creation and Linking
The bot creates new payment batches and links individual payments to their respective batches for efficient reconciliation.
Deposit and Query Log Management
Processed files are categorized into deposit and query logs, facilitating streamlined management and resolution of posting errors.
Batch Reconciliation
The bot reconciles batch totals with actual posted amounts, identifying and flagging discrepancies for further investigation.
Benefits
The implementation of RPA in the payment posting process delivered numerous benefits:
Elimination of Repetitive Manual Tasks
RPA eliminates manual data entry tasks, allowing staff to focus on higher-value activities.
Increased Productivity
RPA eliminates manual data entry tasks, allowing staff to focus on higher-value activities.
Reduced Errors
Automation minimizes the occurrence of errors inherent in manual processes, ensuring greater accuracy and compliance.
Faster Delivery
RPA accelerates task completion, leading to faster processing times and improved service delivery.
Cost Savings
By replacing manual labor with automation, the client achieves significant cost savings and operational efficiencies.
Results
Before BOT
Total number of FTEs supporting activity: 4
500 transactions in 24hrs
Time consumed per transaction: 5 minutes
After BOT
FTE Saving: 95%
500 transactions in 12.5 hours
Time consumed per transaction: 1.5 minutes
Technology Stack
