Podcast
Can a Virtual Front Desk Fix Your Urgent Care Staffing Problems?
On the Walk-Ins Welcome podcast, HiBridge founders Mark and Wendy Lucas explain how a live virtual front desk answers every call, pools reception across locations, and keeps urgent care covered nights and weekends, without losing the human touch.
Key takeaways
- In urgent care, unanswered front desk calls are missed appointments and missed revenue; a live virtual receptionist is built to keep every arrival greeted and every call answered.
- Pooling reception across locations let the founders run 10 clinics with about three receptionists, then pay them more to end the turnover cycle.
- The founders cite a healthcare reception turnover rate of roughly 45 to 50 percent and replacement costs of about one-half to two times salary, pressure a shared virtual team is designed to relieve.
- The model fits urgent care realities: a 20-hour weekly minimum for weekend and after-hours coverage, an emergency “code red” workflow, multilingual support, and a typical two-week rollout.
The urgent care front desk problem: missed calls, missed revenue
Urgent care lives and dies at the front desk. On the Walk-Ins Welcome podcast from Patient Care Marketing Pros, hosts Nick and Michael open with the pattern they see constantly: calls that go unanswered, patients who slip away, and revenue that quietly walks out the door. The usual answers, fire and rehire, retrain, go all-in on AI, or simply live with it, rarely hold up in a busy lobby.
HiBridge founders Mark and Wendy Lucas describe a different path. Wendy spent decades in physical therapy and Mark is a serial entrepreneur, and together they built a virtual front desk that keeps a real person in the conversation while changing where that person sits and how many lobbies they can cover.
What HiBridge is: a real receptionist, live on screen
Rather than a cold, prompt-driven kiosk, HiBridge streams live video of the waiting room to the receptionist. Wendy describes it as putting a person in every waiting room at once, what she calls a 2D human instead of a 3D one. When someone walks in, the receptionist can pop onto the screen and greet them by name, no touch or call to initiate required.
The receptionist can be anywhere with a solid internet connection, and the system controls the hardware in the clinic. As Mark explains, they can take payments, swipe or tap credit and insurance cards, and print or scan receipts, notes, and documents locally, everything a person at the desk would do.
How pooling reception cuts urgent care staffing cost
The financial shift comes from a many-to-many design. Because a receptionist can watch several clinics on one screen, a small team can jump between lobbies, greet whoever walks up, and cover for a colleague who steps away. In their own group, the founders ran 10 clinics with about three receptionists instead of the 12 to 15 they had used before.
That efficiency funded a fix for turnover. With only three seats to fill, they simply paid each receptionist about three dollars more an hour, and the turnover problem went away. Many clinics also reclaim the large front desk footprint, turning former reception space into revenue-producing treatment rooms.
The staffing math urgent care owners are facing
Wendy points to figures she gathered for a talk around the Urgent Care Association conference: more than 118,000 open healthcare reception positions, a turnover rate for the role of roughly 45 to 50 percent, and a cost to replace each departure of about one-half to two times salary, somewhere between $20,000 and $83,000. Most seats, she notes, turn over at least once.
The founders attribute the pressure to labor shortages, flat or falling reimbursement, and rising local wages, including nearby employers advertising well above what a clinic can match. A shared virtual team, staffed from secure domestic or offshore facilities, is designed to relieve that pressure while keeping trained, higher-skilled people at the desk. These figures are cited by the founders; results vary by market, workflow, and implementation.
Built for urgent care realities: weekends, after-hours, and emergencies
Urgent care runs late and works weekends, hours many receptionists do not want. The founders note that clinics can use the HiBridge team specifically for those shifts, with a minimum of 20 hours a week, so late nights and Saturdays and Sundays stay covered.
Because the receptionist watches the live waiting room, they can also respond to a medical emergency. Wendy describes a “code red” workflow: if a patient collapses or is in distress, the receptionist can alert staff in the back and call 911 at the same time, without a desk person having to leave the front. The system also supports multilingual reception and, the founders say, has helped clinics push copay collection at the time of service as high as 95 to 100 percent.
Getting started, and why the founders see it as essential
Implementation is typically about two weeks, and the founders have done it in as little as a week. Hardware arrives plug-and-play, staff training is handled, and updates ship on a regular software feed. Clinics can keep their best people, outsource entirely, or mix the two, and can pilot with a location or two before rolling out further.
Their broader argument is that with reimbursement flat and costs climbing, rethinking front desk overhead is becoming a matter of survival, not a luxury. For urgent care specifically, the promise is simple: answer every call, greet every arrival, and cover every shift, without carrying a full roster of hard-to-keep front desk hires.
Full video transcript
This transcript is provided so the conversation can be searched, referenced, and read without playing the video. Minor punctuation has been added for readability.
