Eliana Berger is co-founder and CEO of @JoyfulHealthRCM.
In this episode, Eliana and Zack discuss revenue recovery – how healthcare practices lose revenue through unpaid insurance claims.
Eliana explains denials management, why fixing denials requires more than just filing appeals, and how Joyful Health's AI platform recovers that revenue without requiring practices to change their existing systems.
00:00 Introduction
00:43 What is Joyful Health, and how did Eliana start it?
02:33 What does a healthcare practice's billing tech stack look like?
06:31 Why is healthcare revenue so hard to track?
13:43 What's the difference between a rejection, denial, and stale claim?
17:58 What happens when a claim is denied?
22:25 How does Joyful fit into the billing workflow?
28:53 How do you prioritize what to build?
30:58 What does a 90-95% recovery rate mean?
37:07 How does Joyful reduce the cost to collect?
41:00 What would you change about revenue cycle management?
Learn more about Joyful Health: https://www.joyfulhealth.com/
Read about Joyful Health's Series A: https://www.joyfulhealth.com/post/joyful-health-raises-22m-to-build-denial-intelligence-recovery-infrastructure
Connect with Eliana on LinkedIn: https://www.linkedin.com/in/elianaberger/
In this episode, Eliana and Zack discuss revenue recovery – how healthcare practices lose revenue through unpaid insurance claims.
Eliana explains denials management, why fixing denials requires more than just filing appeals, and how Joyful Health's AI platform recovers that revenue without requiring practices to change their existing systems.
00:00 Introduction
00:43 What is Joyful Health, and how did Eliana start it?
02:33 What does a healthcare practice's billing tech stack look like?
06:31 Why is healthcare revenue so hard to track?
13:43 What's the difference between a rejection, denial, and stale claim?
17:58 What happens when a claim is denied?
22:25 How does Joyful fit into the billing workflow?
28:53 How do you prioritize what to build?
30:58 What does a 90-95% recovery rate mean?
37:07 How does Joyful reduce the cost to collect?
41:00 What would you change about revenue cycle management?
Learn more about Joyful Health: https://www.joyfulhealth.com/
Read about Joyful Health's Series A: https://www.joyfulhealth.com/post/joyful-health-raises-22m-to-build-denial-intelligence-recovery-infrastructure
Connect with Eliana on LinkedIn: https://www.linkedin.com/in/elianaberger/