Artificial intelligence: Consider time-saving aspect

Q. How can my team use AI to deal with time-consuming calls to insurance companies? 

A. It’s no secret – health care professionals spend countless hours navigating insurance phone calls. AI callers offer a transformative solution by handling tedious, routine tasks, allowing your team to focus on more meaningful work. 
 
These are not the “robocalls” we’ve all heard before – they are advanced, conversational AI capable of complex tasks like waiting on hold, verifying eligibility, checking claims status and determining financial responsibility. As they continue to improve, let’s consider a few reasons why and how they might help your team. 
 
One health care organization used AI callers to manage authorization calls that previously took from 20 minutes to three hours. With AI handling routine calls, the team focused on critical tasks that needed a manual touch at a second level, and significantly reduced delays in patient care. 
 
When considering the time saving aspect, it’s important to recognize that AI callers integrated with ERP or OMS systems can minimize errors caused by manual processes. This ensures smoother communication between suppliers, payers and providers. 
 
What about growth? The increasing demand for DME services and supplies requires businesses to scale. AI caller services grow with the organization, allowing you to double your business without adding staff or overburdening current team members. They can manage calls outside of typical business hours, enhancing customer service and patient care. 
 
When considering a solution to support your team, it’s important to understand how the AI technology is “trained.” We’re dealing with the complicated U.S. health care system and millions of clinical and payer guidelines. On top of that, we’re working with real human lives, with the intention of getting patients the care they need. The right tools msust adapt to your organization’s workflows and clinical guidelines—not rely on a one-size-fits-all approach. 
 
For more information, contact Teresa Power, director of marketing at Synthpop, at teresa@synthpop.ai.