Read the complete transcript
[00:00] Hey, what's going on everybody? You're listening to another episode of Walk-Ins Welcome with Nick and Michael brought to you by Patient Care Marketing Pros. We're pumped to have some guests on the podcast today. I know we like to have a lot of conversation around front desk, front desk woes and front desk solutions. So, that's what we're going to be uh doing today. But, Michael, what's going on, man? How are you? Yeah, it is. We I feel like we are in the wetest summer I've ever been in this. We're here in Birmingham and it has rained almost every day this month
[00:30] except for like yesterday.And it looks like it's going to rain today.It's probably going to rain today. Never ends. But no, so we have a guest on today. This is the this this guest is very fascinating to me because like you said we talk about front desk problems all the time and and so far generally speaking the solutions are fire your front desk and find somebody better or retrain or use AI all-in and that seems to be like or just live with it like right that just seems to be the options right nowor call center butor a call center which which those are
[01:00] just like those are hard hard to find good ones but now we have like I call it like a hybrid almost because it's basically kind of like the best of a lot of different worlds all put together because you're having a chance to take your best people and maximize what they're doing.That's right.But in terms of hybrid, it's called HiBridge. So HiBridge is a really cool uh virtual front desk system and we have Mark and Wendy on today with us. So they they founded this back in 2015. Wendy was in the PT world for a long time. She had a practice back in 1992 up until sold in 2020. So she's
[01:30] seen a lot in the medical space. I mean, it's just incredible how much can happen over that time period. I mean, so much. And then, you know, Mark on the other side, now they're married, but Mark on the other side, he's the entrepreneurial guy. Like, he's out of Five Guys. He has a a dumpster recycling company, and now he has HiBridge. And it's just one of these fascinating things where I feel like Wendy probably had the medical like, "Oh, this is something we should probably look at." And Mark's like, "I like building businesses. Let's see what we can do and make it all mixed together." And then here we are today.
[02:00] So, it's awesome. Mark and Wendy, so glad to have you on.Mark and Wendy Lucas is with us. Say hello to the walk-ins. Welcome audience and tell us one thing about you that nobody knows.Go first. Hello.Mine will stun you probably. Most people don't know that I actually know and have touched and live with a not actually physically live with, but around a serial killer.Yeah, I ask. Yeah.Is a serial killer on with us now? Do you need a blink?No.
[02:30] That's incredible.This was during college. So, I'm actually really good at solving problems. I found a way to exit myself from that whole uh not my relationship, but a friend relationship. So, yeah, it's crazy that somebody would in medicine would know a serial killer other than just treating them, right?Oh my goodness, that's wild. Yeah. Okay. All right. Mark'sI'm not even sure I remembered that one. I was like, "Wow." [laughter]Um, you kind of I was the first franchisee of Five Guys Burgers and Fries. Ended up with 11.That's wild. Okay. stores in Virginia,
[03:00] North Carolina. And I can ride a unicycle.That's pretty cool. That'sAnd he did in Walmart Christmas Eve.He rode the unicycle in Walmart Christmas Eve. Yes.I'm going to need video evidence of that since we allSo, I need to see you on a unicycle out of Five Guys.That's [laughter] right. I'll give youscooping up some peanuts.Well, we are pumped to have you on the podcast today. We talked earlier uh on the intro of the podcast is just it's such a challenge at the front desk level. Just so many missed calls in the
[03:30] urgent care space and they they go unanswered. It's missed opportunity. It's missed revenue. And a lot of times we're seeing AI answering services, which are great if you can get them to work the way you want them to. So we are fans of it. But some people do not want that. They don't want an AI solution. They want to talk to a human being. More importantly, they want a face-to-face connection. So here's I'm I'm giving you the beautiful setup. Tell us about HiBridge. Tell us what the product actually is.I I'll start out by telling where it
[04:00] came from originally. I'll let you take over.Yeah. So back in 2015, uh we still had the PT clinics. My my background is actually in technology. And so she she had had an open front desk and she said, "I want a virtual front desk." And so I got my marching orders and so I said, "All right, we'll build it." So uh we built it and it wasn't great at first. I'm being the first to admit it, but uh just over the years it got better and better and better. And by the time 2019 rolled around, we had a lot of people coming through, particularly physicians that were saying, "Wow, we got to do
[04:30] something with this." And so we launched a vertical product, excuse me, a virtual product during COVID, which was perfect timing. It was really good timing. And so it kind of took off from there. So I'll let Wendy tell you what it does.Well, no, I mean really, it's just one of those things you just get tired of the problems as you've said. You know at the time we started the developing the product we had five offices. So as you can imagine and uh two of our offices were next to urgent care uh two were next to occupational medicine and one was next to ortho. So have a lot of
[05:00] experience around different lines of medicine which has been proven very helpful for this but you know exactly it was the call outs it was the turnover you know stealing we can tell more and more stories along those lines but yeah looking at what could we do to make life differently and that's what I tell people today. It's like we've got we're in a environment where there's nothing that's impossible. As I tell our um programming team, nothing's impossible. It's just how long will it take and how much will it cost to get it done. So, we started thinking about life differently.
