Healthcare Accounts Receivable Management Services

Delayed reimbursements, rising denial rates, fragmented payer communication, and aging receivables are a few challenges that continue to strain healthcare providers’ cash flow and operating margins. Internal teams get consumed by follow-ups, appeals, and reconciliation tasks while Days in A/R climb and revenue predictability decline.

Operationally, Outsource RCM addresses these bottlenecks through payer-specific follow-up sequences, denial analytics, and defined escalation thresholds that prioritize high-value claims and accelerate collections. The result is faster cash realization, lower write-offs, improved clean claim rates, and a measurable lift in net collections.

Organizations seeking tighter control over revenue leakage and stronger financial performance can contact us for an objective A/R assessment to uncover recoverable balances, aging risk, and near-term cash acceleration opportunities.

Medical Accounts Receivable Management Services We Offer

Payer Follow-Up, Collections & Escalation Management

We have end-to-end payer outreach covering structured follow-ups, balance recovery, disputes, and aging-based escalations until reimbursement or formal closure.

Aged A/R Prioritization & Recovery Execution

We prioritize accounts aged 60/90/120+ days by dollar value, denial status, and payer behavior. Our recovery actions focus on converting collectible balances and closing legacy backlogs without recycling unworkable claims.

Denial Prevention, Resolution & Appeals Management

We categorize denials by root cause, corrected for documentation or authorization gaps, and appealed within payer timelines. We also isolate recurring denial patterns to limit repeat revenue loss and improve first-pass acceptance.

Underpayment Identification & Reprocessing

We audit remittances against contracted reimbursement schedules to detect short pays and underpayments, then systematically recover them.

Patient Receivables Management

Our segmentation-led patient balance follow-ups and compliant outreach workflows improve self-pay recovery, reduce bad debt exposure, and maintain patient satisfaction metrics.

Workflow Automation & RCM Technology Enablement

Our automation rules, system-driven task routing, and EMR/EHR integrations eliminate manual touchpoints to increase collector capacity and scaling recovery performance.

Payment Posting, Reconciliation & AR Performance Reporting

We post ERA and EOB payments with variance validation. Reconciled financial data feeds standardized AR reporting covering aging mix, recovery yield, posting accuracy, and unresolved balance exposure.

Additional Services You Can Explore

Pre-Charting Services

Pre-visit documentation preparation and clinical data validation for accurate coding, cleaner claims submission, and reduced front-end errors.

Pharmacy Management Services

End-to-end pharmacy revenue and operations support covering claims processing, inventory reconciliation, payer coordination, and reimbursement optimization.

ChiroTouch Medical Billing Services

Platform-specialized billing and collections executed directly within ChiroTouch to improve claim accuracy and increase reimbursement velocity for chiropractic practices.

Neurology Medical Billing Services

Specialty-focused billing support addressing complex coding, prior authorizations, and high-value neurological procedures.

The ORCM Advantage

Structured governance, measurable performance thresholds, and secure delivery frameworks enable faster reimbursement cycles, financial accuracy, and enterprise-ready scalability without adding internal overhead.

Average days in A/R days declined from 34 to 23 within the first two quarters

30% denial reduction within defined SLA windows

100% HIPAA-compliant operations with role-based access and full audit trails

SOC 2–aligned data security architecture with encrypted transmission and storage

Dedicated pods with fixed collector-to-account ratios for throughput consistency

Real-time dashboards covering DAR, aging mix, recovery yield, and cost-to-collect

Structured escalation matrix with payer-level accountability and closure timelines

Business continuity coverage with geo-redundant teams and zero single-point dependency

Month-over-month performance scorecards tied to contractual service-level commitments

Our Success Stories: Outcomes for Healthcare Billing and Accounts Receivable

We Helped a North Carolina based Orthopedic Specialty Streamline Their Billing and AR Service

Efficient Medical Billing Reduces Time Spent on Claims Management and Boosts Staff Productivity for US-based Specialty Pharmacy

Optimizing AR Management Process for a Renowned Billing Company

A Comprehensive Solution to Overcome Challenges in ACR & Medical Billing Process

Testimonials

Joan Palmeiri, President,

Healthcare Consulting company

I want to thank you both for the great job you are doing. I could not be happier with my decision to work with you. I am looking forward to our continued relationship and growth.

Kavita Wadhwani,

CEO, CHPPS, CA

OutsourceRCM helped us identify the errors in our billing system that led to delays & losses. Today, we do not worry about internal billing anymore.

Dr. Naras Bhat,

Allergy & Weight Loss Center, PA

They have managed our RCM services with such competency that we have maximized reimbursement year-on-year.

Owner,

Healthcare Management Consultant, TX

The team at OutsourceRCM has reduced the burden on my shoulders and made my life so much easier! They are extremely professional and never seem to skip a beat. I am extremely glad that I found them and recommend everyone to give their services a try.

Private Practice Therapist,

Washington

Your knowledge of billing codes and carrier specific ancillary forms is second to none. I have never had such an experience of claims coming back so much faster. What I like the most is despite having over 200 other clients to attend to, you never fail to deliver first class customer service and results to us.

FAQs

How quickly can we expect improvement in Days in A/R?

We deliver a measurable reduction for most engagements in Days in A/R, often within 60–90 days, as prioritized follow-ups and aging controls convert outstanding balances into cash.

Can your team work within our existing EHR/PM systems?

Yes. Our teams operate directly within leading platforms such as Epic, Cerner, Athenahealth, Kareo, and AdvancedMD. It means you don’t have to worry about system changes or disruption.

How do accounts receivable management companies ensure data security and patient confidentiality?

We follow HIPAA-compliant protocols with encrypted access, role-based permissions, audit trails, and SOC 2–aligned controls. They safeguard PHI at every touchpoint.

Do you handle only aged accounts or the entire A/R lifecycle?

Our services can be deployed for specific aging buckets (60/90/120+) or across the full receivables lifecycle. However, it depends on recovery priorities and cash flow goals.

What KPIs will we receive to measure performance?

You receive real-time reporting on Days in A/R, aging mix, denial rate, recovery yield, posting accuracy, and cost-to-collect to objectively track financial impact.

How do you reduce denial volumes over time?

We reduce denial by implementing structured denial tagging, correcting workflows, and payer-specific resolution protocols, lowering repeat denials, and improving first-pass acceptance rates.

Will outsourcing disrupt our internal billing team?

No, delivery integrates alongside existing workflows, allowing your internal team to focus on front-end accuracy and patient experience while we manage back-end recovery.

How do you manage high-value or complex claims?

Dedicated senior specialists prioritize complex and high-dollar accounts with escalation pathways to accelerate resolution and protect revenue at risk.

Can we scale services during peak volumes or expansion?

Yes, capacity scales flexibly through dedicated pods and SLA-based staffing to absorb seasonal spikes or growth without increasing fixed costs.

What engagement models do you offer?

We have flexible models that include bucket-based recovery, full-cycle A/R management, or FTE-based support. It helps you align with your financial and operational objectives.

Reduce Days in A/R. Improve Net Collections. Strengthen Margin Control.