Aging balances worked — denials fixed, payments recovered.
We handle AR follow-up, denial resolution, appeals and payment recovery for your practice, working inside the system you already use, with a named representative you can call.
How it works
Aging review through appeals, underpayments, patient balances, and reporting — so outstanding revenue doesn't become a write-off.
Aging AR Review
Claims are worked by aging bucket (0-30, 31-60, 61-90, 90+ days), with the oldest and highest-dollar claims prioritized first so nothing crosses the timely-filing deadline.
Root-Cause Denial Analysis
Every denial is categorized (eligibility, authorization, coding, medical necessity, duplicate, timely filing, etc.) so we fix the actual problem instead of just resubmitting and getting denied again.
Payer Follow-Up Calls
Outbound calls and portal checks directly with insurance carriers to get real claim status, not just automated EOB codes.
Appeals and Reconsiderations
For wrongful or underpaid denials, we draft and submit appeal letters with supporting documentation (medical records, notes, payer policy citations) to overturn the decision.
Underpayment Identification
Claims paid below the contracted rate are flagged and pursued for the difference, not written off.
Resubmission of Corrected Claims
Coding or data errors get fixed and refiled fast, before the timely-filing window closes.
Patient Responsibility Follow-Up
Where balances shift to the patient, we handle statements and follow-up communication so that revenue doesn't get lost either.
Reporting
You get visibility into AR aging trends, denial rates by payer, and recovery totals, so you know exactly what's being collected and why claims were denied in the first place.
This service focuses on recovering outstanding balances and resolving denials. For day-to-day claim submission, see Medical Billing. For the full cash path across registration through collections, see Revenue Cycle Management.
FAQ
Frequently asked questions
Is Accounts Receivable Operations a one-time cleanup or an ongoing service?
It can be either. Some practices need a one-time recovery project, while others choose ongoing A/R management to keep aging balances under control.
Do you follow up on patient balances as well as insurance claims?
Yes. We manage both insurance follow-up and patient balance recovery while maintaining professional communication and compliance.
Can I use this service without switching my medical billing provider?
Yes. Accounts Receivable Operations can often be provided as a standalone service depending on your practice's needs.
What's the difference between Accounts Receivable Operations and Medical Billing?
Medical Billing runs day-to-day eligibility, claim submission, posting and patient billing. Accounts Receivable Operations focuses on aging balances, denial resolution, appeals, underpayments and recovery of outstanding claims.
How far back can outstanding claims be recovered?
Recovery opportunities vary depending on payer requirements, claim status, filing deadlines, and documentation. During your A/R assessment, we'll identify which balances remain recoverable.
Stop letting outstanding revenue slip away.
Every aging claim represents revenue your practice has already earned. Bring your A/R ageing and a recent month of denials — we'll show you what is still recoverable.
Request an A/R Assessment