[05:30] And so, we had three goals when we started this. And um you kind of touched on them like with AI, with phone calls, a lot of people hang up on them because it's very quick to see, you can quickly tell that it's AI. Now, will that get better? Yes, it will. And there are some components for it. Um but we wanted to keep that human touch. I think medicine probably will be one of the last places for AI to completely take over because people have a lot of ailments. They have pain. They they just aren't really, what should I say, understanding of anything as they come through. They want that
[06:00] compassion and that human touch. We also wanted the product to be able to interact with anyone. So the patient would not have to do anything in order for it to be just like it was if they walked in there. So our product does provide live streaming video of the waiting room. So, it's as if a person's sitting in your waiting rooms at at all times. It's just they can sit in every single waiting room. So, it's uh what we call instead of a 3D human, it's a 2D human.I love that.And we can control all kinds of hardware. Anything they can do, print, scan, take payments, all of those things
[06:30] can be done through the system. Well, I I and that I know you guys will need to kind of paint a visual for the podcast listeners because when I first saw it, I was like, I'm wait, it's a screen, per se, and there's like a mental hump you have to get over about that because I think there's like an automatic resistance. People aren't going to talk to a screen. Well, thanks to COVID, they made that conversation a lot simpler for sure.And then because honestly, uh during the heart of COVID, everybody had that piece
[07:00] of plexiglass or whatever glass in front of them. It was basically a screen that point because they weren't going to hold your hand anyway.Yeah. It was a plexiglass right about there that I could justYeah. look around.It was super effective. Super effective.Yeah. So, like kind of give like a So, let's for the urgent care owners that are listening like what do you mean like I can do this remotely or whatever and they can still do things? Kind of walk me through as a patient and I'm walking into the clinic. What is a patient going to see with HiBridge? Yeah, great great question because it is
[07:30] kind of hard to fathom because we're so used to what I call a cold kiosk where you have to touch it and basically you just get a lot of prompts and you do those things you actually rarely ever see a face. Sometimes you will. We talk about faces in Teams but we don't think about like a kiosk. So think about those two things being together. But our system is an all-in-one computer. It has a camera, a wide angle camera at the top that's feeding live streaming video. So think about it like a security officer at a large complex. So they have each of those little screens that are showing
[08:00] them different places of the building. For us, each of those screens on the reception shot is showing us live streaming video of the waiting rooms. So when a patient walks in, instead of having to wait to initiate a call or touch the screen or do anything, your receptionist can pop right up on the screen and greet them just like they would if they were sitting behind that plex plexiglass. So see as soon as I see you walk through the door, I can pop on and I can say, "Hi Nick, how are you doing today?" or "How may I help you?" And then we can and conduct business just like we always did.
[08:30] Does it auto does it auto wake up? I'm sorry. Go ahead.Yes.Yes,it does. Yes.Okay.Yeah.All right. You were saying something. I want I want to let you speak.There's really two parts, right? So, there's a clinic part and there's a receptionist part. And so, the receptionist can be anywhere. I mean, we have we have companies that outsource to the Philippines. I mean, they literally can be anywhere. If they have a good internet connection, they're fine. So, on the clinic side, like Wendy said, you're seeing them visually just like we're seeing each other right now, except it's just one person, right? And so they they interact with the with the patient just like a person would do sitting at a desk in the exact same way.
[09:00] And as Wendy said, you can take payments. We can scan credit cards or health insurance cards. We do print locally. So if they need a receipt or doctor's note, something like that. Or they can even scan documents, too. So all that can be done at the clinical side. On the receptionist side, that's where you're seeing the multiv- view windows. So for instance, for us, we had 10 clinics and so you could see a a live streaming video session of each one of those 10 clinics on that same screen. So it allowed the receptionist to pop in and out of the offices very efficiently and they could also see each each um receptionist could see what the other
[09:30] ones were doing and so if they put somebody on hold they could see that and all these things. So what happened for us is that because of that efficiency. So if we had 10 clinics we only needed three receptions to work all 10 clinics because they could they could utilize this this I call it a glorified um switchboard on steroids and so they can they can see it all. And so so we cut our overhead down considerably. And the other part too is that um since we only needed three receptions instead of 10. Everybody has a turnover problem. And so
