Accounts Receivable follow-up

For healthcare providers and hospitals, the process of filing and following up on insurance claims is critical, especially considering the trends of falling rate of reimbursement, increasing patient deductibles and rising operating costs. Accounts Receivable (AR) management is a dedicated process where in unwanted account aging, escalating number of AR days and denials can be checked. IMarque Solutions is among the leading Healthcare BPO companies, and we provide reliable and systematic Accounts Receivable Management Outsourcing Services for Medical and Healthcare providers to enable your business to shorten the revenue cycle and improve your cash flow.

IMarque Solutions follows HIPAA compliance process for information security. By capitalizing on our qualified professionals and streamlined, secure and cost-effective processes, your healthcare business will be able to collect insurance and payment reimbursements in a more efficient manner. Outsourcing medical AR management will also enable your business’ employees to focus on mission-critical work and provide the best possible care and attention to patients.

AR Analysis

  1. Set collection targets for the month
  2. Develop strategies to achieve the target
  3. Identify and review claims that are unpaid or inappropriately paid
  4. Speedy and corrective action on denials
  5. Effective follow-up with the insurance/patient

AR Management

  1. Aged AR Analysis
  2. Denial Analysis
  3. Review of duplicate payments
  4. Monitoring changes in plan
  5. Tracking billing and payment patterns
  6. Demographic Issues, Up-coding
  7. Unbundling, and Physician Profiling

AR Follow-Up
Insurance

  1. Accounts Receivables Follow-up
  2. Follow-up with insurance companies on Pending & Denied claims
  3. Follow-up with hospitals for additional information
  4. Follow-up with EDI for electronic claims transmission
  5. Follow-up with provider office for provider enrollment issues

Patient

  1. Patient Follow-up
  2. Soft collections
  3. Setting patients on budget plan
  4. Accept payment by phone