Artera graphic showing a rising bar chart made of grass, reporting over 53% growth
Artera logo

Artera boosts cash velocity by 53% with connected health billing.

Health Cloud scales billing faster at a predictable cost with unified patient data.

Summary

Artera’s manual billing processes struggled to keep pace with the company’s exponential growth. Now, Health Cloud provides a scalable system that unifies data, improves end-to-end visibility, and keeps costs flat as growth accelerates.

About

Artera is a healthcare technology company that uses AI-driven insights and lab testing to better predict prostate cancer prognosis for more informed treatment decisions.

The Results

53 %
decrease in time to collect

Rising demand required more efficient collections and greater visibility of patient billing.

According to the American Cancer Society, about one in eight men will be diagnosed with prostate cancer during his lifetime. But each patient is different. To help inform therapy options with greater precision, there’s Artera.

Once a diagnosis is made, Artera digitizes biopsied tissue slides and combines them with clinical factors like prostate-specific antigen (PSA) score, tumor stage, and Gleason score to assess cancer aggressiveness. Artera’s proprietary AI then generates a personalized risk score and predicts whether specific therapies may be effective.

Beyond its flagship offering, Artera is also pioneering a new software as a medical device (SaMD) model. This technology allows healthcare partners to run the test locally without the need to ship physical slides to Artera’s Florida laboratory. The platform, which has received breakthrough status, as well as De Novo authorization by the FDA, is among the first of its kind, positioning Artera as both a diagnostics provider and a scalable software platform. 

Artera’s order volume has climbed rapidly from the period immediately preceding commercialization to the present. What once felt manageable became a strain as volume surged from around 200 test kit orders per month to the same amount in just one day. While the team could manually review PDF forms and enter data into spreadsheets without much friction early on, a few minutes of simple data entry grew drastically when multiplied by thousands of orders. 

The company began using Salesforce for its CRM. But even with a CRM in place, Artera’s billing operations weren’t strong enough to keep pace, creating bottlenecks up and downstream. While testing continued without disruption, revenue lagged between efficient billing systems and disconnected data along the patient journey. 

As both a medical device and software company, Artera needed a solution that could work with both traditional healthcare billing (a multi-step process involving patients, providers, and insurance) and the technology sector’s more direct software billing model.

At the same time, outdated payment options like mail-in checks and credit card information deincentivized patients to pay quickly, forcing Artera to send out additional invoices.

The company desired better end-to-end visibility throughout the billing process, from receiving an order to posting payment. With an all-in-one system, patient and billing data would be together and easier to report on, helping Artera glean insights in real time. 

Health Cloud cuts days to collect in half, improving cash velocity by 53%.

With support from Salesforce consulting partner eClouds.co, Artera implemented Health Cloud, going beyond CRM to provide for greater end-to-end visibility, improved scalability, and predictable cost.

“What really sealed the deal for us was ROI,” said Peter Rossow, Director of Revenue Cycle Management at Artera. “This system scales and the cost basis stays relatively flat, meaning our cost to collect goes down as we grow. That was the long-term alignment we were looking for.”

Today, nearly all of Artera’s operational data lives in Salesforce. Orders are tracked from the moment they enter the system through to payment, giving teams a clear, real-time view of revenue cycle performance metrics.

“We can actually see the entire lifecycle now,” said Rossow. “From when something comes in as a lead to when it hits the general ledger—it’s all connected.”

Patients can pay quicker and easier with simplified payment options like QR codes on invoices and integrated tools like Stripe, transforming the billing process. This shift alone has increased cash velocity by more than 53% thanks to a drop in days to collect from about 66 to 31.

“If you’re doing thousands of dollars in business 30 days faster, that’s millions in freed up capital that was held up in accounts receivable before,” said Rossow. 

By connecting our patient and billing data in Agentforce 360, we get the end-to-end visibility needed to scale our diagnostic business. This efficiency, which has already improved cash velocity by 53%, helps us better serve patients by streamlining billing operations and supporting the timely ordering and delivery of test results that help inform personalized cancer treatment decisions.

Peter Rossow
Director of Revenue Cycle Management, Artera

Slack and agentic AI lay the groundwork for ultimate team efficiency.

Artera’s Slack integration adds another layer of efficiency. Teams can update records, share information, and move work forward without ever leaving the flow of conversation or wasting time logging in or out. Rules-based logic allows the platform to check key billing and order data against defined CMS criteria to help keep operations accurate and compliant. When the required conditions are met, it triggers the correct Slack workflow and tags the appropriate team member to complete it.

Looking ahead, Artera is exploring how the Agentforce 360 Platform can be used for functions like Document AI to pull data directly from documents. This would eliminate the need to manually transfer patient data from order forms to Salesforce fields. 

Artera is also interested in seeing how agents could help with automatic payment reconciliation, allocating payments to the right claims without manual intervention. While the process currently only takes a minute or two for each claim, it can become overwhelming in aggregate. 

The Salesforce Difference

Artera had looked at traditional billing vendors, but many came with a tradeoff: the more the company grew, the more expensive those solutions became. Salesforce is not only able to handle Artera’s growing order volume, but bring its billing data and workflows together at a predictable cost.

“A lot of vendors will take 5-6% of your collections,” said Rossow. “That just didn’t make sense for where we were headed.”

Just as important is the level of visibility the platform provides. Instead of stitching together reports from multiple systems, Artera can finally see everything in one place—and trust that it’s accurate. Health Cloud patient services and clinical capabilities are also available with Life Sciences Cloud.

Billing system fees can be a huge barrier to entry for companies. Salesforce’s model absolutely changes the game for revenue cycle management in a way I’ve never seen before.

Peter Rossow
Director of Revenue Cycle Management, Artera