Knowtion Health Company Profile

Background

Overview

Knowtion Health is a leading provider of technology-enabled revenue cycle management services, specializing in resolving denied and complex insurance claims, recovering low balance accounts, and defending healthcare organizations against payer audits. Serving over 550 hospitals nationwide, the company manages more than $4.5 billion annually in outstanding balance accounts for its clients.

Mission and Vision

Knowtion Health's mission is to empower healthcare providers by leveraging advanced technologies and expert teams to optimize revenue cycles, reduce denials, and enhance patient satisfaction. Their vision is to be the premier partner for healthcare organizations, ensuring financial stability and operational efficiency through innovative revenue cycle solutions.

Industry Significance

Operating within the healthcare revenue cycle management industry, Knowtion Health plays a crucial role in addressing the challenges posed by increasing payer denials and complex claims. By offering specialized services, the company contributes to the financial health of healthcare providers, enabling them to focus on delivering quality patient care.

Key Strategic Focus

Core Objectives

• Revenue Optimization: Enhancing the financial performance of healthcare organizations by resolving denied claims and recovering underpaid accounts.

• Operational Efficiency: Streamlining revenue cycle processes to reduce administrative burdens and improve cash flow.

• Patient Experience: Ensuring that patients receive accurate billing information and support, thereby improving overall satisfaction.

Areas of Specialization

• Denial Management: Addressing and overturning payer denials to secure rightful reimbursements.

• Low Balance Recovery: Recovering small outstanding balances that are often overlooked but collectively significant.

• Audit Defense: Protecting healthcare organizations from payer audits through comprehensive documentation and compliance strategies.

Key Technologies Utilized

• Artificial Intelligence (AI): Employing AI-driven tools to analyze and resolve complex claims efficiently.

• Data Analytics: Utilizing advanced analytics to identify patterns in denials and optimize revenue cycle processes.

• Automation: Implementing automated workflows to expedite claim resolutions and reduce manual errors.

Primary Markets Targeted

Knowtion Health primarily serves hospitals and health systems across the United States, focusing on organizations facing challenges with payer denials, complex claims, and underpayments.

Financials and Funding

Funding History

Knowtion Health is a portfolio company of Arsenal Capital Partners and Sunstone Partners, both private equity firms specializing in healthcare and technology-enabled services. Specific details regarding the total funds raised and recent funding rounds are not publicly disclosed.

Notable Investors

• Arsenal Capital Partners: A private equity firm focusing on building technology-rich, market-leading healthcare and industrial growth companies.

• Sunstone Partners: A private equity firm investing in technology-enabled services and software companies.

Utilization of Capital

The capital raised has been utilized to expand service offerings, enhance technological capabilities, and support strategic acquisitions to strengthen Knowtion Health's market position.

Pipeline Development

As a service-oriented company, Knowtion Health does not have a traditional product pipeline. Instead, the company focuses on continuously developing and refining its service offerings to meet the evolving needs of healthcare organizations.

Technological Platform and Innovation

Proprietary Technologies

• AI-Driven Claim Resolution: Utilizing artificial intelligence to analyze and resolve complex insurance claims efficiently.

• Automated Workflow Systems: Implementing automated processes to streamline revenue cycle management and reduce manual errors.

Significant Scientific Methods

• Data Analytics: Employing advanced analytics to identify patterns in denials and optimize revenue cycle processes.

• Machine Learning Algorithms: Applying machine learning to predict and prevent future denials, enhancing overall revenue cycle performance.

Leadership Team

Executive Profiles

• Jayson Yardley – Chief Executive Officer (CEO): With extensive experience in healthcare revenue cycle management, Yardley has led Knowtion Health through significant growth and innovation.

• Rick Howard – Chief Technology Officer (CTO): Bringing over two decades of executive leadership in healthcare IT and data management, Howard oversees the technological strategy and implementation at Knowtion Health.

• Tammie Jackson – Chief Commercial Officer (CCO): With more than 25 years of experience in revenue cycle management, Jackson leads commercial strategy and client engagement efforts.

• Mikky Franklin – Senior Vice President, Revenue Cycle: Franklin has over 25 years of experience in revenue cycle management, overseeing front, middle, and backend revenue cycle operations.

• Erica Tingley – Chief Financial Officer (CFO): Tingley brings over a decade of executive leadership experience in finance, strategy, and business development across healthcare and technology sectors.

Leadership Changes

In recent years, Knowtion Health has made several strategic leadership appointments to strengthen its executive team:

• Rick Howard was appointed as CTO in June 2025.

• Tammie Jackson joined as CCO in March 2025.

• Mikky Franklin was appointed as SVP of Revenue Cycle in February 2025.

• Erica Tingley became CFO in January 2025.

Competitor Profile

Market Insights and Dynamics

The healthcare revenue cycle management industry is experiencing significant growth due to increasing complexities in insurance claims, rising payer denials, and the need for operational efficiency. Healthcare organizations are seeking specialized partners to navigate these challenges and optimize revenue cycles.

Competitor Analysis

Key competitors in this space include:

• Conifer Health Solutions: Offers comprehensive revenue cycle management services to healthcare providers.

• R1 RCM: Provides end-to-end revenue cycle management solutions, focusing on improving financial performance for healthcare organizations.

• Cerner RevWorks: Delivers outsourced revenue cycle management services with a focus on technology integration.

Strategic Collaborations and Partnerships

Knowtion Health has strengthened its market position through strategic collaborations:

• Acquisition of Switch RCM: In July 2025, Knowtion Health acquired Switch RCM, a data- and technology-first company specializing in uncovering and resolving overlooked reimbursement entitlements through intelligent automation and data-driven innovation.

• Partnership with Sunstone Partners: Sunstone Partners, a growth-oriented private equity firm investing in technology-enabled services and software companies, has been a significant investor, supporting Knowtion Health's expansion and technological advancements.

Operational Insights

Knowtion Health differentiates itself through:

• Technological Integration: Utilizing AI and automation to enhance claim resolution processes.

• Expertise in Denial Management: Specializing in complex claims and payer audits, providing tailored solutions to healthcare organizations.

• Comprehensive Service Offerings: Addressing a wide range of revenue cycle challenges, from denial management to low balance recovery.

Strategic Opportunities and Future Directions

Knowtion Health is well-positioned to:

• Expand Service Offerings: Develop new solutions to address emerging challenges in the healthcare revenue cycle.

• Enhance Technological Capabilities: Invest in advanced technologies to further streamline revenue cycle processes.

• Strengthen Market Presence: Leverage strategic partnerships and acquisitions to broaden its client base and service capabilities.

Contact Information

• Official Website: KnowtionHealth.com

• LinkedIn: Knowtion Health LinkedIn

• Headquarters: Boca Raton, Florida