[10:00] we just said, "Well, we'll just pay him more. We'll pay him $3 more an hour." Then the turnover problem went away. So it served it was a lot of benefits that came from it that we didn't even anticipate up front.So I I want to make sure that I I reiterate what you just said. If you pay them more, the turnover slows down.Yes. Somebody needs to hear that because I feel like we've been screaming that forever, right?And I think it's hard when you're looking at your margins. If you're playing 10 or 12 or 15 people more, like in our case, we had anywhere between 12 and 15 to cover those offices. That's a
[10:30] lot of money. You pay three people a little bit more. It actually becomes far less. And actually, the interesting thing too was, and I think we see it even more in this environment, they actually liked not being in the office. You know, I think we forget sometimes how beat up they get up front, too. some of the things that come at them and um the urgent cares we've onboarded the receptionists and have told us man I love this because I don't have everybody coughing on me or you know I'm touching their things and I'm sick all the time because you know the things that come in and through there and just dealing with
[11:00] some of the things that you know we all know we have to deal with. So I'm curious on this because I'm for like a visual standpoint. Let's say we have a clinic that wants that's coming on with HiBridge. Are they essentially wherever the front desk was? They're just placing this a screen, a computer, a screen with a camera and so forth, right where it was essentially? Is that the mindset usually?Yes. Yes. They can actually set it on the countertop in front of that plexiglass if they have room. There's a variety of ways. We send them all kinds
[11:30] of different picture setups and access to different types of ways they may want to do it. Some of our larger clients like to embed it in a like more formal kiosk like you may see at the airport or something like that. A lot of clients are going with a stand where the kiosk sits and then the printer scanner or whatever they need underneath of that as well. Well, I think one thing like you guys touched on, but it's just so important is like if you went, like I said, you had 10 locations, which mean you had at least 10 receptionists at some point. And with your system, you got it down to three and it was very
[12:00] efficient and like I could pay more people more, but also too, it allows you to to hire higher skilled people, which then fixes some of the experience problems that uh front desk can create and which then also like we talk about phone call stuff like these people can be trained on how to convert somebody into an appointment a lot easier than somebody that's like I'm just here to collect the paycheck and go home. So, I just like there's so many interesting benefits here. That's why I was saying at the beginning of the podcast like it's kind like a weird hybrid where you
[12:30] still get to use the front desk people but you use them in like a high performance high efficient way and but the burnout is not so bad because they're not sitting there like physically trying to fight with people.True.Right. Exactly. And exactly especially you know if you have more than one location at one location may be getting slammed at a certain time frame and another one they're sitting there playing Candy Crush or something. in this system. It's not only that the, you know, the that there can be a number of receptionists helping the same office. So, think about it. If you get a a run on a on a clinic, you would be able to
[13:00] just whoop like place extra people there and then whoop put them in another office. So, with this system, you can do that because theyteleportation system.Yeah, correct.Transport. Yeah. That opens the door to a question I'm I'm trying to trying to grasp. Is do I have to hire the employees myself and then put them in this kiosk situation or is this is this a giant uh boiler room full of people that are managing a 100 different clinics? Help me understand that.Yeah, we can do it any way that people
[13:30] want. Some people do want to keep their staff. Like in our case, I tell people whoever the cream of your crop are, keep them if that's who what you want to do. Some people have had it with all of their staff, just want to outsource all of it, which we can do. Some people want to keep some of their staff and utilize staffing agencies either ones they have or ones we have. Our staff is they all work from a facility either domestic or offshore. They're not working out of their homes. So security and hippo regulations are there. They're wanded before they go into the facility. So no app, no smartphone, smart glasses, Apple
[14:00] watches, none of that stuff is there. And yes, they are trained in how to perform for front desk services, patient care. And then you if you use our staff once you train them in your processes we document that for you both video and a written documentation. So if you want to add staff, change staff, all that training after the first time we take on. So you don't have to. I tell people, you go, I'm never training again, which everyone loves training. Right.Yeah. Or or the retrain and the retrain,
[14:30] right? And the retrain. That's right. I was going to say it's you have to build out all these SOPs just to make sure that you train people properly. And there's the high turnover front desk. In your experience, is that a high turnover role?Yes. I did.Yeah. I did a podcast uh right after urgent care conference and I did some research for there for that. Presently there are over 118,000 open healthcare reception positions. The turnover for that position is between 45 and 50%.
