According to our billers, two important factors in maximizing revenue collections are the timeliness of the payment retrieval process and the correctness of the claim. Our goal is to decrease days in accounts receivable for the client and increase the collections percentage to improve profitability and cash flow.

Our billers find combinations of categories and payers, then try to resolve the blend that yields the highest collections. By money amount and service date, they rank the claims in order of priority. They prioritize working on essential claims and arrange the Account Receivables chronologically (AR days between 30 and 45 days, 45 days to 60 days, and beyond 60 days).

Our billers are skilled at spotting patient accounts that need to be followed up on and know exactly what steps to take to have unpaid or partially paid claims collected.Billers in our consortium contact insurance providers to inquire about the status of claims, resubmit, or obtain further information, and they also run reports on accounts that are 21 days past due. They maintain a 25-day minimum account receivable age on average.

Most clinics’ revenues have been seen to be stalled at this point, where Insurance Follow-Up is not given priority. There are thousands of dollars waiting to be collected, but following up with insurance companies over lengthy phone waits is time-consuming and needs to be reduced with effective IVR strategies.

Our billers have been doing this for years; some of them are so familiar with the status of claims and have built such strong relationships that they never even return calls to inquire more. They are aware