Revenue Cycle Automation Software for Healthcare
Revenue cycle automation in Unlimited Financials isn't a bolt-on bot. It runs through the whole workflow, from registration to accounts receivable, handling the repeatable steps and directing staff to the work that needs them.
What changes with RCM Automation
Without it
Hunting for the next task
Staff spend the start of every shift working out what to do next.
Manual table updates
Fee schedules, codes, and payer data are updated by hand, and fall behind.
Every claim touched
Clean claims get the same handling as problem ones.
With Unlimited Systems
Work finds the person
Behavior-driven workflows direct users to their highest-priority tasks.
Data that updates itself
Factory-sourced data drives real-time updates without user intervention.
Touch only exceptions
Minimal-touch design leaves staff to handle only what needs judgment.
What is revenue cycle automation?
Revenue cycle automation is software that runs the repeatable steps of healthcare billing, such as eligibility checks, claim edits, claim status checks, payment posting, and follow-up routing, without a person keying each one, and sends staff only the accounts that need a decision.
In Unlimited Financials it isn't a separate bot layered over another system. It is built into the practice management and billing platform itself, working on the same patient and account record from registration to accounts receivable, with specialty billing rules applied at charge entry.
What runs automatically at each stage, and what your team still owns
| Stage | Runs automatically | Your team handles |
|---|---|---|
| Registration and scheduling | Likely duplicate patients flagged at entry, before a second record is created. | Confirming the patient and what the visit needs. |
| Eligibility and financial clearance | Real-time eligibility checks (270/271) and patient estimates before the visit, with prior authorization status tracked. | Authorizations that need clinical documentation or a payer call. |
| Charge capture and validation | Charges checked at entry against specialty rules, NCCI edits, dosage limits, and modifier pairing. | The coding questions a rule flags for review. |
| Claim submission | Claims scrubbed before they go out, and held until a provider's payer enrollment is effective. | Claims a rule stops, with the reason shown. |
| Claim status and payment posting | 276/277 status checks on unpaid claims, ERA/835 payments posted, and secondary claims generated. | Posting mismatches and exceptions. |
| Denials and AR follow-up | Denials grouped by CARC and RARC code and payer; worklists ranked by dollar impact and timely filing deadline. | Appeals and the accounts that need a person. |
| Reference data | Fee schedules, codes, and payer data kept current from factory-sourced updates, without user intervention. | Your organization's own configuration. |
Revenue cycle automation features
Behavior Driven Workflows
Behavior-driven workflows automatically direct users to focus on high-priority tasks.
Real-time System Updates
Factory-sourced data drives real-time system updates without user intervention.
Personalized Customization
Out-of-the-box configuration, with personalized customization for individual organization and user needs.
Minimal Touch System
Designed for a minimal system-touch workflow that maximizes efficiency and performance.
Frequently asked questions
What parts of the healthcare revenue cycle can be automated?
Most of the repeatable work: eligibility checks, charge validation, claim scrubbing, claim status checks, payment posting, secondary claims, and denial routing. In Unlimited Financials that automation runs across patient registration, scheduling, financial clearance, patient intake, integrated payments, charge assemblies and validation, invoicing, payment posting, and accounts receivable, on one workflow.
Does revenue cycle automation replace billing staff?
No. It takes the repeatable steps off their desks, so staff time goes to denials, appeals, and the accounts that need judgment. As claim volume grows, automation absorbs it, and your team's size tracks exceptions rather than claim count.
How is revenue cycle automation different from RPA bots?
RPA bots imitate a person clicking through another system's screens, and they break when those screens change. Automation in Unlimited Financials is part of the billing platform itself, so it works directly on the claim and account record rather than through a screen.
How is this related to Unlimited AI?
Automation routes and updates the work; Unlimited AI adds predictive and autonomous features on top, such as denial likelihood alerts. Both are built into Unlimited Financials.
Is this a separate product?
No. It is part of Unlimited Financials, the core practice management and revenue cycle platform, and works on the same patient and account record as every other module.
More in Unlimited Financials
Hear It From Our Clients
Specialty practices describe, in their own words, what changed after moving to Unlimited Systems.
Hematology and Oncology Associates of Northeastern PA
“As I look back at the transition, the support and the collaboration with the folks at Unlimited really helped make us feel at ease. We had a partner that really wanted us to be successful.”
- Michelle Leandri, CEO, Hematology and Oncology Associates of Northeastern PA
- Days in A/R shrank from 21 to 15, consistently.
- Charges go out the next day.
- Less manual work, more clean claims, and stronger cash flow.
We Love Hearing From Our Users
Client teams using this in their day-to-day revenue cycle.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
Comparing vendors?
See how rcm automation platforms compare, Unlimited Systems included.
GET STARTED
See revenue cycle automation in Unlimited Financials
Walk through your exact workflows with an RCM expert who already knows your world.
6,500+ specialty providers