Claims Theory

Happy Labor Day! We are grateful for the hardworking people who keep things moving forward every day, especially those in healthcare who make an impact where it matters most. #LaborDay #Healthcare #RCM #ClaimsTheory

Why is front-end revenue cycle management, especially insurance verification,still such a bottleneck in today’s tech-enabled healthcare industry? On our latest episode of the Claims Theory Podcast, Dr Ashish Mandavia, MD, CEO of Sohar Health (YC S23), shares his perspective on why this process remains so complex and what it will take to truly fix it. This clip dives into the persistent challenges at the front end of RCM, and why smarter automation, not just more technology, is the key to unlocking efficiency. 🎙 Watch the clip below, then listen to the full episode on Spotify, Apple Podcasts, or YouTube. #RevenueCycleManagement #InsuranceVerification #FrontEndRCM #HealthcareFinance #HealthcareAutomation #HealthTech #SmartAutomation #DigitalHealth #HealthcarePodcast #HealthcareInnovation

We’re excited to share that Claims Theory has officially reached over 2,000 followers! 🎉 This milestone isn’t just about numbers, it’s about the community we’re building together. Thank you for your engagement, and your commitment to advancing revenue cycle management alongside us. We’re grateful for each of you and look forward to continuing to share ideas, insights, and conversations that push our industry forward. Here’s to the next 2,000! 🙌 #ClaimsTheory #RevenueCycleManagement #RCM #HealthcareLeadership #HealthcareFinance #RCMExperts #CommunityGrowth #Milestone #HealthcareBusiness #RCMInnovation #RCMConsulting #Grateful #2KFollowers

🎙 New Episode Drop! From Psychiatry to Insurance Verification with Dr Ashish Mandavia, MD. Announcement: Our latest Claims Theory Podcast episode is live and we’ve got a clip for you 👇 This week we sat down with Dr. Ashish Mandavia, co-founder and CEO of Sohar Health (YC S23) whose journey took him from practicing psychiatry in the UK to building health tech companies that are reshaping revenue cycle management. In this episode, Dr. Mandavia shares: • Why front-end RCM (especially insurance verification) remains such a stubborn bottleneck. • How his clinical background shaped the way he builds technology. • What “smart automation” really looks like and how it can reduce denials while freeing up RCM teams. • Lessons learned from behavioral health and addiction treatment that now fuel Sohar’s mission. 👉 Check out the clip from our conversation, then head over to Spotify, Apple Podcasts, or YouTube to hear the full episode. About Dr. Ashish Mandavia: A former NHS psychiatrist turned entrepreneur, Dr. Mandavia founded Sohar Health in 2023. His company is focused on automating insurance verification and simplifying front-end workflows. Before Sohar, he led clinical strategy at Pelago (formerly Quit Genius) and worked in digital health strategy at Simon-Kucher & Partners. He’s passionate about solving systemic problems in healthcare with technology that actually works for providers and patients. #RevenueCycleManagement #HealthcareFinance #RCMInnovation #FrontEndRCM #InsuranceVerification #ClaimsManagement #HealthTech #DigitalHealth #HealthcareAutomation #SmartAutomation #AIinHealthcare #RCMTechnology #HealthcareLeadership #RCMInsights #HealthcarePodcast #FutureOfRCM #HealthcareInnovation

Front-end issues don’t just create delays, they drain revenue. 💰 Insurance verification and eligibility may seem routine, but getting them wrong can cost organizations millions. 🔍 Read our latest blog on why the front-end of RCM deserves more attention, and how to get it right. Link in comments 👇. #RevenueCycleManagement #HealthcareFinance #FrontEndRCM #InsuranceVerification #MedicalBilling #RCMStrategy #HealthcareOperations #DenialPrevention #ClaimsManagement #RCMLeadership #ClaimsTheory

🚨 New Blog Alert from Claims Theory 🚨 The RCM job market is on fire, 🔥 and so is the competition for top talent. 📈 The U.S. RCM industry is projected to surpass $300B by 2030 🤖 AI-driven roles are expanding faster than most teams can keep up 🧠 Smart hiring now requires more than experience, it takes adaptability, tech fluency, and strategic thinking In our latest blog, we break down: ✅ Why traditional RCM hiring strategies are no longer enough ✅ The emerging roles that will define the future of the revenue cycle ✅ How to build and scale a team that’s built for what’s next 📬 Read the full blog and see what scaling really means in today’s RCM job market. #RevenueCycle #RCM #HealthcareHiring #RCMLeadership #ClaimsTheory #HealthcareWorkforce #HealthTech #RCMGrowth #RCMCareers #TeamBuilding #StrategicHiring

Great RCM leaders don’t just set targets, they remove barriers. In this clip from our conversation with Kari Sewell, VP of Revenue Cycle at Optum , we talk about what it really means to lead. It’s about listening, understanding what’s in the way, and solving real problems that drive real results. 🎧 Catch the full episode on Spotify, Apple, and YouTube. What barriers have you removed to help your RCM team thrive? #RCM #LeadershipInHealthcare #RevenueCycle #ClaimsTheory #RCMPodcast #OperationalExcellence #TeamLeadership #HealthcareManagement

🚨 New Episode of the Claims Theory Podcast 🎙️ In our latest episode, we’re joined by Kari Sewell, Vice President of Revenue Cycle at Optum, a nationally recognized leader with deep experience building and scaling high-performing teams across some of the most complex healthcare organizations in the country. We dive into what truly sets strong RCM teams apart, from culture and leadership to the key trait Kari looks for when hiring. 👀 Here’s a quick clip on what to prioritize when building your team. 🎧 Full episode now streaming on Spotify, Apple, YouTube & more. Make sure to subscribe if you are an RCM leader! #RevenueCycle #RCM #HealthcareLeadership #TeamBuilding #ClaimsTheory #RCMPodcast #Optum #HealthcareHiring #WorkforceStrategy #ClaimsTheoryPodcast

We don’t just recruit for revenue cycle, we understand it. 🎯 We speak the language of revenue cycle because we’ve lived it. Whether you need one high-impact hire or an entire team, we deliver proven talent without the bloated fees or red tape. 🗣️🤝 #RevenueCycleManagement #RCM #HealthcareRCM #RCMExperts #RCMHiring

Are you running a true RCM team, or just managing a group of people working in the same department? This week’s blog breaks down what sets high-performing RCM teams apart: trust, shared goals, clear roles, open communication, and accountability. We’re also sharing practical ways to build buy-in and get real results, without micromanaging. Take a closer look and ask yourself: would your team say they’re part of a high-performing RCM team? Check out our latest blog, link in comments 👇. #RCM #Leadership #TeamCulture #ClaimsTheory #RevenueCycleManagement