Streamlined Billing Operations Saving $1.8M Annually

Horizon Medical Partners, a 200-physician multi-specialty practice, was hemorrhaging money through billing inefficiencies. Their clean claim rate sat at just 71%, billing cycles averaged 62 days, and the cost per claim was nearly triple the industry benchmark. Staff turnover in the billing department exceeded 40% annually due to burnout from manual processes.

We conducted a comprehensive audit of their billing operations and implemented a phased transformation. Key initiatives included deploying automated charge capture integrated with their EHR, implementing real-time insurance eligibility verification at check-in, redesigning the coding workflow with AI-assisted code suggestion tools, creating specialized teams for high-complexity claims versus routine billing, and building automated follow-up sequences for unpaid claims.

Within 6 months, Horizon's clean claim rate jumped from 71% to 96%, and their average billing cycle dropped from 62 days to 26 days — a 58% reduction. Annual operational savings reached $1.8M, and billing staff turnover dropped to 12% as manual workload decreased dramatically.