Medical Accounts Receivable Services

Medical Accounts Receivable Services

Streamlined Accounts Receivables Process

The accounts receivables process is critical in ensuring timely payments, enhancing collection rates, and accelerating invoice processing, thus boosting income. This process includes scrutinizing insurance contracts to ensure healthcare providers receive adequate reimbursement. A robust insurance model allows healthcare companies to recover overdue payments from insurance carriers efficiently. This is where accounts receivable (A/R) follow-ups in medical billing become essential, enabling healthcare providers to run their practices smoothly while ensuring prompt reimbursement of owed funds.

Medical Accounts receivable

The Importance of A/R Follow-Up in Medical Billing

Medical Accounts Receivable Services

The accounts receivable follow-up team plays a pivotal role in investigating denied claims and reopening them to secure maximum payment from insurance companies. In-house handling of medical billing accounts receivable and revenue cycle management is now considered outdated. Specialized billing professionals with the necessary skills are essential for effective A/R follow-ups.

In addition to A/R follow-up, several other critical operations, such as charge entry, benefits verification, and payment posting, must be completed. During these operations, a medical billing professional assigns the correct procedure and diagnostic codes based on the treatment plan. Insurance companies may refuse claims if they are not submitted according to guidelines, making it crucial to have a specialized A/R team to address rejected claims.

Why Outsource Accounts Receivable Services?

Many medical providers face rising monthly expenses without corresponding progress in recurring cash flow. Without precise and regular accounts receivable follow-up on current billings, providers often find excessive amounts in medical accounts receivable outstanding for over 180 days. The volume of unpaid claims and the time required to research, correct, appeal, and re-file these claims often exceeds expectations. Limited staff dedicated to this task struggle to significantly reduce or eliminate outstanding accounts receivable and collect the maximum amount of money in a short period.

Medical Accounts receivable

Why Choose Nexacare Solutions for Accounts Receivable Services?

Nexacare Solutions’ medical accounts receivable program addresses common delays in collection efforts. We assign a dedicated team to resolve unpaid claims swiftly. Our team comprises experienced individuals in medical billing, many of whom have years of experience in medical coding and collections.
To maximize cash flows and collection operations, companies must have an efficient and smooth Order-to-Cash cycle. Nexacare Solutions optimizes end-to-end accounts receivable management, lowering past-due receivables and identifying and addressing revenue leakages and gaps. Our employees work closely with insurance companies to manage collection activities effectively while maintaining client relationships. Our comprehensive and adaptable accounts receivable solutions allow clients to choose the entire suite of services or start with a subset of processes, business units, or locations. Additionally, we ensure our customers receive timely payments for their services.

Preparing and sending bills to insurance companies upon receiving client consent.
Recording and accounting for revenue.
Preparing and submitting periodic declarations.
Handling cash received on client accounts and resolving short payments.
Issuing customer-approved credit memos and refund checks.
Maintaining an up-to-date subsidiary receivables ledger.
Implementing process changes agreed upon by the customer.
Applying received funds to customer accounts and resolving short-payment issues.
Monitoring and following up on accounts receivable collections.
Preparing accounts receivable reports based on age, business sector, customer, and other factors.
Generating invoices using documentation such as service/product delivery confirmations and copies of sale orders.
Significantly reducing operating costs and complexities.
Mobilizing resources for complex projects to ensure faster deliveries.
Using quality control procedures, structured billing processes, and appropriate accounts receivable services to ensure error-free billing.

With Nexacare Solutions, healthcare providers can focus on delivering exceptional care while we handle the complexities of accounts receivable management, ensuring efficient and timely reimbursements. Balancing investments, ensuring timely payments from patients and insurance companies, submitting accurate forms, and maintaining an efficient system can be daunting. Therefore, utilizing an accounts receivable services company is the best option for busy hospitals, clinics, and healthcare offices. The primary goal of accounts receivable management in healthcare is to maximize cash flow by reducing collection timeframes and associated costs.

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