Notice
We and selected third parties use cookies or similar technologies for technical purposes and, with your consent, for other purposes as specified in the cookie policy. Denying consent may make related features unavailable.
You can consent to the use of such technologies by using the “Accept” button, by closing this notice, by scrolling this page, by interacting with any link or button outside of this notice or by continuing to browse otherwise.

Heading

Heading

Heading

Heading

Heading
Heading

PartnerWith a little help from our friends

Our Process and technology experts are here to help

Training & Coaching

Much like a new hire, your Digital Coworker will be trained to understand your documents, systems, data, workflow, business logic and exception handling.

Your human workers will also be trained on coaching, interacting and managing your new Digital Coworker

Contact Us

Managed Services

Once your new Digital Coworker is up and running we can enhance its capabilities through a range of extended services – such as clearinghouse services, document scoring & QA services, reporting & management - to name a few.

Contact Us

Reimagine your Claims Operation

Roxanne offers an estimated Human Equivalent of 3 to 4 fully-loaded people

Key Responsibilities

  • Review, scan and file HCFA forms (CMS-1500 & UB-04)
  • Verify Medicaid claims for accuracy and approval
  • Register new patients and verify patient details (co-payments, co-insurance, provider details, deductibles etc)
  • Review and interpret insurance claims diagnosis for reimbursements
  • Work with billing and collections team to progress payments and reimbursements
  • Generate and share reports on performance of all claims processed and individual status of each
  • Maintain client privacy and comply with HIPAA policies

Key Skills

  • Read and understand data held within documents and data (from emails, forms, systems etc)
  • Make decisions around customer and claims identity
  • Update systems and transact data to support all stages of the Claims Process (from FNOL to subrogation)
  • Work with colleagues to troubleshoot anomalies and exceptions

System Knowledge

  • Guidewire
  • Duck Creek
  • Majesco
  • Microsoft Excel, Word, Outlook
  • ImageRight
  • eSolutions
  • Insurity
  • Alfresco
  • EPS
  • Waystar
  • Change Healthcare, Medicare Insurance portal
  • ... Your own systems

Document Knowledge

  • Medical Claim forms (CMS-1500, UB04)
  • Medical Reports
  • Insurance Cards
  • Various ACORD forms
  • Claims correspondence - unstructured emails/mail
  • ... Your custom documents

YOUR FULLY-LOADED DIGITAL COWORKER

Never pay overtime

No benefits or 401k

Reduce reliance on temp staff

No relocation or migration costs

No sick days

No workers comp

CUSTOMER SUCCESS

Our Customers see Digital Coworkers as important members of their team

$1.3m Capacity Improvement

Delivered for a leading Global Services firm.

1,250% Return on Investment

Delivered for a multinational Financial Services Company.

99% Straight Through Processing

Delivered for a Fortune 500 Insurance Carrier.

“The Digital Coworkers Roots Automation provides work in conjunction with our Team to optimize our medical claims process. By leveraging these bots, it provides the simplicity and scalability necessary to deliver best-in-class productivity to our clients. Additionally, we value the insights from the Roots Automation Team about our processes, of which, we integrate into our continuous improvement plans for our business practices in order to provide industry leading solutions.”
Kevin Mahoney
President & COO, Carisk Partners
“Everything happened fast, our digital coworker ‘Roxy’ was trained and ready on time as promised! The team at Roots Automation have been a pleasure to work with! They’ve anticipated our questions and respond quickly to our asks and changes.”
Lea Lundquist
VP, Claims Administration, Protective Insurance
“We appreciate all of Roots Automation's efforts to automate a challenging initiative with 500,000+ transaction requests annually. Our internal Center of Excellence was able to get to production faster and more cost-effectively than what we originally planned.”
David Emmer
CIO, Anchin, Block & Anchin LLP
We appreciate all of Roots Automation's efforts to automate a challenging initiative with 500,000+ transaction requests annually. Our internal Center of Excellence was able to get to production faster and more cost-effectively than what we originally planned.
Fortune 250 Life Insurance Carrier
Automation Leader
WORKING ALONGSIDE LEADING BRANDS

GET IN TOUCH

Let's make work more human, together.
Contact Us