[15:00] Gosh.The cost of that turnover is between a half and two times their salary. So anywhere between $20,000 and $83,000 are the statistics. So most positions are turning over at least once, sometimes twice at at the tune of 20 to $80,000. So it's expensive.All right. What do you think is driving that turnover?I think it is competition, shortage of labor. We do know that birth rates are down. We have labor shortages. We have
[15:30] people our reimbursement in health care is not going up. Um but cost of living is going up. And then we have competitors in different markets that can raise their prices to whatever. I mean, I was at a local convenience store and they're offering $24 an hour. So, I mean, that's kind of hard to compete with with benefits. So, when you start looking at that sort of thing, it's just it's too hard to compete in the market with where we are. We just don't have the margins to compete.Really,and people don't want to work.Well, no, there's no doubt about that. Uh, and the ones that you you do find to
[16:00] work constantly want more and more and more and more and more.That's right.Without, I might add, adding any additional anything to them. It's kind of wild to me. Yeah. They're like, "Well, we want to pay twice as much money, but we don't want to do any more. If not, we want to do less."Exactly.Yep. So, one of the things that I've noticed on the front desk in all of the clinics that we work with is is the front desk person does more than answer the phone. All right. Um, so if I'm putting in a a kiosk, but I'm counting
[16:30] on that kiosk front desk person that I'm not paying extra $3 an hour to to do three other jobs inside the clinic. How is this how is this tackling those type of situations?Yeah, it's really leveraging that talent over where you're busy and not. So, typically you're going to have more depending on your volume and we rightsize that. We know based on what you have, what efficiencies you have. So, we can do a lot of like for people who want to selfcheck in that takes some of the load off. We do correlate the
[17:00] video calls with the phone calls so that we can route phones and video calls based on your staffing. So, we do a lot of those types of things and we know how many FTEs it takes based on your volume of visits and your hours that you're open, days and hours that you're open. So, we help you find that sweet spot. And then again, like I said, HiBridge will fill in for some of those areas where in the past they just didn't have anybody up front or they were using their MA to go up front and do those things. So, that they're running back and forth and you're just not creating the efficiencies that you want. talking
[17:30] about the MA stuff and one of our biggest at least mine at least one of our biggest pet peeves with front desk is they're not afraid at all to say let me let let you talk to the provider and and then our our our push like no no no you do that the provider by default wants to help that person on the phone or whatever and then they give out enough info and that patient either doesn't come in or you know cancels the appointment or whatever because like oh that's all I needed to hear and it's lost revenue and so it's just Like I
[18:00] don't know. I I just see it so often where like yeah let somebody else talk instead of me talking because I got other things I got to do and that goes back to like that high skill person saying something folks like no no this is my job first. I can't just like pawn it off as quickly as possible or I didn't educate myself well enough on what my clinic actually offers. We've had some comical recordings in the past of do you guys offer X-ray and the front desk? I don't really know. Yeah, that can cost you so much. And and that's a really cool thing too as Mark was saying
[18:30] that we can outsource our staffing and we're able to get a high level like nursing level staff for right around 12 to $14 an hour and these people have completed nursing school and so you really have someone who knows you know highlevel medical information. Now they'll never answer further than what you want them to do but they are going to know what's available at your clinic. The other nice thing about you talk about a kiosk being cold and those things, but when you're on this just like we're on this call, we're engaged
[19:00] in this call. We're not doing other things because we know we're engaged versus like when you walk into most offices, they're behind that glass or that plexiglass and I always say they threaten you. They look up like, "Are you are you kidding? You're interrupting what I'm doing? You really want me to talk to you?" Whereas you can't do this on that. You're you know, once you're in that call, you're in that call and there's nothing there's no hiding. I guess I would say,you know what, you're exactly right because there's such a frustration I have when I'm on a video call and it becomes apparent the person I'm on the call with is distracted and it becomes
[19:30] very personal to me like why why are we even talking if you're obviously going to try to do something else in front of me. So,Right. Exactly. Yeah. And the neat thing about our system is they actually see themselves. So, the receptionist sees themsel sees theirel when they're talking to you and that actually has helped a lot of people. They're like, "I never realized I did that. I never realized I do this every time I'm talking to somebody." You know, whatever it is. But yeah,you need like a little text overlay says, "Smile more. Smile more. Smile more."Yes. It's amazing what a smile will fix.
[20:00] It's so true.That's true. I love it. Mark, you sound like you want to chime in. I want to hear from you.Oh, no. No. I was I was just agree with laughing with what Wendy's saying, but it's it's a it is true. It's it's a tough job and we've just seen a lot of people get beat up by it. I will add one more thing too because this just goes I always keep going back to the financial stuff but um but the kiosk is you know when you put it in you can put it in a window. Hey real quick if you've been thinking about how to get your clinic up to 23
[20:30] patients per day and beyond Patient Care Marketing Pros is here to help you scale. We have worked with hundreds of locations to drive results through digital marketing services. We do search engine optimization, Google ads, Facebook, Meta, all the different ways that we can help you drive more patients through your doors. If you want to see what your clinic looks like online, what your competitors are doing, and how we can help fill in the gaps to grow your clinic, click on the link below and get a discovery call with myself or Michael
