Industries · Healthcare Operations

Back-office coordination for medical practices and groups.

Scheduling, intake routing, referral follow-up, prior authorization, billing reconciliation, and vendor workflows. The operational layer your practice runs on, done right.

The shape of the operation

The back office of a medical practice is its own operation.

Referrals, prior auths, scheduling coordination, billing reconciliation, denial follow-up, records releases, and vendor workflows. Most of it lives in fax queues, inbox threads, and spreadsheets that sit between your EHR and your practice management system.

Navon handles that operational layer. We advise on what to automate first and where AI compounds, then build the workflows your team will actually use.

Tool landscape
Typical setup
How data moves

Intake to claim outcome, today.

Five stages, each handled by a different role, most of them running on fax, phone, and spreadsheets. Every stage is a place where records sit, denials age, and coverage questions stall.

  1. Stage 1
    Intake
    Referral or new patient
  2. Stage 2
    Prior auth
    Payer clears the service
  3. Stage 3
    Scheduling
    Appointment booked
  4. Stage 4
    Billing
    Claim submitted
  5. Stage 5
    Claim outcome
    Paid, denied, appealed
Where automation lands

Six workflows we automate first.

Identified by the teams running operations today and built with compliance in mind. Each one replaces something a person is doing manually, scoped as a discrete engagement.

Patient intake

Referrals and new-patient forms pulled from fax, email, portal, and phone. Structured, deduped, and opened against the right chart with the right coverage info.

Replaces: Manual re-keying across systems

Prior authorization follow-ups

Payer responses tracked automatically, approaching deadlines flagged, follow-up documents assembled. The work that usually falls on one overworked coordinator.

Replaces: Spreadsheet tracking and chase-calls

Scheduling coordination

Holds released, cancellations rebooked, provider preferences honored across sites. Patients contacted in the channel they actually use.

Replaces: Manual calendar reconciliation

Denial triage

Denials routed by denial code, payer, and dollar amount. Appeal-eligible ones surfaced with the right documents pre-pulled. Nothing sits in a denial queue unworked.

Replaces: Inbox dive and spreadsheet log

Document coordination

Chart requests, records releases, and operational documents classified, routed, and filed. HIPAA-respectful handling with full audit trail.

Replaces: Fax cover sheets and folder hunts

Operational reporting

Rollups across intake volume, prior auth aging, denial rate, scheduling gaps, collections. A single view for operations, not four exports.

Replaces: Monthly spreadsheet ops reports
Where Navon fits

Advisory leads. Automations do the work.

For medical practices and groups, here is what each line of work looks like.

Advisory

Scoped to your back office.

Interviews with intake staff, schedulers, prior auth coordinators, and billing leads. Referral flow and denial loop walk-throughs. Written findings, a phased plan, and a BAA in place before any production access.

AI automations

Intake, prior auth, denials.

Referral intake across fax, email, portal, phone. Prior auth aging and follow-ups. Denial triage with appeal-eligible routing. Document coordination with full PHI audit trail. Each scoped discretely, compliance-first.

FAQ

Healthcare-specific questions.

The operational questions practice and group buyers ask before the first call.

How does Navon work with our EHR and practice management system?

Navon coordinates the operational layer that sits between them: intake, referrals, prior auth aging, scheduling ops, denial triage, document routing, and reporting. We pull from and write to your existing systems so the clinical record stays where it is and the back office gets faster.

What about HIPAA and PHI handling?

Healthcare engagements run on a BAA-ready track. Every client signs a BAA before work begins, and Navon verifies that any sub-processor in the data path has a BAA in place. By default, scopes are designed to be PHI-free, so automations operate on coordination metadata, schedules, payor correspondence, and document routing rather than clinical content. The full compliance track activates only when an engagement explicitly requires PHI access, with documented data flows and access controls. That way the operational backbone scales across practices and groups without compounding compliance surface.

We are a medical group across multiple sites. Does this scale?

Yes, that is where the coordination cost compounds. Multi-site groups and provider networks are where Navon lands hardest, because the same workflow is running in parallel across sites with no shared operational view.

How does this work with our billing team or RCM vendor?

Navon sits alongside billing and RCM operations, not on top of them. The automations handle the operational coordination work (intake, prior auth aging, denial triage) that sits between the clinical team and the billing team, making both sides faster.

What does a first engagement look like?

An operational audit scoped to healthcare: interviews with intake staff, prior auth coordinators, schedulers, billing leads. Walk-throughs of referral flow and denial loops. Written findings, a phased plan, and BAA in place before any production access.

Ready to see this inside your practice?

Start with a conversation. We walk through how your operation runs today and where the coordination cost is hitting hardest.