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CASE STUDY

This team of reimbursement specialists completed an average of 25% more benefit verification calls per hour with no additional staff

In late 2023, a team of reimbursement specialists at one Fortune 10 healthcare company transitioned to FastTrack™, the AI copilot from Infinitus. Increasing hold times with payors and frustrations with their current system led the team’s leadership to seek a new benefit verification (BV) call solution that could help improve efficiency without sacrificing reliability.

By letting FastTrack take on the work of waiting on hold and navigating lengthy payor IVRs, the reimbursement specialists were able to make 25% more benefit verification calls per day – and power users of the software were able to increase their efficiency even more.

Key outcomes

  • In one month, the team was able to increase their average BV call completions by 25%
  • Power users completed as much as 39% more BV calls per hour with FastTrack
  • Users saved 20 minutes or more per task
  • Team members were able to complete as many as 2.9 benefit verifications per hour – a number that could be as low as 1.6 previously.
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“What I love about FastTrack is that I can start a new call when I know my call is about to end.”

Reimbursement Specialist, Fortune 10 healthcare company

Challenge

Time spent waiting on hold and navigating IVRs was causing a backlog of benefit verifications

Specialty medication BV calls are complex and can be extremely long. The hold times and IVR navigation required before even reaching a payor agent mean reimbursement specialists can be on the phone up to an hour or more for every call.

“Those hold times are killer sometimes,” said one member of the biotechnology manufacturer’s team of reimbursement specialists.

The team had a program through which they made calls and collected data, but it didn’t have the AI component that FastTrack has. It also had reliability challenges, crashing often enough that staff was frequently frustrated.

“Those hold times are killer sometimes, but thank God for FastTrack – I can be more effective.”

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Reimbursement Specialist, Fortune 10 healthcare company

Solution: AI copilot took on the waiting and “button pushing” to increase staff efficiency

By integrating FastTrack into their existing processes, the reimbursement team was able to bypass tedious IVR and hold times, reducing BV task turnaround time while boosting morale. They were able to get more done, and eliminate some of the less enjoyable parts of the job.

“Thank you for maintaining my sanity,” one reimbursement specialist said. “It’s a positive impact on [the] day, and just going forward. Thank you.”

FastTrack is powered by lnfinitus’s purpose-built AI system for healthcare, which draws from a vast knowledge graph of payor intelligence gathered from over 3 million calls and counting. It knows the right numbers to call, can navigate complex IVR systems, and waits on hold on behalf of reimbursement specialists or other call center staff – gracefully dropping callers in once a live payor agent answers.

FastTrack doesn’t require an integration; users can create tasks by uploading a CSV or by taking advantage of one of our integrations, including with Salesforce, EPIC, and other workforce management systems.

With options available for small teams that manage their own queues as well as large teams with centralized queuing, FastTrack offers a solution for organizations of all sizes and types.

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“Thank you for maintaining my sanity. It’s a positive impact on [the] day, and just going forward. Thank you.”

Reimbursement Specialist, Fortune 10 healthcare company

Result: Serve 25% more patients, no extra staff or time necessary

The success of the initial group’s experience with FastTrack has led the biotechnology manufacturer to expand use into other medications’ reimbursement teams. They have now used the tool to make over 1 million outbound calls.

“I don’t believe I would be able to do that without FastTrack,” said one reimbursement specialist. “…just hoping that somebody’s on there, hoping to catch them before they hang up on me.”

The success of the initial group’s experience with FastTrack has led the biotechnology manufacturer to expand use into other medications’ reimbursement teams. They have now used the tool to make over 1 million outbound calls.

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