A/R Recovery

INSURANCE A/R RECOVERY SOLUTIONS FOR TODAY’S HEALTHCARE BUSINESSES!
“Through our alliance partners, Our Insurance A/R Recovery Service combines outstanding staff performance with state-of-the-art technology to provide unsurpassed results for our clients. All of our A/R Clean-up projects have eclipsed the industry cash collection averages. To date our cash collections on projects have ranged from 62%-83%.”
We utilize state-of-the art technology for claim adjudication & project reporting. We have the ability to coordinate our claims editing and status reporting technology via VPN access of your billing system. The ability to work our program offsite keeps our team transparent to your billing office, allowing your staff to focus on front end billing while our team cleans up the old stuff.

“A Proven Track Record of high percentage recovery = large positive cash flow impact?”

Q.) Why is our company so good at recovering insurance AR?
A.) Our claim adjudicators have extensive experience in dealing with insurance companies. They are extremely knowledgeable and familiar with the insurance industries policies and procedures for denying payment on claims. Along with all their experience and knowledge, you will find that our people are just simply relentless. They roll up their sleeves, get on the phone, and get the claim resolved. These combinations of professional and competitive qualities make our team simply the best in the business. You want these people on your team and your team will in turn learn from ours.

Network of expert insurance claims adjudicators = “The best in the business”

Q.) Where does our staff of talented claim adjudicators come from?
A.) Over the years we have developed relationships with a network of professionals that allows us to flex our staff to project size and need. Our affiliations have allowed us to correlate and structure and to be able to organize our projects the most experienced and talented claims adjudicators in the business today.

Expert A/R Recovery Team | A/R Recovery

This service is a comprehensive, project specific insurance and patient pay accounts receivable recovery program to assist Healthcare Providers.  This program is unique in its approach and unsurpassed in its effectiveness in dealing with aged insurance-based and patient pay accounts receivable. 

This service will arm the Healthcare provider with a “proven program” for processing accounts receivable.  Our highly trained and experienced staff professionals possess the necessary skills to tackle the difficult situations.  The multi-level approach we have developed includes management, process analysis, primary billing, claims adjudication, follow up and insurance appeals.  With our expertise in the editing/auditing procedures of health insurance claims, our A/R recovery program has become an excellent resource for collecting outstanding accounts receivable. 
                                                                                                                       

The Process …

• Why our program is successful…
• Management:
  The integration of a “self” managing process has been hallmark to our
  success.  We do NOT simply process claims and statements.  Our
  process closely monitors all accounts through to resolution.  
• Process Analysis:
  Successful account follow up begins with processing accurate and complete patient information.  We then process this information specific to the insurance carriers requirements. Understanding insurance carrier requirements is critically important.
• Primary Billing:
  Following receipt of all required billing information, our staff will perform the data entry and filing of all claims.  All components of the claim are reviewed for completeness and accuracy prior to filing.
• Adjudication and Follow up:
  Claim review and analysis is performed on each claim processed.  Corrections are completed and insurance carrier contact is made.  If a claim is unpaid, we want to know why! 
• Insurance Appeals:
  It is simply not good enough for a carrier to state a claim is not payable.  Until all appeals processes have been exhausted, claims are aggressively followed.  Many times a claim may not be paid until we have involved upper level management personnel at the level of the insurance company.  Until a denial, a claim is considered active and not patient responsibility. 
• Specialty group specific issues: Many specialized areas exist in healthcare.  Our ability to work with insurance companies and patients to successfully resolve accounts is our strength.  We look at this as our responsibility to put the carrier or patient in a position to be successful at paying the claim.  For the carrier, we will provide all necessary information required and see that this information is received and reviewed by qualified individuals who can make final decisions on payment. Accounts that are patient responsibility are handled very carefully.  Again, it is our responsibility to place the patient in a situation where they are successful in paying their account.  We request each account be paid in full, otherwise, we work with them on developing a payment arrangement.     
  In Summary…Our program is successful because of our staff.  We have a highly motivated and knowledgeable group of claims processing professionals.  We approach each claim or account with the same high level of intensity.  In addition to our internal processes, we have a separate management team that closely monitors the success of our billing and recovery services.  We can provide a status report on each account we are working.  This added layer better ensures project success.