Automation
Simplifying RCM Through Automation
We at Rapid RCM Solutions believe automation is all about boosting your team’s capabilities, not replacing them. Our automation services are built to eliminate tedious manual work, accelerate your operations, and make your revenue cycle run smoother from beginning to end. We build straightforward workflows for everything, including quick insurance verification, accurate claim submissions, and clear A/R tracking, so your job gets easier.
Where Automation Helps the Most
Patient Intake & EligibilityReal-time insurance verification
- Auto-filling of patient demographics
- Digital intake forms and check-in workflows
- Early alerts for missing or invalid coverage
Charge Capture & Coding
- Pulling charges directly from your EHR or external files
- Rule-based charge posting for accuracy
- Flagging missing modifiers or coding inconsistencies
Claim Scrubbing & Submission
- Claim editing and scrubbing before submission
- Clean claim batching and delivery
- Rejections automatically flagged for quick follow-up
- Built-in workflows to prevent repeat errors
Denial Management & Appeals
- Auto-grouping and prioritizing of denials
- Pre-built appeal packets with required attachments
- Tracking of pending appeals and follow-ups
- Root cause visibility to stop recurring issues
Accounts Receivable (A/R) Follow-up
- A/R worklist creation based on claim status and value
- Classification of claims by aging buckets
- Auto-tagging of unworked or delayed claims
- Triggers for timely follow-ups on high-priority items
Payment Posting & Reconciliation
- Auto-posting of payments from 835/ERA files
- Identifying and flagging underpayments or mismatches
- Unapplied payment tracking
- Reconciliation of EFTs and payment records
Patient Billing & Communication
- Auto-generation of patient statements
- Email and SMS reminders for outstanding balances
- Payment tracking and alerts
Reporting & Dashboards
- A/R and denial rate dashboards
- Claim-level reporting by payer or provider
- Month-end summaries and productivity views
- Real-time snapshots of overall RCM performance
Claim Scrubbing & Submission
- Claim editing and scrubbing before submission
- Clean claim batching and delivery
- Rejections automatically flagged for quick follow-up
- Built-in workflows to prevent repeat errors
Built Around Your Workflow
We build our automation to fit right into your existing setup. That means we connect with systems like Athena, eClinicalWorks, Kareo, NextGen, AdvancedMD, Epic, and many others you might have. Our automation understands all the common healthcare data types (like EDI 835/837, HL7, SFTP), and we use strong, secure tools like Power BI, Python, and SQL to make sure everything runs smoothly, without a hitch.
Examples of Automations We've Delivered
- A/R worklists generated and emailed weekly
- Rejection alerts tied directly to payer responses
- Daily unbilled reports sent to providers
- Denial trend dashboards with filters by payer and CPT
Why Choose Rapid RCM for Automation?
We keep it simple—no overbuilt systems or unnecessary tech
Everything is tailored to your practice, specialty, and billing process
Our focus is on helping your team do more in less time, with fewer errors
Let’s Make Your RCM More Efficient
Tired of manual tasks eating up your time, or think your billing process could be more efficient? We’re ready to show you how.
Contact us for a walkthrough of actual automations that are already making a difference for practices like yours.
Contact us for a walkthrough of actual automations that are already making a difference for practices like yours.