Client Profile
- Type: Mid-sized billing company
- Specialties: Cardiology, Orthopedics, Family Medicine
- Team Size: 200+ billing and AR specialists
- Client Base: 50+ physician practices
About The Client
Horizon Medical Billing Services is a fast-growing billing company based in Texas, serving over 50 physician practices across cardiology, orthopedics, and family medicine. With a team of 200+ specialists, the company manages end-to-end revenue cycle processes including charge entry, claims submission, and AR follow-up for multi-specialty providers.
Challenges
Horizon was growing rapidly, but its backend operations couldn’t keep pace. Manual processes across charge entry, denial follow-up, and reporting led to delays and client dissatisfaction.
Key issues included:
- AR cycles averaging 55–60 days
- 14% denial rate
- Time-consuming manual reporting
- Need to hire 2–3 FTEs per new client
The COO noted,
“We were winning new clients every quarter. But our backend couldn’t keep up. We needed intelligent automation, not more manpower.”
ImpactRCM’s Approach
ImpactRCM introduced a tailored automation framework that addressed Horizon’s multi-specialty needs:
- AI Agents for AR and Denials: Automated follow-ups, payer checks, and appeals. Claims were prioritized by value and payer behavior.
- Predictive Denial Prevention: Identified potential rejections before submission using historical denial patterns.
- Real-Time Dashboards: Clients could track AR days, denials, and payments anytime.
- Workforce Analytics: Helped reallocate staff based on productivity data.
Results After 6 Months
| Performance Indicator | Before | After |
|---|---|---|
| AR Days | 58 | 39 |
| Denial Rate | 14% | 7% |
| Claims per FTE | 80/day | 118/day |
| Client Retention | 86% | 98% |
Potential outcomes
- Reporting time dropped from 4 hours/week to 15 minutes
- Revenue grew by 27% YoY without increasing headcount
- Client relationships improved due to greater transparency
The COO shared,
“ImpactRCM changed how we operate. Our clients now see everything in real time, and our team can finally focus on strategy.”
