Innovation, Experience, Talent, and Technology
Working in concert to accelerate revenue cycle performance.
Celebrating
25
Years
Automating and Optimizing revenue cycle operations for Hospitals, Health Systems and providers of all sizes and specialties.
Transforming Revenue Cycle Management
We blend cutting-edge technology with deep industry expertise, ensuring that healthcare providers can focus on what they do best: delivering exceptional patient care.
Tailored Approach
Our suite of solutions leverages the synergy between innovation, experience, and talent to streamline operations, minimize financial leakage, and unlock the true potential of your revenue cycle.
RCI Automation Platform
Welcome to the heart of innovation where technology meets efficiency – our RCI Platform. Engineered to empower healthcare providers, our platform is a nexus of solutions tailored to enhance and streamline your revenue cycle management. Our platform is intuitive, scalable, and robust, addressing the complexities of today’s healthcare billing landscape.
And if your needs are unique, our platform is versatile enough to create customized solutions that fit precisely with your objectives.
At Aurora Healthcare, we don’t just solve problems; we innovate possibilities.
The possibilities are endless…
ADR Fulfillment
Identifies payer requests for additional documentation, automatically retrieves and submits requested documents. Updates work lists with proof of submission and assigns next appropriate follow-up task.
Generative AI Appeals
This solution intelligently processes denial notices and relevant clinical data to autonomously construct contextual and precise clinical appeals.
Insurance discovery and COB
Searches multiple sources to identify coverage for uninsured accounts or verify coordination of benefits for Medicaid MCO, Medicare MVA and other cases.
Prior Authorization Confirmation
Ensures verifications are complete before claim submission, streamlining the approval process.
Streamlined Late Charge and Credit Balance Resolution
Automate the settlement of late charges and credit balances through a sophisticated, rule-based management system.
Proactive Adjudication Status Analysis
Ensures acknowledgment of claim submissions, preemptively highlights denials prior to the receipt of the 835 transaction, and ascertains the status of outstanding aged accounts.
Integrated Patient Payment Verification
Seamlessly correlates patient payments from various channels, including payment portals, lockboxes, and cashier sources, as well as diverse methods like credit cards, ACH, and checks, ensuring alignment with bank deposits.
Streamlined Patient Payment Reconciliation
Ensures accurate alignment of verified payments with respective patient accounts for financial integrity.
Comprehensive Third-Party Payment Verification
Matches remittance advice documentation, whether electronic (835) or paper-based (EOB), with corresponding bank deposits.
Third Party (Insurance) Payment Reconciliation
Ensures that verified insurance payments are systematically reconciled with patient accounts for streamlined financial management.
EOB Auto-Retrieval
Retrieves EOBs from payment sources not available via your clearinghouse vendor. Examples include workers comp, state and local governments, MVA and more.
Paper EOB Conversion
Converts EOB reports from all sources, including lockbox, web portal or mail, to ready to post 835 files.
Auto Posting
Streamlines the cash management workflow from 835 retrieval and deposit confirmation to batch processing, application, reconciliation, and handling of discrepancies.
Correspondence Management
Reviews the content of each document accurately categorizing and assigning appropriate action.
“It’s not just about the technology at Aurora, it’s about their people. They really do become an extension of our team. They are personally vested in your success.”
“It’s not just about the technology at Aurora, it’s about their people. They really do become an extension of our team. They are personally vested in your success.”