[21:00] or Grace. We'll show you what's working, what's not, and we will help you get past that 23 patients per day barrier and beyond. I look forward to speaking with you. But a lot of these clinics had a fairly large front desk office space. And so we've seen like in our our practice, we we actually turned all that space into treating space. And so now, you know, you're paying for it anyways. And so why not turn it into a revenue producing space instead of just having this empty space where somebody just sitting there
[21:30] answering phones. So that was that was another benefit we found is just reclaiming that space. Or if you open a new clinic, it just doesn't have to be as big. We we've seen some clinics with as much as 500 square feet for a front desk and so it's you know it was a big benefit.You know you an interesting point there. So we just had this morning our virtual mastermind with our clients is where like urgent cares get to come on and we have issues how can we help each other type of thing. And one of the things that were brought up, we had an urgent care that has an office spa, like a
[22:00] physical office space that split with an urgent their their urgent care in their PT Cairo, but there's no like true that was their issue. Like there was no true way of like, well, when you walk up to the single front desk, who are you talking to and what what kind of patient are you? And and we talked, won't you put up a physical wall? And they're like, well, it's not the way the building is. It wouldn't work. So now I even think like oh they could install HiBridge and have a dedicated spot toward the front that would catch all the urgent care patients up front and
[22:30] then allow then you know like it would kind of separate it and the cost of that would be completely different versus like finding a new building or chopping up a building or whatever. So, it's interesting like I love the idea like you maximizing your space where if it's like sitting there wasting a bunch of space, we can maximize it or we have a a very small bit of space. How can we make use of this very tiny spot and make it work?Yeah, we do have some clients that do multiple things and they'll ask, are you checking in for, you know, orthopedics? Are you checking in for uh some of our
[23:00] visual? Are you checking in for contact lenses? Are you checking in for the op for eye appointment? So, you can make options on that screen. So, our welcome screen that they see before they're engaged if you want to can be whatever you want to design. You can actually even have it advertising for you. So, while patients are sitting in the waiting room and no one's at the front, it can roll like what are your new services? It's flu season. Have you gotten your flu shot? Ask your provider while you're in with them. So, you can actually use it to generate revenue and business for you while it's just sitting there, which I can bet you that your
[23:30] front desk person is not doing. So Mark, backing up to let's say 2015 when y'all started working on HiBridge in the first place. AI wasn't really around much at that point. Developing any kind of software cost an absolute fortune and you had to maybe both of you I don't know. I guess the bigger question is who who brainchilded this? Like how did this even get birthed in the first place?It was Wendy just getting mad at me one day and saying I'm a virtual front desk. I'm tired of this. and and you and you,
[24:00] the entrepreneur, stepped in and like, I'm gonna fix it.We've been married almost 38 years, so I've learned my lesson more than once.Yeah. Yes. Here is the answer. Right.He's being kind. I am not the brainchild. I just said it needs to do this. And we actually partnered with a guy that he was in college with. Uh it was a roommate of his that does a lot of programming, had done some programming for us on other tasks that we had then and started putting it together. So I always say all I do is tell them what it has to do. Mark and that his team has to
[24:30] figure out how to do it and I don't want to hear you can't.That's what we tell our AIS right now. Don't tell me you can't do it. Try again. Right. That's right. [laughter] That's right.Well, with with HiBridge specifically, what would you do different today if you were going to launch it today than you did 10 years ago?How long is this podcast?I mean, honestly, I'm just curious about I'm curious about how you build companies. You know, it actually started out very differently because we had this little thing called a Kooby, which was an articulating arm that you could put
[25:00] like an iPad on and it could be controlled remotely and we were using it to pan the office, just kind of look around because they could use like a the mouse. So, you could you could pan the office and see what was going on. And then we figured out we could actually communicate through it. And so we started doing that. And but then that company went out of business. And so we no longer had a Kubby. And so then we realized that, hey, this thing is really starting to kind of people it's starting to provide some benefit. Uh let's let's see if we can take this a little
[25:30] further. And so we we hired some developers and and I kind of kind of worked it out.How hard is it to resist incorporating AI into this human touch for you?We've already done it and in quite a bit. It's, you know, AI, it's kind of a a junk term really now because it it means so many different things,right?We used to call it machine learning back in the day. We hadbig data.Yeah. We had another company back in the early 2000s. We did uh voice to text very early EMR and a documentation system. And uh and that was machine
[26:00] learning is what it is. And AI more or less is the same kind of thing. It's just has much broader depth of knowledge than than we could do through machine learning. Machine learning is repetition. AI is repetition as well, but it also has access to a lot more data, a lot more information, but but you know, we're not stupid. I mean, eventually people will probably go away at the front desk and it will be AI driven. So, we're we're clearly working on that as well. But like Wendy said earlier, you know, the healthc care business is just different than most others. They still they like that real person and we've even tried some of the humanoids. They're still a little creepy. So, you know, we we'll just keep
[26:30] plugging away with what we're doing. But but yeah, it's it's certainly certainly been utilized now. Well, I love the fact that you're at least thinking of that situation in that circumstance. Wendy had brought up earlier, hey, we're just not having babies the way we used to have babies. [laughter] You know what I mean? And uh you know, honestly, that bears out true in the world, my world, where none of theNo, nobody wants to have babies. That's the wildest thing. So, like that doesn't seem to be uh birth rates don't seem to be climbing for whatever reason. So,
