Maximizing Revenue Through Patient Access Process Optimization

Aug 6, 2024

Optimizing the patient access process in healthcare is about more than just ensuring a smooth patient experience—it’s a critical component of your organization’s revenue cycle. With upward of 35% of providers’ revenue coming from patient self-pay and 18 – 35% of Americans with medical debt in collections, the stakes are high. Poor patient access processes can lead to: 

  • Higher collection costs
  • Increased write-offs
  • Negative patient-provider relationships

A well-organized and efficient patient access process can lead to increased patient satisfaction, reduced administrative costs, and improved overall financial performance.

What is Patient Access?

Patient access encompasses the various administrative tasks that occur before a patient receives medical services. These include scheduling appointments, verifying insurance, collecting patient information, and ensuring proper authorization for treatments. A streamlined patient access process is vital for minimizing errors and delays that can hinder patient care and revenue collection.

The Importance of Process Optimization

Reducing Errors and Delays

Errors in patient information or insurance verification can lead to claim denials and delayed payments. In a recent survey nearly half of the financial leaders polled said the top reason for initial claim denials was errors in patient access and registration.

Optimizing the patient access process ensures that all necessary information is accurate and complete before the patient arrives. This reduces the likelihood of errors and speeds up the billing process. 

Enhancing Patient Experience

A smooth patient access process greatly enhances the overall patient experience resulting in higher satisfaction. When patients face fewer administrative hurdles, they are more likely to feel satisfied with their care. This can lead to higher patient retention rates and positive word-of-mouth referrals, both of which are beneficial for your revenue cycle.

Steps to Optimize Your Patient Access Process

Implementing Technology Solutions

One of the most effective ways to optimize your patient access process is by implementing technology solutions. Online appointment scheduling software, and insurance verification tools can automate many of the tasks involved, reducing the burden on your administrative staff and minimizing the chances of human error.

Training and Development

Proper training is essential for an efficient patient access process. Regular training sessions can keep your team updated on the latest best practices and technology tools, ensuring everyone is equipped to handle their tasks effectively, further reducing the risk of errors and delays.

Outsourcing Patient Access Solutions 

Outsourcing patient access solutions can be a strategic move to enhance efficiency and expertise. Partnering with specialized partners can provide access to advanced technology, skilled personnel, and best practices tailored to your unique needs. Outsourcing can reduce the administrative burden on your in-house staff, lower operational costs, and improve accuracy and compliance. By leveraging the expertise of external partners, healthcare organizations can focus on core activities and patient care while ensuring a seamless and effective patient access process.

Conclusion

Optimizing your patient access process is a strategic move that can significantly improve your revenue cycle. Engaging with patients early in the process and providing a patient-centric experience with easily accessible support is necessary for remaining viable. 

Customer-friendly patient access solutions, such as those offered by Revenue Enterprises, can help providers streamline workflows and prevent denials, reducing the $315 billion spent annually on revenue cycle administration. By leveraging technology and services, providers can improve financial results, enhance the patient experience, and build patient loyalty.

Karie Bostwick

VP of People and Compliance

As VP of People and Compliance at Revenue Enterprises, Karie Bostwick oversees People functions including recruiting, training, onboarding, engagement and satisfaction. Additionally, she is responsible for compliance training, oversight and monitoring.

Karie has a long history of working in the revenue cycle support industry. Her skills span leadership, operations start up, policies and procedures development, operations workflow, budgeting and client management.

She is passionate about the experience of our people, patients and the Healthcare clients we serve and believes that a team of diverse, talented and motivated individuals working together toward a common goal can make a difference.

Robert Sterett

VP of Information Technology

As a transformational leader Robert Sterrett has leveraged his 20 years of experience to build effective service lines and exceptional teams. In his role as VP of Information Technology at Revenue Enterprises, Robert excels at taking a unique, balanced, and strategic approach to technology leadership with people first for the best possible outcome. Using his experience from engineering, project management and service line management he takes a multi-faceted approach to ensure the right people are in the correct position coupled with the best technology to meet or exceed all expectations from security to compliance and business continuity.

Robert’s leadership style lends itself to building long term relationships and has consistently been a relied upon strength in many organizations. Over Robert’s time as an IT operational and project leader, he has spent significant time in both hands-on technology facing roles and client centric management roles to bring the best solutions that strive to meet the business and client needs.

Focusing heavily on his personal development skills and opportunities, Robert continues to foster coaching and mentorship relationships everywhere in his life, and the lives around him.

Douglas Dunbar

VP of Sales & Marketing

As VP of Sales and Marketing for Revenue Enterprises, Douglas Dunbar leads with a passion for building strategic partnerships, nurturing relationships, and upholding customer service excellence. In his role, Doug focuses on marketing and brand strategy, sales team leadership, and working closely with members of the management team to best serve company goals.

Doug has over 28 years of National sales and marketing call/contact center leadership, with 10 years of service specifically at Revenue Enterprises. Currently, Doug serves as part of Wyoming HFMA Chapter leadership and has held various roles in Colorado HFMA Chapter leadership for over 9 years.

In his spare time, Doug is very family oriented. Additionally, he loves traveling, cycling, golfing, fishing, hunting, and boating.

Kris Brumley, MBA

SVP/COO

As SVP/COO of Revenue Enterprises, Kris Brumley is a collaborative partner within the executive team and a leader for operational functions across the organization. Kris productively shares vision, drives innovation, and supports those around her in a way that elevates them and fosters continuous improvement and results. She has helped create a supportive environment for clients resulting in 98% client retention and a 65% NPS score for all clients and 75% for top clients by revenue.

Kris possesses an MBA in data analytics and has twenty-five years of experience in the healthcare industry, with 19 specifically in revenue cycle. She brings a wealth of customer service experience to her role and has worn many hats at Revenue Enterprises including Director of Business Development, EBO Division Director, and VP of Client Experience Management.

In her personal life, Kris is as busy outside of work as inside. She values spending time with her family, and enjoys fishing, hiking, traveling and interior decorating and design.

Timothy (Tim) Brainerd

CEO

As CEO of Revenue Enterprises for almost 20 years, Tim Brainerd leads by example. He promotes a shared vision and stewards a culture of Integrity, Passion, and Respect. He has assembled and empowered high-performing talent and teams to support customers, facilitate strategic planning and manage the capital of the company. Under his leadership, Revenue Enterprises has doubled in size three times over the past fifteen years while maintaining a culture of caring and gratefulness.

Tim has close to four decades of revenue cycle experience, including nineteen years with RSI
Enterprises. He has been a past president of Colorado Chapter of the HFMA and a presenting speaker on the topic of Leadership. He is a fifteen-year member of Vistage International, the world’s largest CEO coaching and peer advisory organization for small and midsize business leaders.

Raised in the Midwest, Tim values humble principles like being respectful, caring, passionate, self-reliant, and most importantly grateful. His most important lesson and the lesson he hopes to pass on in all relationships is living the Golden Rule–do unto others as you would have them do unto you. He is intentional in his choices and believes in making decisions, taking action, being accountable, and loving your neighbors.

Whenever possible, Tim spends his time with his wife of nearly forty years, his adult children, and his grandchildren. His hobbies include fishing, golfing, traveling as well as game nights and sharing great food with his family.