Healthcare providers sometimes hire multiple billing teams at the same time, hoping to improve efficiency or accelerate claim processing. While this approach may seem advantageous, it can create workflow confusion, duplicated efforts, & delayed revenue.

Even highly skilled billing teams can face challenges when responsibilities are split or unclear. Without defined roles, claims can be delayed, reporting can be inconsistent, and automation initiatives may fail to deliver their full potential.

Manual Posting vs Automation

Many long-term billing workflows rely heavily on manual claim submission, which can lead to inefficiencies:

• Claims stuck in rejection or pending cycles

• Delayed reporting makes revenue difficult to track

• High risk of human error and data inconsistencies

Automation, on the other hand, enables:

• Streamlined claim submission directly from EMR

• Real-time tracking of claim status and revenue

• Reduced errors and faster resolution of denials

• Transparent reporting for providers

Transitioning from manual processes to automation requires proper implementation & oversight, but it significantly improves billing efficiency & revenue management.

Challenges of Fragmented Billing

When multiple teams handle the same workflow without clear boundaries, practices may experience:

• Conflicting claim submissions

• Duplicate efforts on the same accounts

• Delayed follow-up on denied claims

• Inconsistent or contradictory reporting

Even short-term interventions like automation implementation can be undermined if one team’s work is not recognized or coordinated. Fragmented billing often reduces efficiency & increases administrative burden.

Managing Expectations with Automation

Automation can dramatically improve workflow and reporting, but providers must understand that:

• Payments still follow insurance timelines they cannot be accelerated by software

• Daily or instant payouts are unrealistic

• Reporting and tracking are ongoing processes that require monitoring and validation

By setting clear expectations, providers can maximize the benefits of automation while maintaining productive collaboration with their billing teams.

The Cost of Fragmented Billing

Fragmented or mismanaged billing can have significant consequences for a practice:

• Wasted effort from highly skilled billing teams

• Revenue loss due to delayed or rejected claims

• Miscommunication and confusion between teams

• Difficulty reconciling financial reports

• Decreased trust and accountability

Even short-term improvements, such as automation or workflow optimization, can be lost if roles are not clearly defined and results are not properly evaluated.

Best Practices for Optimizing Billing Teams

Providers can prevent inefficiencies and maximize revenue by:

• Assigning a single accountable billing team for claim submissions

• Integrating automation within that team’s workflow

• Monitoring claim status, denials, and revenue reports transparently

• Evaluating performance using documented results rather than subjective feedback

• Avoiding simultaneous management of multiple teams unless roles are clearly separated

These practices ensure that billing workflows are efficient, results are measurable, and automation delivers real financial benefits.

Conclusion

Using multiple billing teams for the same practice may seem like a shortcut, but it often creates confusion, delays, & inefficiencies. Automation is highly effective, but its success depends on single-team accountability, clear roles, & proper monitoring. Providers who follow these principles see improved revenue, transparent reporting, & a streamlined billing process.

Contact us today at info@evocarebillings.com or call (323) 412-5399 to learn how we can help your practice implement accountable, professional, and efficient billing workflows.