Powered by People: Reimagining the patient experience with Nikki Harper

Hear from Nikki Harper, who leads teams using automation and analytics in Revenue Cycle, on her work and what motivated her to get involved in artificial intelligence and automation.
The new "Powered by People" series highlights colleagues driving Mayo Clinic's artificial intelligence (AI) and intelligent automation initiatives — those enhancing collaboration, reducing burden and improving patient care.
Nikki Harper, chair of Revenue Cycle — Analytics, Automation & Diversified Revenue, has more than 20 years of experience in revenue cycle. She leads teams using automation and analytics to free caregivers' time for what matters most: people.
Hear from Harper on the work she's doing and what motivated her to get involved in AI and automation.
What inspired you to get involved in AI and automation?
I've worked in revenue cycle for more than 20 years. It's my passion. When I learned I'd be leading an automation team at Mayo Clinic, I knew it was the perfect opportunity. Mayo's mission and people are extraordinary, and it's an honor to help advance work that truly impacts lives.
What kind of background is needed to work in AI or automation?
The great thing about automation at Mayo Clinic is that anyone can get involved. You don't need a specific degree — just curiosity, critical thinking and a willingness to learn. While some technical roles have requirements, every employee can be part of our AI and automation journey.
How does automation make a difference for staff and patients?
We focus on reducing administrative burden so caregivers can spend more time on what they're passionate about: our patients. Even saving 15 minutes a day can create space for one more meaningful connection, which makes a real difference.
What's one project you're proud of?
I love our "baby bot" announcements. Each new automation gets a fun name and birth announcement. It celebrates our team's creativity and hard work while giving our digital workers a sense of identity within our team.
What does a typical day look like for you?
About 75% of my day is spent collaborating on solutions that support our operational and financial teams. The rest of the time, I focus on projects, planning and ensuring we're using resources wisely to sustain Mayo's mission.
What motivates you most about this work?
Every automation creates capacity for more human connection. Knowing our work improves lives — both for staff and patients — is what keeps me inspired.
What advice do you have for colleagues curious about automation?
Be curious and get involved. Don't worry if you're unfamiliar with the terminology. Ask questions, share ideas for repetitive tasks that could be automated, and explore how you can contribute. You'll never know the impact you can make until you try.
What motivates you to come to work each day?
Early in my career, I saw how the revenue cycle shapes the first and last moments of a patient's experience, from scheduling to billing. Those interactions matter. My mission is to ensure every patient's first and last touchpoint with Mayo Clinic leaves a lasting, positive impression.