2025 Innovation Conference: Can AI Heal the Wounds Between Payors and Providers? - HBMA Store

As presented at HBMA's Innovation Conference March 12th-13th, 2025.

Can AI Heal the Wounds Between Payors and Providers? Presented by Jonathan Wiggs

Let’s be honest, the relationship between payors and providers has never been easy. For decades, providers have been critical of the administrative burdens associated with getting paid, yet for the most part, these burdens persist. Can and will artificial intelligence be the solution we so desperately need?

In this session, we will explore the answer to that very question. In the process, we will debunk myths surrounding artificial intelligence, explore current uses cases and look ahead to what the future holds.

Course Participants will be able to:

• Evaluate artificial intelligence to solve for administrative burdens and staffing constraints within medical billing and claims management
• Identify the kinds of tasks and transactions most amenable to artificial intelligence
• Advocate for use of artificial intelligence to reduce tedium, allow greater focus on high value work, and improve employee retention and well-being
• Apply the concepts of human-agent teaming
• Set appropriate expectations surrounding the implementation of artificial intelligence
• Overcome fears that artificial intelligence will replace jobs and/or create havoc in the workplace
• Structure key performance indicators and calculate the economic ROI of implementing artificial intelligence

Speaker Bio:
Jonathan’s career in engineering leadership spans more 30 years with private and public companies ranging from small startups to established global leaders. He currently serves as co-founder and Chief Technology Officer of Outbound AI, where he oversees development of the company’s applied AI technology platform and AI-as-a-Service solutions as well as the maintenance, support and security of the company’s infrastructure and networks. Directly prior, Jonathan spent seven years as VP of Engineering & Architecture at Avalara. Earlier positions include Manager of Research Operations & Analytics at Nuance, where he directed the development of language models for Siri, Product Group Director & Senior Architect at NetMotion Wireless, Principal Engineer & Architect at Jott Networks, and Software Engineering Manager at Envision Telephony. Jonathan is an author on five U.S. patents related to speech recognition and interoperability.