Outsourcing account receivable follow-up services to Star Billing Solutions is a smart move for companies looking to save money and reduce employee workload. We specialize in improving medical billing and coding companies’ accounts receivable procedures, resulting in increased revenue. Our diligent follow-up on outstanding claims dramatically minimizes the entire process’s time, streamlining efficiency and maximizing revenue collection for our clients. Trust us to improve your accounts receivable procedures and increase your revenue today.
Our specialized team of professionals is dedicated to managing the A/R process and diligently following up on outstanding claims. By entrusting this critical aspect of medical billing to us, healthcare providers can significantly reduce costs while improving overall revenue streams. Our streamlined approach ensures that outstanding claims are diligently pursued, leading to faster claim resolutions and increased revenue.
At Star Billing Solutions, we understand the complexities of medical billing, and our skilled team is adept at navigating the intricacies of A/R follow-up. By partnering with us, healthcare providers can rest assured that their A/R processes are in expert hands, allowing their in-house staff to concentrate on delivering quality patient care.
Maintaining a positive cash flow is critical for any healthcare provider's financial viability. It is critical to have a consistent flow of revenue to meet the costs of delivering patient care services. As a result, completing A/R follow-up is crucial to ensuring the financial health of the healthcare provider.
Every healthcare establishment, including hospitals, doctors' offices, surgical centres, nursing homes, and outpatient clinics, is required to make an effort to collect past-due payments. By consistently following up on insurance claims, healthcare providers have a better chance of collecting timely compensation.
Accounts receivable management tries to reduce or eliminate the occurrence of delinquent accounts. This includes keeping track of delinquent invoices, determining the best way to recover outstanding balances, and implementing processes for early payment. The completion of these duties on time is critical for good A/R management.
One of the most common causes of payment delays is the claim not being received, which can happen if a paper claim is misplaced. To avoid this problem, claims should be submitted electronically. If the A/R team discovers that a claim has not yet been received, they can immediately file a fresh payment request and follow up with the payer.
If a claim is refused due to procedural errors, submitting a fresh request with the relevant changes can rectify the problem. By proactively calling insurance companies to determine the reasons for the denial, the A/R team can ensure that all claims are thoroughly followed up on. The A/R Follow-up team is extremely significant because of this critical duty.
The claims in the A/R Ageing Report are located, examined, and the provider's adjustment policy is examined to ascertain which claims need to be adjusted. The analysis of the timely filing limits may also reveal additional claims.
Skilled medical accounts receivable analysts identify a variety of issues with claims that are either marked as uncollectible or have been underpaid by insurance carriers in breach of provider contracts in the early stages. To ensure accurate and prompt processing, the team confirms with the major carriers the deadlines for filing and appealing claims. The correct mailing address for submitting the claims to the assigned processing unit is confirmed. The team also makes sure that reimbursement is made in accordance with the established fee schedule for claims that match the "clean claims" criteria.
After conducting a thorough analysis and reviewing our team's findings, we resubmit claims that fall within the carrier's filing limit only after ensuring the accuracy of all essential billing information, such as the claims processing address and medical billing rules. If any claims exceed the carrier's filing limit or appear to have been underpaid, we proceed with an appeal process, providing relevant supporting documentation. The specific procedures for appeals may vary depending on the carrier, plan, and state, and our team applies the appropriate protocols tailored to each case.