Healthcare Accounts Receivable Management Services
Our expert services help healthcare providers reduce A/R follow-up timelines by proactively identifying and addressing delays. We conduct thorough analyses to uncover the root causes of payment bottlenecks and ensure timely follow-up with both insurance companies and patients.
Scope of Our Healthcare Accounts Receivable Follow-up Services
At MedRev, we deploy a skilled team of accounts receivable (A/R) follow-up specialists dedicated to improving revenue cycle performance for healthcare providers. Our approach not only streamlines the A/R process but also promotes clear communication and transparency throughout the revenue cycle.
Aging Receivables
Healthcare providers often face significant A/R backlogs due to staff shortages, unclear write-off policies, and inefficient claim closure processes.
Unresolved Denials
Without effective follow-up systems, denied claims can accumulate, significantly impacting revenue and cash flow.
Our Comprehensive A/R Services
We offer a range of specialized services to address every aspect of the accounts receivable process.
Insurance Follow-Up
We leverage multiple communication channels—including payer websites, fax, IVR, and phone calls—to obtain accurate and timely claim status updates.
A/R Policy Development
Our team has implemented robust, proactive policies to manage A/R effectively based on optimal follow-up timing with payers.
Action-Oriented Strategy
We go beyond basic follow-up by executing a comprehensive plan—including re-filing claims, submitting appeals, and using data analytics.
A/R Clearance Projects
We specialize in clearing backlogs through assessment, guideline development, and structured recovery processes.
Claims Follow-Up Process
Track Status
We monitor claim status through direct communication with insurance companies.
Identify Denial Issues
We analyze denied claims, determine root causes, follow up with payers for additional required information, and address issues to facilitate resolution.
Resubmit the Claim
Corrected claims are resubmitted with insurance companies, and follow-up plans are initiated. When necessary, we coordinate billing with secondary insurers.
Resolve the Claim
We continuously track and follow up on each claim until final resolution is achieved.
Accounts Receivable Clearance Projects
Healthcare providers often face significant A/R backlogs due to staff shortages, unclear write-off policies, and inefficient claim closure processes. MedRev specializes in clearing these backlogs through a structured and comprehensive approach:
Assessment
We categorize claims based on aging, payer type, timely filing constraints, and claim quality to identify potentially collectible claims.
Guideline Development
We establish practical guidelines for collections, negotiations, and write-offs, setting clear standards for claim follow-ups.
Retrieval of Clinical Documentation
We implement structured processes to retrieve all necessary clinical documentation, significantly improving claim resolution success rates.
Key Benefits of Working with MedRev
Our comprehensive A/R and denial management solutions offer a range of benefits:
Proactive Resolution
We focus on resolving claim issues—not just tracking statuses.
Reduced Manual Effort
By maximizing use of web portals and automation tools, we minimize manual work and increase efficiency.
Smart Workflow Automation
Our web-based workflows are designed around claim status codes, ensuring consistent and thorough follow-ups.
Data-Driven Insights
We provide real-time dashboards and multi-dimensional reports to track performance and focus efforts where needed.
Proven Results
Clients typically experience significant improvements in their financial performance:
20%
Reduction in A/R days
5-7%
Improvement in collections
Our Communication Approach
Multi-Channel Communication Strategy
We collaborate with provider clients to encourage the use of payer websites as a primary contact method, ensuring faster and more efficient communication. When needed, we leverage multiple additional channels—including fax, IVR, and phone calls—to obtain accurate and timely claim status updates. This multi-faceted approach ensures we always have the most current information for effective A/R management.