Account Receivables
A robust accounts receivable (AR) process is vital for organizations in various industries, including healthcare. Effectively managing billing operations becomes crucial, given the unique challenges faced by healthcare companies. Discover how we will ensure your success through our efficient accounts receivable management.
Take Control of Your Account Receivable Process and Achieve Maximum Results
We understands the complexities and challenges healthcare providers face when it comes to revenue collection and ensuring proper compensation for their services. That’s why we leverage our experts to streamline the process, minimize denials, and optimize cash flow. Our goal is to ensure that healthcare providers are paid appropriately for the valuable services they provide, while adhering to the highly regulated healthcare industry standards.
Our Account Receivable Process Steps
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STEP 1: FILING OF CLAIMS
Our accounts receivable specialists will file claims with the appropriate insurance provider as the first step.
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STEP 2: CLAIMS TRACKING
To ensure smooth processing of claims, we regularly monitor their status and promptly address any rejections or denials.
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STEP 3: PAYMENT POSTING
We receive payments from insurance companies, customer, or other payers. We verify payment matches the expected reimbursement.
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STEP 4: AGING ANALYSIS
To track outstanding claims, we generate aging reports and categorize them by the number of days overdue (e.g., 30 days, 60 days, 90 days). This will help us prioritize follow-up efforts.
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STEP 5: IDENTIFY DENIAL CLAIMS
We investigate and determine reasons for denials. We take corrective actions, including resubmitting claims with corrections.
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STEP 6: FILE AN APPEAL
If a claim is unjustly denied, we initiate an appeals process to challenge the decision with supporting documentation.
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STEP 7: REVIEW CHARGES
First, we send customer's statements for any remaining balances after insurance payments. Then, we implement a collections process for overdue customer accounts.
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STEP 8: GENERATE REPORTS
We generate performance reports, including key metrics such as Days Sales Outstanding (DSO), collection rates, and revenue cycle efficiency. We use these reports to identify areas for improvement.
Our Comprehensive Accounts Receivable Services
Enhance collection process and send fast follow-ups and reminders as early as 14 days
Checking the explanation of benefits (EOB) and observe strict documentation methods to facilitate financial reconciliation
Why Choose Our Accounts Receivables Services
Start outsourcing DME billing services to streamline your business performance and optimize cash flows.
Why Choose Our Accounts Receivables & Full Service Billing Services
Expertise And Specialization
Our agents specializes in revenue cycle management and AR processes. We have dedicated teams with expertise in healthcare billing, claims management, and insurance, and HIPAA compliance.
Cost Savings
We have the capabilities and expertise in AR services to help reduce costs for staffing, training, and maintaining an in-house team. Our commitment is to deliver exceptional services that will enhance your bottom line and free up more resources for critical business functions.
Improved Cash Flow
By optimizing billing, claims submission, and follow-up, we can streamline transactions for faster and more accurate results. This improved workflow enhances cash flow and provides the necessary financial stability for your company's success.
Reduced Administrative Burden
Outsourcing your AR processes to us as capable experts gives you the advantage of focusing on your core medical services, while we take care of your financial aspects.
Reduction In AR Aging
Our dedicated teams track and follow up on aging accounts receivable. This helps reduce the number of overdue accounts and improves collections.
Data Security
As a reputable healthcare BPO, we prioritize data security and compliance with privacy regulations such as HIPAA, SOC 2, PCI-DSS, and ISO 27001. Our capabilities include safeguarding customer information from breaches and unauthorized access.
DME Service Solutions - The Leading Service Provider in DME billing and the Healthcare Industry
+347%
Maintained support for Increase in call volume
-41%
Decrease in average days to collect documents
~15
Days average TAT for hiring
+166%
Increase CGM Orders YOY Q1-22 vs Q1-23
94%
Consistent service level results
-17%
Decrease in avg handling time