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Accounts Receivable Management Services

Our Accounts Receivables Services is on a partial scope or as part of the full cycle process. Analyzing the account for unpaid, low-, paid, slow-paid, and following up with insurances for payments are also our responsibilities. We also liaise with attorneys, DME providers, and other such ancillary service providers to resolve payments.

  • # Identify claims in AR that require follow-up with payer
  • # Old AR recovery Services
  • # Compile claim information to create follow-up guidelines and procedures
  • # Follow-up with insurance on claim status
  • # Reports and Insights on paid, unpaid and partial paid claims

Advantages of AR Services

  • Correspondence logging (from mail/EOBs) into practice management system from insurance companies.
  • Investigate pending Claims by contacting the insurance carrier, physician, and medical records personnel as required.
  • Submission of electronic claims through a clearinghouse contracted with by Client and making sure that the claim passes through without rejection.
  • Follow up contact of responsible parties on third party Claims to secure payment
  • 97% - 98% accuracy rate confirmed by Client side audit teams.
  • Experienced Follow up team lead by six sigma certified account managers.

Accounts Receivable Management Services

Process
1

Develop Work Queues

We classify accounts receivable by age and assign follow-up tasks to our staff accordingly.


2

Effective Follow-up

We determine the most effective day from the date of submission for each payer and prioritize payers with information on file.


Process
Process
3

Multichannel Reach out

The websites and interactive voice response systems (IVR) of many modern payers are sources of information. Through collaboration with our customers, we seek to increase website adoption by registering with payers. Because of this, the amount of work that is put into making calls is cut down, and only the claims that need further investigation are contacted.

4

Reduce DSO

As a result of our careful follow-up, DSOs (Days Sales Outstanding) have decreased. Learn where your claim stands, find out why it was denied, and pursue redress.


Process

Benefits of our A/R Management Process

RM Healthcare’s approach for A/R management processes involves analytics and focuses on account resolution.

  • Continuous improvement in the adoption of payer websites to reduce calling efforts
  • Focused calling efforts in a periodic manner to improve collections
  • Ongoing dashboard development and analytics to improve collections
  • Strong focus on call quality – accounts receivable process knowledge and voice quality
  • Develop exhaustive policies and procedures for write-offs and adjustments
  • Daily account support calls to address any issues
  • Reduce costs by as much as 50% through offshore delivery