Streamlined payments: How one provider manages high volume in half the time

How one health system saved time with consolidated payments and easy reconciliation on a secure platform.

About the client

  • More than 600 physicians and over 5,000 employees
  • A large Northeastern U.S. health system
operating two acute care hospitals
and six urgent care centers
  • Services also include a primary and specialty care network and hospices services
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The challenge

Navigating the provider payments processes felt like steering through choppy waters — slow, inefficient, and full of obstacles. The organization’s billing manager knew a solution was possible.

With a large operation involving 10 TINs and a growing payment volume that rose 40% over a short period, the provider needed a solution that could better support payment workflows and the team’s efficiency. The billing manager needed one destination to handle payments from over 100 payers.



The billing manager knew there had to be a better way to streamline payments—and her team’s tasks. She learned that some of her peers used Zelis Payments Network (ZPN) to accelerate payments and cash flow.

Before finding the right payments partner, the billing team managed:

  • 100+ separate payers
  • Numerous payer portals
  • Data siloed across systems
  • Fragmented
payment processes
  • Time-consuming payment reconciliation

The solution

The large health system turned rising volumes of provider payments into controlled streams with ZPN. The billing manager set up direct, consolidated automated clearinghouse (ACH+) payments through Zelis Payments Network, freeing her staff to focus on other areas of the revenue cycle.

“My team manages a high payment volume that has grown by 
40 percent. Over that same time, we’ve managed with a leaner team. Working with Zelis has freed up my staff to dedicate their time to other areas of the revenue cycle.”
— Billing Manager, Large Northeastern U.S. Health System

ZPN got payments flowing smoothly with:

Direct and secure payment processing:

ACH+ ensured secure and reliable electronic payments, reducing the security risks associated with multiple payer portal logins.

Single portal for all payments:  

Access to all provider payments and remittance data in one place eliminated the need to manage multiple payer portals and simplified payment reconciliation.


Detailed claims insights:

Real-time access to payment status and reporting in one portal helps the team manage payments across payers easier, in less time.

Improved billing experience for patients

: Streamlined payment processes improved the healthcare billing experience for patients, allowing the health system to send timely, more accurate bills.


Dedicated support team:

Healthcare revenue cycle experts were available to answer questions about any ZPN payer — saving time on payment reconciliation and research.

“I no longer need to spend hours researching sub-payer IDs for our clearinghouse. Thanks to Zelis, this information is right at my fingertips when I need it.”
 


— Billing Manager, Large Northeastern U.S. Health System

Women looking at screen
The results

Smooth sailing — faster time to payment and seamless operations

With ZPN, the billing staff managed a 40 percent increase in payment volume efficiently, maintaining a lean operation.

50%
less time spent on
payment posting
95%
electronic provider
payments
Zero
additional
staff

The large health system experienced the positive effects of ZPN quickly:

Time savings

Staff significantly reduced time spent on payment posting, allowing them to focus on strategic tasks in the revenue cycle.

Improved workflow

Claims and payments insights are now available with just a few clicks in a single portal instead of hours of research.

Increased efficiency

ZPN made operating with a lean team sustainable by managing higher payment volumes in fewer steps made operating with a lean team sustainable.

Testimonial

ZPN has been a huge time saver with payments and EOPs all in 
one place. As a leader, Zelis has helped me streamline our 
internal workflows, optimize staff resources, 
and free up the team to work on more strategic items.

— Billing Manager, Large Northeastern U.S. Health System

ZPN transforms your day-to-day payments experience

  • Consolidated payments, simplified operations​ 
Leverage a single point of access to reduce payments hurdles.

  • Modernized, faster payments​ 
Automate and digitize to bill patients, 
pay staff and invest in your business quicker.

  • Partnerships without friction 
End the back-and-forth with payers.

  • Built by healthcare experts​
Worry less about process and focus more on care.

Ready to Accelerate Your Payments Flow?

Contact us today to learn more.

Get started now
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Related Resources:
Download the Solution Brief
How Top Healthcare Teams Optimize Payments Under Pressure

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