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IVR Redesign Delivers Nearly $1M in Savings for Healthcare Agency

Healthcare Industry

Technology, Analytics, & Omnichannel Enablement

Modernizing authentication and routing to reduce cost and improve member experience.

The Challenge

A major healthcare organization sought to redesign its member authentication process to improve overall member experience, increase authentication rates, and reduce associated service costs.

The existing IVR system:

  • Failed to accurately identify and segment members

  • Required customers to repeat information multiple times

  • Struggled to route members based on plan and reason for call

  • Produced high transfer rates that increased service costs and frustration

The authentication experience created friction across the member journey and drove unnecessary operational expense.

The Strategy

Northridge assessed the current-state IVR and authentication process against industry best practices.

The strategy focused on:

  • Increasing authentication accuracy

  • Reducing handle time

  • Improving member satisfaction

  • Leveraging alternative data points to improve caller identification

  • Aligning compliance verification with efficiency goals

The redesign aimed to improve both operational performance and member trust.

The Execution

Key actions included:

  • Conducted a detailed review of IVR authentication and routing logic

  • Identified gaps in member segmentation and transfer pathways

  • Introduced alternative data points to improve caller identification

  • Restructured compliance verification to reduce authentication time

  • Redesigned IVR flows to minimize repetition and unnecessary transfers

The solution aligned technology configuration with measurable performance outcomes.

The Impact

The IVR redesign delivered measurable improvements:

  • 76% of retail members reported being very or somewhat satisfied with IVR authentication

  • 31% improvement over target for calls identified and fully authenticated

  • 105-second reduction in average call time

  • Nearly $1M in total annual savings

The organization improved both cost efficiency and member experience across the contact journey

experience + excellence

TECHNOLOGY SHOULD REMOVE FRICTION, NOT CREATE IT.

Experience excellence in healthcare begins with seamless authentication and intelligent routing. When members are recognized quickly and directed accurately, both cost and frustration decline.

Let’s explore how your technology and analytics strategy can modernize your contact experience.

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