Reduce prior auth and denial workload in orthopedics

Fix Revenue Loss

Our Goal

Spirit Works is building a modern insurance processing solution to help orthopedic teams streamline prior authorization, respond to payer requirements faster, and reduce the administrative burden of insurance denial.

We are looking to help orthopedic teams recover up to 60% of prior auth and denied insurance claims. Dramatically reducing admin burden, increasing revenue, and streamlining patient scheduling along the way.

Who's It For

Orthopedic practices, MSOs, ambulatory surgery groups, revenue cycle leaders, and operations teams dealing with high prior auth and denial volume.

What We’re Exploring

1. Prior auth workflow support

2. Denial intake and triage

3. Appeals and supporting documentation workflows

4. Visibility into status, bottlenecks, and next steps

Call SnAPshot

Introductory Call

  • Cover Spirit Works vision and team medical experience

  • Review your current bottlenecks and insurance issues

  • What does it mean to become a design partner?

if you are an industry expert in orthopedics, join our small design partner group to shape the future of medical billing.

Accelerated Innovation

Why Current Solutions Fail?

Current solutions for prior authorization and denial management often fall short because they were not built around the real complexity of orthopedic workflows. Teams are still forced to jump between payer portals, faxes, EHRs, spreadsheets, and manual follow-up just to move a case forward. Even when software is in place, it often acts more like a tracking layer than a true workflow partner, leaving staff to do the most time-consuming work themselves: gathering documentation, interpreting payer requirements, resubmitting information, and chasing appeals.

The result is that orthopedic practices and revenue cycle teams still absorb a heavy administrative burden, delayed decisions, inconsistent follow-through, and avoidable reimbursement leakage. Instead of reducing friction, many current tools simply organize the chaos without actually solving it. What’s missing is a system designed to take action across the workflow, adapt to payer variability, and support teams in real time as denials and prior auth requirements evolve.

Design Partners

Execution

You Are Part Of The Solution

  • Shape a solution built for orthopedics

  • Influence product direction from the start

  • Reduce your prior auth and denial burden

  • Access smarter workflows earlier

  • Define a better standard

Confidence

Medical Software Experience

  • Leaders from McKesson, ConnectiveRx, UPMC, and Cardinal

  • Decades of Enterprise Scale Solutions

  • HIPAA, SOC 2, PHI, PII, and Governance

  • Deep familiarity with EHR, EMR, CRM, and other enterprise solutions

Proven ROI

Get Real Results

  • Projected 60% gains in Prior Auth

  • 40-50% Initial gains in Ins Reimbursement

  • Gain back 30%-40% billing admin time

  • Mitigates training and billing oversight

  • Goal to return 6-7 figures in lost ARR YoY

How it works

Software Co-workers

We design software to take over the repetitive work that quietly consumes the time and attention of your employees. In prior authorization and insurance denial workflows, these tasks often include gathering documentation, tracking payer requirements, organizing follow-up steps, and keeping cases moving through fragmented processes. These are not judgment calls or creative decisions; they are predictable, process-driven tasks that slow teams down simply because humans are doing work that software can do faster, more consistently, and without interruption.

When software assumes responsibility for this work, it functions like an always-on operational partner: executing tasks, preparing information, and keeping workflows moving without delay. It reduces the manual back-and-forth that creates bottlenecks across prior auth and denial management, while helping teams stay organized, responsive, and consistent. This frees people to focus on what actually creates value—solving problems, handling exceptions, improving operations, supporting patients and providers, and making better strategic decisions.

The goal is not to replace human contribution; it is to remove the friction that prevents people from doing their best work. By shifting repetitive administrative work into software, organizations can reduce the burden on staff while improving speed, visibility, and follow-through across critical reimbursement workflows.

Over time, this shift changes how the organization operates. Teams move from managing tasks to managing outcomes. Productivity increases because attention is no longer fragmented by repetitive process work. Software becomes part of the workforce—quietly handling execution across prior auth and insurance denial workflows—while people do what only people can do: think critically, communicate effectively, and lead with judgment.