[27:00] we there has to be a solution at some point to replace this dwindling workforce. So, I I I love the fact that y'all are drawing that conclusion and putting that solution in place. With that, let's talk about how people are going to interact with you for the first time. A clinic is hearing this. They're like, "Okay, I I've got eight or nine or 10 or maybe even three or four locations or 50 locations, whatever. This sounds like a solution that we need. How do I even start this conversation with you guys?"Yeah. you want.So, we usually set up a call so we can
[27:30] kind of get to know what their clinic needs are and then kind of walk them through the technology and actually show it to them. Um, we we have simulated clinic so we can show you just how it looks from the patient side, how it looks from the reception side, and then we have a number of ways to to come on board. You can pilot and and see how it goes for you. You can, as I said, you can open a few clinics with it and just add as when we did our practice, we didn't do all, you know, five at when we first started. We did a few and then we just added them and then pretty quickly we were adding over and over. It's
[28:00] actually one of our cutest stories when we first launched. We have a lot of customers in California. We have this one guy. He's he's just really fun. But he was like, you know, I'm going to keep my people. And then as it went along, he got more and more frustrated with his people and especially costs in California. And he called one Friday night. For us it was 10 o'clock. For him it was seven because we were in Virginia. And he was like, I had somebody quit. It was a Friday night. I was like, okay, I'm really sorry. He goes, I'm not sorry. send me another kiosk. So, he was no longer beholden to
[28:30] his front desk either. You know, we feel like that, you know, they they control a lot of strings for us. And when we get back some of that power, it's really nice.Well, I can relate to that. I I'm I have no intention of letting any of my team go, but there's in some circumstances that I can think of right now where if they were to leave, I would not have the need to replace them.Right.Yeah. or knowing that you have a replacement, you have a solution. Like you're not just going, "Oh my gosh, you know, I'm up all night. What am I going to do tomorrow when I don't have something?" You have a solution in
[29:00] place.Yeah. So, so on that right there, what kind of time frame is it from, hey, Wendy, I like this product, what do we do next? From that conversation to like your product is in their clinic functioning, how long is that time?Yeah, our typical timeline implementation is two weeks. Uh we've done it as fast as a week from Virginia to Alaska. So a lot of that was shipping. Uh and again it depends if you use our staff or yours. If your staff is already trained, it can be all it takes is getting it there. Our product is very
[29:30] intuitive. I say we we copied after Apple. So all the icons for how to operate it are very intuitive. It looks like a phone when you're answering it. It looks like a copier when you're making a copy or printing something. So everything is very intuitive and it arrives plug-and-play. If you buy hardware from us, all you have to do is plug it into power and Ethernet and we come on and configure everything for you. We do all the training for your staff. We provide support and all of our updates are included in our software feed because, you know, we're always
[30:00] improving. We do at least a quarterly release of new features and new activities, if not more. I think one of the things that I appreciate is one while you're on the podcast, y'all haven't this isn't a startup I guess is what I'm trying to say that y'all have an established business model that's been put into the marketplace that is seeing very strong success across multiple healthcare verticals. How long have you been in the urgent care space specifically?We actually launched with the urgent care conference as far as like getting
[30:30] into that before. Yeah, we have we also do participate at nine other medical verticals besides, you know, urgent care and and therapy and stuff, but orthopedics, urology, gastroenterurology, rheumatology, general practice. So, it is it's neat. You know, front desk is a front desk, right? It's just a little bit different what we have to do.Funny story. One of our good friends, he's an urgent care physician and he has his own practice and and it's right next to one of our PT clinics and so we had HiBridge in there and he could see it every single day. So he, you know, he
[31:00] was struggling a little bit with his business. And he he'll call me and ask me business stuff from time to time. And he said, "So I need to find a way to cut my my front desk cost." And I said, "Well," and he always says, "Let me preface this." He probably has four people up front. And he says, he calls them his girls. He said, "I love my girls. You know, I need to have my girls." And so he he said, "Um, so I need to cut my costs. I need to generate more revenue." And I said, "Well, you know, the solution is right in the same lobby that you currently have."And it's HiBridge. And he goes, "Right, yeah, you may be right. So you could you
[31:30] could probably do one person that front desk instead of four. And so guess what? He's becoming a customer now.Well, I think one of the best ways to approach HiBridge is is not to come in and just replace your entire staffis to say, let's have a conversation because attrition is so high. I would rather have the solution ready to go than just have it, you know, I I know somebody's going to be quitting in the next three to six months or or even month, right? I know it's gonna happen because we've seen it. What if I already
[32:00] had a solution ready to play out? That's that's the play in my book.Yes, that's right.You ask about keeping staff too and I think urgent care has a lot of trials that traditional medicine does not have because it's late hours and it's Saturdays and Sundays and not many people in America want to work on Saturday and Sundays. They don't want to work theory but you know that is a nice thing too. You can utilize our staff just for Saturdays and Sundays. There was a cute guy at the urgent care conference. He's like, "Yeah, I get the phone. I hear they're sick and I tell
