TECHNOLOGY ADVANTAGE

Kemberton has identified a set of performance improvement opportunities where smart application of technology dramatically improves the efficiency, productivity and transparency of specialized revenue cycle management.  The four main areas are:

 Healthcare Claims Processing Workflow Optimization

Claims workflow optimization and healthcare claims processing workflow automation to ensure the most appropriate resources are applied at each step, eliminating repetitive, time-consuming tasks and ensuring compliance with deadlines, requirements and best practices.

Automated Claims Processing

Taking full advantage of electronic processes in the claims workflow, including e-filing of claims and documents, and direct feeds of 837 files from our providers and clearinghouse partners to allow us to get claims in as early as possible for maximum returns and fast results.

Knowledge Base and Rules Engine

Knowledge base and rules engine codify institutional knowledge into our healthcare claims processing workflow, so every time we identify a new rule, requirement or best practice for any client, it automatically becomes part of every applicable claims workflow.

Transparency

Transparency into revenue flow and KPIs set Kemberton apart, with robust client dashboards that ensure progress against goals, predictability of revenue and full alignment between our clients and the Kemberton team.

Applying technology to these areas has allowed us to build highly-efficient and use case-specific healthcare claims processing workflows that are customized down to the individual payment source and claim type. This not only allows us to use our expert teams efficiently, but also to expose claims workflow and claim status information via our client dashboards that track real-time performance from high-level KPIs down to the individual claim status.

Benefits

    • Improved efficiency expedites our core work flows and gets results faster
    • Improved productivity increases the number of cases and/or claims our Advocates can work effectively
    • A highly trusted data exchange and storage solution
    • A world-class technology team who constantly innovates, bringing our clients new and updated technology solutions