Spotlight: Dylan Wilson @ Roony

A spotlight is a short-form interview with a leader in health tech. In this spotlight, you'll hear from Dylan Wilson, founder of Roony.

What does Roony do?

Roony recovers revenue from denied claims. When a claim gets denied, our AI agents handle the entire resolution workflow end-to-end by identifying why it was denied, determining the optimal path to resolution, following up with payers, gathering the right documentation, filing appeals, and driving each claim to payment. For practices and RCM companies, it means a single person can do the work that used to take an entire team.

How did you end up working in health tech?

Growing up, I watched my parents spend years fighting with insurance companies on the phone. Claims would get denied, and suddenly it was on my family to figure it out.

Later, my wife (who's a physician) opened my eyes to just how broken things are on the provider side too. Providers don’t have the tools to deal with denials effectively, and the burden rolls downstream. Overwhelmed patients, providers, and families shouldn’t have to waste valuable time managing claims.

How does your role intersect with revenue cycle management (RCM)?

Denial management is the black hole of the revenue cycle. Practices lose billions every year. often because they lack the manpower to fight all the denials. Roony gives RCM teams a swarm of denial management experts who work relentlessly to recover revenue.

What do you think RCM will look like two years from now?

The traditional RCM company consisting of big teams doing the same repetitive work over and over will not survive in its current form. AI will handle the minutiae of the followups, status checks, and the endless back and forth with payers. But what a lot of people get wrong is that they think AI will stop denials from happening. It won’t. Insurance companies will always find new reasons to deny claims because it’s fundamental to their business model. What changes is how providers fight back. Instead of throwing bodies at the problem, you’ll have swarms of AI agents working denials around the clock, adapting to every new payer tactic.

The RCM teams that exist two years from now won’t be doing the work. They’ll be orchestrating the AI that does. Any team not preparing for this shift is headed for extinction.