Revenue Cycle Management

The Challenge

Revenue Cycle Breakdown Across Disconnected Systems

Providers are under growing pressure as intake, eligibility checks, billing, denials, and collections continue to rely on manual processes across disconnected systems. This fragmentation leads to delays, rework, revenue leakage, and increased operational strain.

When upstream data is incomplete or inconsistent, downstream processes slow down, creating claim errors, payment delays, and preventable denials. Clean, validated data at the start of the revenue cycle protects revenue and reduces preventable losses.

The Cost of Inefficiency

When revenue cycle processes are fragmented:

When patient engagement and RCM are disconnected

20% of claims are denied every year, leading to major financial loss
63% of providers struggle with RCM staffing shortages
Only 30–50% of recoverable revenue is reclaimed using current methods
Manual tasks dominate intake, reconciliation, and collections workflows

These inefficiencies weaken financial stability, extend days in AR, and limit an organization’s ability to operate at scale.

Genzeon’s Solution

How Genzeon Delivers End-to-End RCM Automation

We eliminate fragmented data and disconnected workflows by automating intake, validation, submission, and reconciliation processes. Our AI-driven intelligence layer enhances visibility across the revenue cycle, improving accuracy and accelerating reimbursement.

What We Automate

Referral & Fax Intake

Convert unstructured documents into ready-to-use data

Eligibility & Verification

Validate coverage and allocate appointments faster

Patient Scheduling

Trigger reminders and reduce no-shows

Claims & Denials

Streamline submission, validation, and appeals

Remittance & Collections

Detect variances, accelerate AR, and auto-post payments

How It Works

From Intake to Payment, Simplified and Streamlined

Pre-Visit Intake & Validation
Extract referral data, confirm eligibility, and reduce intake delays.

Denial Management
Automate submission packets, appeal letters, and denial detection.

Payment & Collections
Track remittance variances, match payments, and recover AR faster.

Patient Communication
Send real-time reminders, updates, and insurance confirmations.

Stop The Hidden Drain on Healthcare Revenue

Recover Lost Revenue and Automate Claims Reconciliation with Agentic AI

INTRODUCING REVA, THE REMITTANCE VARIANCE AGENT

Real Outcomes

Tangible Improvements Across the Board

Efficiency Gains

80% less manual effort in referral processing
70% faster remittance reconciliation
4x faster appeal letter generation

Revenue Performance

15–20% boost in cash flow through proactive recovery
10% recovered revenue via remittance variance detection
Up to 30% FTE savings in billing and prior auth tasks

Operational Impact

15–25% fewer patient no-shows
70% more faxes processed monthly
100% audit coverage in compliance workflows (vs. 5–10%)

More Than Automation

The Genzeon Difference

Built for Healthcare
Deep domain knowledge in provider-side workflows and regulations.
Intelligent Automation
Focused on solving data quality and upstream workflow gaps.
Scalable Integrations
Seamlessly connects with EHRs, billing, and payer systems.
Trusted Partners

Microsoft Solutions Partner, UiPath Top 3 Healthcare Partner, Azure Databricks.

Testimonial

"Agentic automation represents a pivotal shift in how healthcare organizations can finally break through the barriers of complexity, compliance, and operational bottlenecks. We see this as more than just automation—it’s about enabling autonomous systems that collaborate with people and processes to drive real outcomes in care delivery and payer operations."

Harsh Singh

GM of Healthcare at Genzeon

Frequently Asked Questions

We handle referral intake, eligibility, claims, denials, reconciliation, collections, and patient communication across the full revenue cycle.

By automating scheduling, reminders, and insurance verification, patients receive timely updates while providers reduce no-shows, intake delays, and billing friction.

Organizations have achieved up to 70% faster processing, 15–20% improvements in cash flow, and measurable reductions in manual workload across billing and prior authorization teams.

Yes, our platform is built to integrate with EHRs, billing software, clearinghouses, and communication tools.

Reclaim Revenue. Elevate Care.

Simplify RCM workflows and accelerate revenue recovery with Genzeon.

Get in Touch

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