[32:30] them I hope they feel better and hope I hang up before I say I know you're lying." I was like, "Okay,that's funny."But yeah, but yeah, I mean, some of groups will just use Saturday and Sunday. You know, we have a minimum of 20 hours so a week. So, you know, let them work your late hours and your weekends. And just like you said, start with something that helps you and everybody wins and then you have a solution. If other things transpire again, you have control. You're not behooen to whatever happens up front.Yeah. I didn't even think of it as a
[33:00] rollover process.Yeah. It is like a good like rollover slash, all right, we're going to commit to the rollovers now plan A instead of plan B. Like that. Nothing wrong. I mean, we kind of see that in some of our stuff,right?But even like the talking about the idea of, hey, we can increase your quality of life because you can do this from home, per se. You don't have to be in the clinic every single day because we have we deal with that our own agency. like we have a hybrid model and people adore being working from home but they also don't mind coming into the office that interact with human type interaction
[33:30] type stuff. So like but because traditionally met like urgent care you have to be in person like every position like there's no like except for maybe owner manager that can work from home but everybody else has to be there and now like oh actually you can work from home so if this works out better for you works out better for everybody then we all win.That's right.Right. Exactly. And you know, I know people have asked me, "What am I going to do about the emergency that, you know, falls out in the in the waiting room or is having a heart attack?" We actually have that system solution as well. So, we're seeing that waiting room
[34:00] live time. So, we also have areas that we can we created a back area. So, we can also see the provider. I call it a bullpen. U people call it different thing, workstations, whatever. So, if I were the receptionist and you're in a lobby of your urgent care, I see a person struggling, throwing up, you know, falling out, whatever it is, I can actually call I call it a code red in the back. We can term it whatever the practice wants it to be. I can see when your providers come to the waiting room, I can see when they leave the like if they're all in rooms, I can see that when they come out, I can see that. And
[34:30] meanwhile, I can also be calling 911. So, I'm not if I'm in person, I've got to come out there, be in the waiting room, I've got to get them back or whatever. Meanwhile, no one's calling 911. So all of those things can happen simultaneously and quickly and we, you know, we're right on target with what's happening.Love it.HiBridge.live is the website. We'll put that down in the show notes. And I want to encourage anybody who may be struggling with their front desk from the standpoint of either filling the role or seeing high turnover or maybe you just need a more cost-effective solution. Go to hybrids.live and and one
[35:00] watch the video. They actually have a really good video of how the thing works. I went and watched it probably about two hours ago before this because I want to I wanted to understand it before I got on here. I'm like I don't know how this works.Um and then two, you get a chance to meet Mark and Wendy Lucas and very cool people. We had a a chance to interact with you at the Urgent Care Association conference in Chicago. My team loved hanging out with you guys. So I got nothing but positive feedback. I wasn't there personally, but my team really enjoyed interacting with you. What's one
[35:30] thing that you want to leave with the audience before we uh go off here?When Okay, one one make sure if you go to HiBridge.live it's high hi bridge not h I gh. So there's no gh just high brbridge. Um we're you know this is kind of a you know you've mentioned I've been an entrepreneur for a long time but this is really a labor of love and Wendy's mentioned this before. This product actually helps people in a real way. I mean it it impacts their bottom line. You know, a lot of people in medicine,
[36:00] as Wendy mentioned, reimbursements has been has been cut or they've just gone flat. But the cost of doing business is, as everybody knows, is really dramatically increased. And so, we we just see it's so gratifying for me just to see people, we're solving a real problem. It's not costing them additional money. It's cutting it's cutting cost. And so, we had another great example. We had a guy up in um in uh Manhattan, New York. And uh he he had he was just a single guy, single practice. Um, but he was paying his
[36:30] reception $70,000 a year. That's that's only he could get one in New York City. And so he he put HiBridge in and and we got him a receptionist from North Carolina and uh $15 an hour. They love her accent uh and it's just it's saved him. But this guy gets emotional just talking about how much it it changed his life, you know, and we've heard the same thing from even much larger practices. They they've cut their cost dramatically and and even things like their co-pay collections are way up. You know, if you don't collect at the time of service, you might as well write it off. And so,
[37:00] we've seen co-pay collections as high as 95 100% now.Yeah. Y'all have that built right into the kiosk. I saw like you can card right there. Get that money on file. I love that.Yeah. So, it's so much easier. But, um,y'all talked about the printer. I'm over here like I like the tap to pay. I don't I don't want any paper.Yeah. We're even multilingual, too. So, if you know, if you're somewhere that's, you know, Spanish speaking or whatever, we we can do that as well.Can you do Russian? There was one area where we we had a group of of uh it was a a healthcare provider and it was a very Russian area. I didn't even know
[37:30] that was a thing.In the Miami area, there's a huge Russian community. Whothought we'll figure it out?Yeah, I love that. Everything's figure outable, right?That's right. That's right.We do. I think we have 12 different languages and I'm sure Russian is one of them. So,at the very least, you can get your AI bot to to to stand out and we have an AI bot named Victor who hangs out with us. So, we know a lot. There you go.So, well, look, we really appreciate y'all coming on the podcast with us today. I want to encourage our listeners. Get into the show notes,
[38:00] click on click on the link, go schedule a walkthrough of the product, go watch the video. I think you're going to really like how this is going to affect your practice. It's going to have a positive impact. So, um, thank you'all for coming on. I appreciate you taking time with us today.Thank you. Appreciate the opportunity.And as always, we thank you for listening to us and we'll catch you next week. See you then. See you.
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