Service Cloud

From Denial to Dollars: Aries RCM Fast-Tracks Claim Recoveries with Salesforce Service Cloud

company overview

Aries RCM is a Miami-based healthcare revenue cycle management firm that helps hospitals recover denied or underpaid insurance claims. The company specializes in denial resolution, appeals, and payer follow-ups—ensuring healthcare providers receive the reimbursements they’re owed. With deep expertise in both healthcare and insurance processes, Aries RCM is committed to delivering consistent and measurable financial results for its clients.

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Location

Miami, FL

Industry

Healthcare

Employees

10

SPAR by Numbers

1000

+

Completed Projects

15

Yrs

In the Industry

140

+

Metric 3

$100

m

Metric 3

1000

+

Completed Projects

20

+

Years in Business

6

+

Year Average Client Partnership

100

+

Technologies Supported

challenges

Fragmented tracking — Spreadsheets and email reminders exposed the team to missed appeal windows, inconsistent case handling, and slower reimbursements.
Need for rapid deployment — A newly formed, small team required a CRM that mirrored proven parent-company workflows without the overhead or complexity of a full enterprise build.
High-stakes deadlines — Denials, appeals, and recoveries demand precise scheduling; manual processes increased risk of lost revenue.

solutions

Implemented Salesforce Service Cloud tailored to denial-to-recovery workflows.
Defined four custom case types—Denial, Appeal, Underpayment, Recovery—for consistent categorization and lifecycle tracking.
Built Flow-driven automations that trigger deadline alerts, task assignments, and documentation requests at critical milestones.
Auto-calculated date fields to minimize data-entry effort and eliminate calendar errors.

results

On-time appeals, zero revenue leakage: Automated deadline alerts ensure every filing occurs before payer cutoffs, protecting reimbursements.
Analyst time shifted to recovery work: Task automation removes manual tracking, freeing specialists to concentrate on high-value claim resolution.
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Scalable, adaptable platform: Configurable workflows let Aries RCM add analysts quickly and incorporate new payer rules without system rework.

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