RPA-Driven Revenue Cycle Transformation for a Hospital Network
A hospital network used RPA and intelligent document processing to reduce cycle time, lower denial rates, and free finance staff for more strategic work.
Challenge
Manual claims processing across multiple facilities caused long revenue-cycle times, coding errors, and high denial rates. Finance teams were overloaded with repetitive data entry rather than exception handling or analysis.
Approach
EvoTech deployed a coordinated set of bots across claims submission, prior authorization, payment posting, and denial management. Intelligent document processing was added to automate clinical document intake and accelerate coding support.
Results
- Revenue cycle time reduced from 14 days to 6 days.
- Denial rate dropped from 18 percent to 7 percent.
- $3.2M in previously written-off claims recovered in year one.
- Manual data-entry time dropped sharply, freeing staff for higher-value work.
Solution structure
Healthcare revenue cycle automation
RPA Bot Development
Designed RPA bots to handle patient registration, insurance verification, and claim submission workflows.
Intelligent Document Processing
Implemented intelligent document processing for EOBs and patient correspondence using OCR and NLP.
Monitoring Framework
Built monitoring and exception handling framework with human-in-the-loop review for complex cases.
Outcome metrics
Measurable business impact
Automating healthcare revenue cycle processes?
EvoTech can design RPA and intelligent automation that improves cycle time, reduces denials, and frees finance staff for higher-value work.