Automate Eligibility Verification for Seamless Patient Access
10+
Years of Industry Experience
300+
Healthcare Providers Served
50,000-60,000
Verifications Completed Per Month
Eligibility Verification Services
Error-Free, Automated Checks for Improved Care and Collections
Custom RPA Bots for Speedy, Accurate Checks
Faster Turnaround Time for Timely Care Delivery
Reduced Costs and Front-End Denials
Improved Cash Flow and Patient Experience
At Jindal Healthcare, we understand the criticality of insurance eligibility verification in facilitating timely care delivery, creating a positive patient financial experience, and driving your revenue growth. However, when done manually, it is prone to errors and delays, which can overwhelm your front-end staff. Accessing an ocean of patient data across a multitude of payer portals and spending hours verifying patient details required to proceed with care delivery that aligns with their insurance plans can take a toll on your staff, while also slowing down your revenue stream.
Our robotic process automation (RPA)-assisted patient eligibility verification services have turned the tide for many hospitals and practices with speedy patient financial clearance before care and can change the game for your organization too.
We combine the cutting-edge RPA technology with the revenue cycle management (RCM) expertise of our trained verifiers to capture accurate and updated patient insurance information from payer portals, thus offering a cost-effective, time-sensitive, error-free solution to verification challenges.
The result?
Streamlined patient access, reduced denials, and a stronger bottom line.
Our Process
Speedy, Accurate Verification for Smoother Patient Access Workflows
We take a holistic approach to medical insurance eligibility verification to optimize your front-end process for maximized efficiency and improved outcomes.
We begin by setting up plan-type directories and creating templates to streamline patient information capture. Our custom RPA bots then swiftly capture up-to-date, accurate patient information from payer portals, substantially reducing the effort and time that go into manual tasks and making data access and organization a breeze. We then apply sophisticated rules to estimate patient costs, enabling the prioritization of deductibles over copays wherever applicable, to maintain financial transparency with patients before the care delivery.
Additionally, we manage authorizations and referrals and visit status workflows to facilitate seamless communication, making it easier to track and move patients across the care continuum.
With this all-round approach, we help reduce errors across the board, resulting in smooth patient onboarding, reduced front-end denials and staff burden, faster reimbursements, and a strengthened bottom line.
Eligibility Verification Services for Improved Care and Collections
According to a survey by Black Book Research, about 35% of claim denials result from inaccurate patient identification, costing the average hospital $2.5 million and the US healthcare system more than $6.7 billion annually, highlighting the implications wrong information can have on interoperability, patient care and safety, and the revenue cycle.
Thus, to facilitate efficient interoperability across patient access workflows, we employ custom-built RPA bots to fetch accurate, updated patient information from payer portals in a matter of seconds, drastically reducing the time taken to perform these checks manually while improving the accuracy to prevent related denials.
Our approach to process optimization through tech-enabled expertise for accurate determination of patient eligibility and financial responsibility helps minimize eligibility-related rejections and denials and improve upfront collections by maintaining transparency with patients on their financial obligations. This further helps enhance patient experience while allowing your staff to focus on care delivery.
Why Choose Jindal Healthcare’s Eligibility Verification Services
Increased Efficiency
Reduced Costs and Burnout
Improved Patient Experience
Elevated Bottom Line
Optimized workflows for streamlined cash flow and reduced front-end errors that lead to rejections/denials at the backend
Outsource Eligibility Verification for Seamless Patient Access
AI- and Automation-Powered Workflows
We leverage custom RPA bots and our proprietary AI workflow management and system-agnostic platform HealthX, along with our expertise, to facilitate speedy, accurate insurance eligibility verification for seamless patient access.
Intelligent Dashboards for KPI Monitoring
We monitor critical KPIs like the denial rate caused by incorrect insurance eligibility checks, average time taken for verification, and patient satisfaction scores through intelligent dashboards to enhance operational efficiency.
RCA for Proactive Denial Management
Using AI, we perform the root cause analysis (RCA) of eligibility-related denials to facilitate corrective actions. Additionally, we leverage predictive analytics to dive deep into denial trends to prevent the future occurrence of denials.
Feedback Loop for Continuous Process Refinement
For continuous workflow optimization, we impart regular staff training on regulatory compliance, payer behavior, and client-specific SOPs; perform claim audits to detect and fix revenue leaks; and fine-tune bots to boost efficiency, ensuring a seamless process.Customers Trust Us for a Good Reason
< 0.2%
Reschedule Rate
99%
Clean Claims Rate
Up to 50%
Reduced RCM Costs
Upto 35% Revenue Growth
See How We Are Making a Difference
47% Reduction in Cost to Collect
51% Improvement in Collections
<5% Cost to Collect
Hear From Our Happy Customers!
Find Out Why They Love Us
Stacy Bryan
CEO of Nereus Anesthesia
Alexandra Williams
COO of Dynamic Pain & Wellness
Dr. Patel
Rural Health Facility, Texas
Explore Our FAQ Corner
Jindal Healthcare is an end-to-end RCM solutions provider, also offering patient access solutions, including eligibility verification and prior authorization. We optimize front-end workflows by automating healthcare insurance eligibility verification using RPA bots. Ours is a system-agnostic platform that works within your system and SOPs for accurate insurance eligibility checks and patient cost estimation. This further helps expedite patient onboarding and care delivery while reducing the chances of denials and uncompensated care.
We leverage our proprietary AI platform, HealthX, to optimize front-end workflows for healthcare providers across all specialties. By leveraging our proprietary AI platform, HealthX, which supports cutting-edge tools, we perform an RCA on eligibility-related denials and understand data patterns to develop a feedback mechanism, fix revenue leaks, and prevent potential front-end denials with timely corrective actions.
We prioritize data security for our customers through data encryption measures and regulatory compliance. The data is encrypted using advanced encryption protocols, and we ensure that it is accessed by authorized personnel only. Besides, we adhere to HIPAA regulations and ensure all the information is handled with utmost confidentiality.
We offer end-to-end revenue cycle optimization solutions to healthcare providers, physician groups, and specialty practices. Besides patient access services, which include RPA-assisted eligibility verification services and prior authorization services, we provide medical coding and billing and AR management services.
Simplify Operations, Fuel Growth.
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