Overview
AIS Healthcare manages specialized patient care programs that require accurate insurance workflows and timely coordination with clinical teams. As patient volume increased, AIS Healthcare needed additional capacity to support insurance verification, prior authorizations, and medical billing tasks while maintaining strict documentation standards.
Sourcefit built and now operates a dedicated healthcare operations team that supports AIS Healthcare across verification, authorization, and billing workflows with accuracy and consistency.
The challenge
- Increasing volume of verification and authorization requests across multiple payors
- High accuracy requirements for billing and documentation
- Limited internal bandwidth to expand daily operational output
- Complex eligibility rules requiring trained specialists
- Pressure to maintain turnaround times as patient programs continue to grow
Our approach
Sourcefit built and operates a 15-plus-member healthcare operations team that supports AIS Healthcare across insurance verification, authorization processing, and medical billing activities. The team follows structured workflows that align with AIS Healthcare documentation and payor requirements.
During setup, Sourcefit:
- Recruited verification specialists, authorization specialists, and billing personnel matched to AIS Healthcare processes
- Maintained 2 to 4 week hiring cycles to meet patient volume patterns and operational needs
- Integrated daily workflows for eligibility checks, documentation validation, payor communication, and billing preparation
- Standardized documentation and validation rules across verification and authorization pathways
- Introduced QA reviews, reporting cadences, and documentation standards to reinforce accuracy
- Planned workforce allocation to support consistent throughput across high activity periods
Today, Sourcefit continues to operate the AIS Healthcare support team with structured oversight, quality monitoring, and ongoing training. Daily coordination improves turnaround consistency and strengthens documentation quality across payor workflows.
Results
- 15 plus full time specialists supporting AIS Healthcare verification, authorizations, and billing
- Improved documentation accuracy through standardized workflows and trained specialists
- More consistent turnaround times supported by dedicated verification and billing personnel
- Stable 2 to 4 week hiring cycles that meet growing program demand
- Reduced internal workload for AIS Healthcare through long term operational continuity
Key takeaways
Consistent workflows improve billing and verification accuracy: Clear processes reduce errors and strengthen payor alignment.
Dedicated teams support patient volume growth: Trained specialists maintain accuracy across varying activity levels.
Predictable hiring cycles sustain readiness: Stable recruitment windows keep AIS Healthcare prepared for volume changes.
Industry learnings
Healthcare organizations with expanding patient programs require operational partners who can sustain documentation accuracy, payor compliance, and turnaround speed. Offshore healthcare operations teams provide scalable capacity and structured workflows that support clinical environments. This engagement shows how coordinated verification, authorization, and billing operations help AIS Healthcare maintain consistent, high quality support.
Learn more
Sourcefit builds healthcare operations teams that strengthen verification, billing, authorizations, and compliance workflows.
Explore SourceCX for integrated support programs and WorkingAI for workflow automation and document processing tools.
Contact our healthcare solutions team to discuss scalable operations support for your programs.
