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Outbound AI

Claims Console

Problem

Outbound AI is an AI-powered platform that uses virtual agents to automate claims and billing workflows across the healthcare revenue cycle. Its core product, the Claims Console, supports high-volume, detail-heavy work, where teams need to quickly scan, filter, and act on large datasets. As usage scaled, there was an opportunity to improve how information was structured and how workflows like filtering, assignment, and claim review were supported.

Solution

I redesigned key areas of the claims console to better support high-volume workflows, streamlining four key workflows—filtering, batch actions, assignment, and claim review—to improve clarity, speed, and scalability.

OAI Solution_edited.png

📎

My Role

Lead Product Designer & Researcher

🙌🏼

The Team

1 Designer / Researcher

4 Engineers

2 Product Owners

Our Timeline

1 year

My Work

Over the course of my time at Outbound AI, I designed solutions to improve claims workflows, informed by research across interviews, card sorting, and observational studies. These four highlights showcase some of my most impactful work.

1️⃣
Claims page filters

Redesigned filtering to make it faster and easier to surface relevant claims.

2️⃣
Batch details drawer

Improved hierarchy and structure to support faster batch decision-making.

3️⃣
Claim assignment flow

Streamlined assignment workflows with bulk actions to support work at scale.

4️⃣
Claim details page

Simplified the layout to reduce cognitive load and improve decision-making.

Each of these is broken down further below, from problem to solution.

1. Claims page filters

Filtering claims was inefficient due to limited search, buried key controls, and default AG Grid constraints that made it difficult to quickly surface relevant data. I redesigned the filtering experience to improve visibility, flexibility, and speed, making it easier to find and act on relevant claims.

This snippet shows a new and improved filtering section with close-up of the updated date selection levers.

New and improved date filtering options

2. Batch details drawer

The batch details drawer lacked clear hierarchy and consistent visual structure, making it difficult to understand and act on grouped claims. I introduced clearer hierarchy and structured layouts to improve scanability and support faster batch decision-making.

The legacy design for the batch details drawer did not surface clearly actionable information

Before

The new and improved batch details drawer showing relevant and actionable information

After

3.Claim assignment flow

Assignment workflows were limited and manual, preventing users from efficiently assigning claims. I designed a more flexible assignment flow, enabling bulk actions and reducing friction in managing claim ownership.

First, I redesigned the claim management experience to allow users to assign or reassign single claims directly within the context of their work, removing the need to navigate away or rely on limited self-assignment options.
Next, I introduced bulk assignment from the claims table, allowing users to select multiple claims and assign or reassign them in just a few clicks, making it significantly faster to manage work at scale.
When this shipped, we heard directly from users that assignment went from a multi-step bottleneck to a fast, reliable action, freeing teams to focus on higher value work.

4. Claim details page

The experience of reviewing claim details was fragmented and overwhelming, with excessive navigation and competing information that slowed down decision-making. I simplified the layout and consolidated key information to reduce cognitive load and support faster, more focused decision-making.

Claim Details Page.jpg

Below are three of the most important claim details page sections I redesigned.

Snapshot & Call Results.jpg
1. I improved the claim snapshot and supporting panels to make key information easier to scan, and introduced accordions to organize dense call data and reduce visual clutter.
CDP - Calls.jpg
2. I consolidated multiple call views into a single experience using a dropdown, and simplified the layout so recordings and transcripts are accessible without competing with primary claim information.
CDP - Call Notes.jpg
3. I refined the layout and hierarchy of call notes to support quick entry and review without competing with other information on the page.
Calls

I consolidated multiple call views into a single experience using a dropdown, and simplified the layout so recordings and transcripts are accessible without competing with primary claim information.

Here is a visual of the legacy UI, indicating some of the competing visuals and hierarchy addressed above.

Legacy UI.png

Although the full claim details page redesign was not released end-to-end, core features shipped incrementally and contributed to meaningful improvements in how users navigate and manage claims.

My Process

Learning about our users

Through interviews and observational studies, we spoke with a range of stakeholders across the revenue cycle. These included roles like billing leads, A/R specialists, and operational leaders, each interacting with claims workflows in different ways but all managing high volumes of information and time-sensitive work.

Research initiatives

I partnered with product leaders to conduct user interviews and observational studies, while managing our research database in Dovetail. I also created card sorting exercises and supported questionnaires to gather broader input across our user base.

From insights to solutions

Each research initiative translated directly into early design exploration. Using synthesized insights from Dovetail, I sketched concepts to improve key workflows and explore directions that could better support users at scale.

The Outcome

Over the course of my time at Outbound AI, I helped make claims workflows faster, clearer, and easier to manage at scale. These outcomes reflect that work.

1️⃣  Claims page filters

Faster claims triage

2️⃣  Batch details drawer

Clear batch-level visibility

3️⃣  Claim assignment flow

Improved team ownership

4️⃣  Claim details page

Less investigation time

4,012

claims processed through AutoCheck

81%

of claims automatically verified

~668 hours

of manual claim review avoided

~$20K

estimated operational savings

Source: internal AutoCheck processing analysis and operational estimates (Outbound AI, 2024)

Together, this work made it easier for teams to move faster, reduce manual effort, and focus on the work that matters most: bringing greater clarity and efficiency to how claims are managed at scale.

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