Centralized Operating Model
Optimum Outcomes uses a centralized, technology-based targeting strategy to increase revenue recovery for our clients. There is no single account ownership by Optimum Outcomes representatives. Instead, custom workflows are configured based on criteria such as financial class, denial type or account status, and the system routes accounts based on follow-up needs and timing.
The representatives work accounts as directed by client-specific Help Text, which guides their interaction with each patient or payer. This operating model reduces hold-times and abandoned calls as well as increases specialization and efficiency.
We also utilize a business intelligence tool to conduct sophisticated mining and multi-dimensional analysis of client accounts, which are then scored based on historical data from our data warehouse. By prioritizing our resources on accounts most likely to be productively resolved, we accelerate revenue recovery for our clients.