Operator Labs provides AI‑driven voice agents that automate phone‑based healthcare revenue cycle tasks such as calling payers, navigating phone trees, waiting on hold, and documenting structured outcomes. The solution integrates with existing workflows and compliance frameworks, allowing health organizations to reclaim revenue without adding staff.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare revenue cycle teams spend extensive time on phone-based tasks such as calling payers, navigating IVR menus, waiting on hold, and manually documenting outcomes. This non‑clinical work consumes capacity, creates delays, and leads to missed deadlines and revenue loss.
Solution
Operator Labs provides an AI‑driven voice agent that automates the entire phone‑based workflow for revenue cycle activities. The agent dials payer or patient numbers, selects the appropriate IVR options, endures hold periods, converses with representatives using natural language, and captures structured data such as claim status, denial codes, and next‑step instructions. All outcomes are written back directly into the organization’s existing EHR, practice‑management, or RCM system, preserving compliance and audit trails. When a call requires human judgment, the platform escalates with full context and recommended actions. By handling routine calls 24/7, the solution frees AR specialists to focus on complex cases while eliminating staff time spent on hold and reducing write‑offs.
Target Audience
Primary customers are revenue cycle departments of hospitals, health systems, and specialty provider groups that manage eligibility checks, prior authorizations, claim status follow‑ups, and patient collections.
Features
- End‑to‑end call execution: dialing, IVR navigation, hold management, live‑rep interaction, and outcome logging without human supervision
- Conversational intelligence that understands payer scripts, asks follow‑up questions, and captures precise data points needed for AR workflows
- Structured documentation output (claim status, denial reasons, reprocessing confirmations, callback dates) automatically synced to the client’s system of record
- Automatic escalation with contextual summary and suggested next steps for cases that exceed the AI’s decision scope
- Multi‑payer support covering major commercial insurers, Medicare, Medicaid, and regional plans, with continuously updated IVR mappings
- Integration layer for EHR, practice‑management, and RCM platforms to pull worklists and push results securely
- 24/7 operation eliminates staff burnout and turnover associated with repetitive phone tasks