RPA Billing Automation

Engineering Approach

Medical billing and prior authorizations require thousands of hours of repetitive manual data entry across dozens of disconnected payer portals. Our Robotic Process Automation (RPA) engineers build resilient, computer-vision-powered bots that log into payer portals, scrape claim statuses, and automatically reconcile EOBs directly in your database. The average medical billing specialist spends 4-6 hours per day logging into Availity, Change Healthcare, and individual payer portals to check claim statuses, download EOBs, and track prior authorization approvals. For a billing department processing 500+ claims per week, this represents 20-30 hours of pure manual data entry that produces no clinical or operational value. The work is tedious, error-prone, and impossible to scale — you can't hire your way out of this problem, because adding more billing staff just adds more labor cost. RPA inverts this model entirely. We build headless browser automation scripts using Playwright or Puppeteer that programmatically log into payer portals, navigate to the exact screens your billing staff would visit, extract claim status data, and write it directly back to your Practice Management system or data warehouse. These bots run 24/7 on cloud infrastructure, processing claims overnight so your billing team wakes up to fully updated claim queues. For prior authorizations, RPA bots monitor payer portals for status changes and send Slack or email alerts the moment an auth is approved or denied, eliminating the 2-3 day lag that typically exists between payer decision and staff awareness. The result is faster cash collection, fewer claim denials due to missed follow-up, and billing staff who can focus on complex denial appeals instead of manual data entry.