Automating Financial Operations for a Leading US Healthcare Provider

Overview

A leading healthcare provider in the United States relied heavily on manual, Excel-based processes for essential financial tasks, including bank reconciliation, voucher transactions, and statutory financial reporting. These outdated approaches caused delayed month-end closings, increased error rates, and reduced audit transparency.

Partnering with KARYA Technologies, the healthcare organization upgraded its finance function by adopting Microsoft Dynamics 365 Finance & Operations (D365 F&O) with intelligent automation and tailored financial reporting. By leveraging the capabilities of Microsoft Dynamics 365, the transformation enabled quicker reconciliations, enhanced accuracy, and real-time financial insights, allowing finance teams to focus on strategic decisions instead of manual data management.

Business Challenges

The healthcare provider’s finance and accounting teams faced multiple operational pain points:

Manual Bank Reconciliation

• Reconciliations were performed manually in Excel using macro-driven templates.
• Monthly bank statements were uploaded and adjusted line-by-line.
• High manual effort caused delays, reconciliation mismatches, and limited audit visibility.

Performance Issues in Reports

• The existing Voucher Transaction Report required over 45 minutes to generate.
• Manual extraction hindered audit readiness and operational efficiency.

Incomplete Balance Sheet Configuration

• The existing balance sheet report in D365 F&O was incomplete and misaligned with the provider’s financial structure.
• Incorrect account mapping produced inaccurate and inconsistent results.

Limited Trial Balance Capabilities

• Native D365 F&O reports failed to meet the organization’s financial and audit requirements.
• Lack of detailed transaction-level visibility affected the accuracy of consolidated financial reviews.

The Solution

KARYA Technologies implemented a customized automation and reporting framework within Microsoft Dynamics 365 Finance & Operations (F&O), designed to simplify reconciliation and reporting while ensuring audit compliance.

1. Bank Reconciliation Automation

• Implemented D365’s automated bank reconciliation feature with SFTP-based import of statements in BAI2 format.
• Configured auto-matching rules for deposits, withdrawals, charges, and clearing entries.
• Applied tolerance rules and clearing logic to minimize manual adjustments.
• Introduced reconciliation variance review workflow and audit trail reporting for compliance transparency.

Result: Reduced manual effort and accelerated monthly financial close cycles.

2. Optimized Voucher Transaction Report

• Redesigned the Voucher Transaction Report, reducing generation time from 45 minutes to 15 minutes.
• Included file path integration for quicker reference and audit documentation.

3. Custom Balance Sheet Report

• Developed a new, accurate, and user-friendly Balance Sheet report aligned with the provider’s chart of accounts.
• Added dynamic company-level filtering, allowing users to produce entity-specific or consolidated statements on demand.

4. Enhanced Trial Balance Reporting

• Designed a new Management Reporter–based Trial Balance to meet audit and management reporting standards.
• Displayed opening balances, debits, credits, and closing balances for every account.
• Supported multi-entity filtering, enabling cross-organizational financial analysis.

The Impact

With KARYA’s solution, the healthcare provider saw measurable, organization-wide improvements:

• 70% reduction in manual effort during reconciliation.
• Accelerated month-end close and faster financial reporting cycles.
• Audit-ready reports with full traceability and version control.
• Real-time visibility across entities and departments.
• Improved compliance and governance, ensuring data integrity and transparency.

KARYA in Action

By leveraging Microsoft Dynamics 365 F&O and deep domain expertise, KARYA Technologies transformed the healthcare provider’s financial operations from manual, spreadsheet-driven workflows into an automated, data-driven system.

The organization now benefits from:

• Automated reconciliation and reporting
• Faster financial close cycles
• Improved data accuracy and compliance
• Enhanced financial visibility for informed decision-making

With KARYA, healthcare providers are now equipped with a future-ready finance ecosystem—one that supports accuracy, agility, and continuous growth in a dynamic healthcare environment.

Contact Us to learn how KARYA Technologies can help your healthcare organization modernize financial operations with Microsoft Dynamics 365 F&O.