Objective :

Manage the Accounts Receivable lifecycle by monitoring outstanding balances, following up on unpaid claims, and resolving barriers to payment. Focus on identifying systemic issues and ensuring timely collection, especially for high-value or large client accounts.

Key Responsibilities :

AR Monitoring & Analysis :

Purpose: Track and analyze aging receivables to prioritize collection efforts and identify problem areas.

Tasks:

  • Run AR aging reports regularly (e.g., 30/60/90/120+ days).
  • Identify global issues such as:
  • Systemic denials
  • Repeated underpayments
  • Unaddressed secondary claims
  • Delays due to missing documentation or auths.

Follow-Up & Collection:

Purpose: Maximize reimbursement by pursuing timely resolution of unpaid claims.

Tasks:

  • Follow up with payers on open claims via portals, calls, or clearinghouses.
  • Resolve claim holds due to missing info, denials, or pending documentation.
  • Rebill or escalate claims as needed (including corrected claims or appeals).
  • Coordinate with clients for supporting documents (e.g., notes, auths, referrals).

Large Client/High-Value Account Management :

Purpose: Ensure focused attention on high-dollar accounts and large clients to minimize cash flow risk.

Tasks:

  • Maintain customized AR follow-up schedules for key accounts.
  • Provide white-glove escalation support for client-flagged claims.
  • Deliver tailored reports and updates to stakeholders on progress and cash flow recovery.

Trend Identification & Resolution :

Purpose : Improve long-term performance by identifying and fixing recurring AR bottlenecks.

Tasks :

  • Track common issues (e.g., payer underpayments, coding errors, auth denials).
  • Work with billing, coding, and intake teams to implement preventive changes.
  • Contribute to process improvement and payer contract evaluations.

Our Best Practices :

  • Prioritize high-dollar and aging claims for faster ROI.
  • Use AR automation tools to streamline worklists and alerts.
  • Conduct weekly AR review meetings to share updates and clear blockers.
  • Maintain detailed AR notes and audit trails in the billing system for continuity.

Why It’s Important :

Effective AR management is critical to cash flow, client satisfaction, and revenue performance. Proactive tracking and timely follow-up significantly reduce write-offs and improve overall collection rates.