Human AI Interaction in Financial Decision Support for Healthcare Administrators

This provides a conceptual model of Human-AI Interaction in Financial Decision Support, focusing on healthcare administrators with the objective of enhancing financial architecture, risk mitigation, and operational efficacy in healthcare systems. The model incorporates the growing AI domain that encompasses machine learning, language processing, and Robotic Process Automation (RPA) to automate repetitive menial tasks in conjunction with human skills thereby forming a hybrid intelligence infrastructure. The model contains four frames: information retrieval through acquisition, AI-based financial analytics, human-in-the-loop verification, and learning-based feedback. Initially, automated systems gather and preprocess both structured and unstructured data from electronic health records, claims, and financial management systems. Data is then analyzed utilizing advanced AI techniques to issue predictive analytics such as estimation of costs, revenue cycle, and risk-adjusted financial outcomes. These insights are issued from AI systems and are to be adjusted in the context of healthcare administrators' review to ensure predictive analytics and recommended actions are adjusted and aligned with domain knowledge. Systems with a human-in-the-loop perform in the real-world context qualify AI outputs and ensure reliable outcomes that meet the organizational goals, compliance and ethical boundaries that are set forth. In addition, the model features a learning-based feedback mechanism that is adaptive in nature, analyzing financial outcomes post-decision to adjust rule-based algorithms for future cycles of prediction to enhance long-term relevance and accuracy. The dual aspects of automated intelligence and human decision-making enrich the ecosystems of user trust and accountability, as well as transparency in AI-enabled finance. Besides, it streamlines proactive strategic planning, improves resource distribution, and alleviates administrative workload in value-driven healthcare systems. This also illustrates relevant concerns for implementation such as user interface aesthetics, personnel education, and data management frameworks. This model provides all healthcare entities with a single, scalable, and replicable structure to enhance financial robustness and resilience, while articulating, prioritizing, and accentuating human supervision and multi-faceted decision-making in complex systems of integrated healthcare.

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Publication Details

Journal
Zenodo (CERN European Organization for Nuclear Research)
Published
2025-09-04
DOI
https://doi.org/10.5281/zenodo.17060470
Primary Topic
Geochemistry and Geologic Mapping
Type
article
Field-Weighted Citation Impact
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article

Human AI Interaction in Financial Decision Support for Healthcare Administrators

Zenodo (CERN European Organization for Nuclear Research)
Geochemistry and Geologic Mapping
article

Human AI Interaction in Financial Decision Support for Healthcare Administrators

article en

Abstract

This provides a conceptual model of Human-AI Interaction in Financial Decision Support, focusing on healthcare administrators with the objective of enhancing financial architecture, risk mitigation, and operational efficacy in healthcare systems. The model incorporates the growing AI domain that encompasses machine learning, language processing, and Robotic Process Automation (RPA) to automate repetitive menial tasks in conjunction with human skills thereby forming a hybrid intelligence infrastructure. The model contains four frames: information retrieval through acquisition, AI-based financial analytics, human-in-the-loop verification, and learning-based feedback. Initially, automated systems gather and preprocess both structured and unstructured data from electronic health records, claims, and financial management systems. Data is then analyzed utilizing advanced AI techniques to issue predictive analytics such as estimation of costs, revenue cycle, and risk-adjusted financial outcomes. These insights are issued from AI systems and are to be adjusted in the context of healthcare administrators' review to ensure predictive analytics and recommended actions are adjusted and aligned with domain knowledge. Systems with a human-in-the-loop perform in the real-world context qualify AI outputs and ensure reliable outcomes that meet the organizational goals, compliance and ethical boundaries that are set forth. In addition, the model features a learning-based feedback mechanism that is adaptive in nature, analyzing financial outcomes post-decision to adjust rule-based algorithms for future cycles of prediction to enhance long-term relevance and accuracy. The dual aspects of automated intelligence and human decision-making enrich the ecosystems of user trust and accountability, as well as transparency in AI-enabled finance. Besides, it streamlines proactive strategic planning, improves resource distribution, and alleviates administrative workload in value-driven healthcare systems. This also illustrates relevant concerns for implementation such as user interface aesthetics, personnel education, and data management frameworks. This model provides all healthcare entities with a single, scalable, and replicable structure to enhance financial robustness and resilience, while articulating, prioritizing, and accentuating human supervision and multi-faceted decision-making in complex systems of integrated healthcare.

Zenodo (CERN European Organization for Nuclear Research)
Rush University Medical Center (US)
Openalex Percentile: Top 51%
Geochemistry and Geologic Mapping
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