Revenue Cycle Management (RCM)
Optimize cash flow. Accelerate accuracy. Automate with intelligence.
Revenue cycle performance defines enterprise health. At Entrans, we help organizations transform RCM from a manual, error-prone process into an AI-enabled, insight-driven financial ecosystem. Our approach blends process engineering, analytics, and automation to minimize leakage, improve claim velocity, and deliver transparency from charge capture to collections.
Why It Matters
Traditional RCM systems were built for control, not speed. Today’s environment demands real-time visibility, compliance assurance, and predictive insight across billing, claims, and receivables. We integrate advanced automation, intelligent workflows, and governance to ensure your revenue processes run lean, compliant, and continuously optimized.
What We Deliver
End-to-End Revenue Cycle Optimization
From patient registration to payment reconciliation, every touchpoint counts.
Front-end eligibility and pre-authorization automation
Charge capture and coding validation using AI models
Denial management with root-cause analytics and auto-resubmission
Improved claim acceptance rate to 98 % for a U.S. healthcare network.
Claims Processing & Adjudication Automation
Eliminate delays, errors, and manual interventions.
NLP-based claims review and correction
Integration with payor portals and clearinghouses
Auto-adjudication and exception handling workflows
Reduced average claim cycle time by 30 % using intelligent RPA orchestration.
Collections & Accounts Receivable Intelligence
Collect faster, with precision.
AI-driven segmentation and prioritization of AR buckets
Predictive collection forecasting and follow-up automation
Interactive dashboards for cash flow visibility
Improved collection efficiency by 25 % with predictive AR modeling.
Compliance & Audit Readiness
Operate securely across regulatory boundaries.
HIPAA, ICD-10, and SOC 2 compliance frameworks
Automated audit trails and exception reporting
Continuous reconciliation for accuracy and governance
Zero audit non-conformities across two consecutive years for a health-tech client.
How We Work
Our RCM model is built for continuity, efficiency, and scalability.
Process First, Technology Next
Map revenue workflows before applying automation.
Automation by Design
Deploy AI and RPA to eliminate redundant manual tasks.
Cross-Functional Expertise
Finance, healthcare, and engineering teams work in unified pods.
Continuous Measurement
Every engagement tied to KPIs—cash flow, DSO, denial rate, and compliance score.

Key Technologies We Work With

Hire Revenue Cycle Management experts from us who specialize in optimizing healthcare financial workflows, leveraging automation, analytics, and compliance-driven processes to ensure faster reimbursements, reduced denials, and sustained revenue growth.

Automation & RPA
UiPath | Automation Anywhere | Power Automate
Analytics & BI
Power BI | Tableau | Qlik | Looker
Integration & ERP
Epic | Athenahealth | Oracle Health | SAP | QuickBooks
Compliance & Security:
OneTrust | HIPAA-ready frameworks | SOC 2 controls
AI & NLP
OpenAI APIs | Azure Cognitive Services | custom ML models
Industries We Serve & Business Impact
Insurance
Predictive AR management and compliance automation for insurers leading to a 25% improvement in collections.
Healthcare
AI-enabled claims automation for hospitals, payors, and digital health platforms resulting in 30% faster claim turnaround.
Retail & 
E-Commerce
Order-to-cash optimization and unified RCM dashboards providing real-time revenue visibility and improved operational efficiency.
Enterprise Finance
Invoice and reconciliation automation for shared-service billing teams resulting in a 20% reduction in DSO and 3× faster reporting cycles.
Results You Can Expect
Claim Processing
30–50 % improvement in cycle time
Collections
25 % higher realization rate
Compliance
100 % audit readiness
Efficiency
Up to 40 % reduction in manual effort