Why You?

Become an Industry Innovator

As an industry leader, your perspective carries unusual weight because you see the real-world impact of prior authorizations and insurance denials from every angle—on patients, on staff, and on the pace of care itself. You understand where the system breaks down, where delays become costly, and where administrative complexity gets in the way of good medicine. That kind of insight is hard to replicate and incredibly valuable in shaping a solution that actually works.

By joining this program, you would not just be evaluating another piece of software—you would be helping define what a better operational standard could look like for orthopedics. Your experience can help ensure the solution is grounded in the realities of clinical practice, built around meaningful outcomes, and designed to support the people doing the work every day.

Transparent pricing

Launch a production ready AI workflow system right now

Most clients recoup their investment within 3–6 months through saved time, recovered leads, and smoother operations.

Launch System

Best for growing teams ready to automate a big chunk of their operations.
Strategy intensive & workflow mapping
 
Custom AI lead & support assistants
 
Up to 3 core workflows (e.g. leads, onboarding, support)
 
Integrations with your existing tools
 
Brand-safe prompts & guardrails
 
Team training session (live)
 
30 days of post-launch support
 
$0
Most popular

Workflow Audit

Perfect if you’re AI-curious and want expert eyes on your systems.
30-minute strategy call
 
Quick audit of your current stack
 
Prioritized list of automation opportunities
 
Ballpark ROI estimate for AI workflows
 
$0

Real results

“Our inbox stopped feeling like a firehose.”

“Before Spirit Works AI, we were constantly late to leads. Now, every inquiry gets a helpful response within minutes, and our team only steps in when it’s actually needed.”

+37% more booked calls in 60 days and 15 hours/month we got back to focus on clients instead of our inbox.”

— Jordan, Founder of a 6-person marketing agency

37%

Increase in booked calls from existing traffic.

4.8x

Faster average response time to new inquiries.

Designed for small teams, not big IT departments.

  • We fit into your tools, not the other way around
  • No-code & low-code where possible
  • Clear handoff so you’re not dependent on us forever

Questions, answered

Is Spirit Works AI right for your business?

If you’re handling a steady volume of leads or customers and feel like you’re constantly behind, a workflow system will almost always pay for itself.

Which tools do you integrate with?

We’re tool-agnostic. Most clients use a mix of CRM (HubSpot, Pipedrive, Salesforce, HighLevel), scheduling (Calendly, Motion, SavvyCal), and communication tools (email, SMS, Intercom, Drift, WhatsApp, Slack). On our call we’ll map what you already use and recommend the simplest stack that gets the job done.

How is this different from just adding a chatbot to my site?

Typical chatbots answer a few questions and stop there. We design full workflows that capture the lead, qualify them, follow up across channels, update your CRM, and notify your team when human attention is needed. It’s an end-to-end system, not a single widget.

What if we don’t have clear processes yet?

That’s common. Part of our work is helping you clarify and document the way things should work. We start with the simple, high-impact flows—like new inquiries and onboarding—then layer in sophistication once those are stable.

How long does implementation take?

Most Launch System projects run 3–6 weeks from kickoff to go-live, depending on the number of workflows and integrations. You’ll start seeing value as we roll out the first flows—usually within the first 2–3 weeks.

What happens after the 30 days of support?

You’ll have full access to the workflows, documentation, and training recordings. If you’d like ongoing optimization or new flows, we offer a light-weight monthly retainer, but it’s optional—you won’t be locked into us.

Turn your small business into a system that runs itself—quietly.

Share a bit about your business and we’ll send a short Loom or live walk-through of where AI can safely plug into your current workflows.

  • No obligation, no hard sell
  • Tailored to your tools and team size
  • You’ll get a concrete next step, even if it’s not with us

Request your AI workflow audit

20–30 minutes. We’ll review your current systems and send 2–3 concrete automation opportunities.

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