AR Calling Packages

We will take care of your Healthcare Claims processing activities as required by client

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Less than 36 hours TAT upon receiving super bills

Save about 20-30% of your existing cost or owning billing staff

Ensure Clean claim submission claims within 30 days from the date of services

Weekly production report.

Account Receivable Package:

This package is designed to help customers who are keen to outsource Account Receivables processing involved in the Medical Billing

Per call- inclusive Pt calling --- $ 0.75 per resolutions

300 Resolutions per week. Inclusive Pt calling - Guaranteed

Or Calling @ $7.00 /hr. What You Get?

AR rates include:

$7 an hour

5% collected aging A/R 61 to 90 days

7% collected aging A/R 91 to 120 days

Experienced and certified professionals

Quick Inquiry Form

Build your own RCM team by hiring affordable FTEs

Grade C
  • Patients’ Insurance Eligibility
  • Claims Creation and Transmission
  • Following-up with denied claims
  • EOBs and ERAs
  • Patient / Insurance AR Management-Mailing
Grade B
  • ICD 10 Coding Expert
  • AR & Denial Analysis Expert
  • Coding Analyst
  • Billing Auditor
  • Claim Management Expert
Grade A
  • Team Co-ordinator
  • RCM Team Lead
  • Revenue Auditor
  • Denial & AR Manager
  • EDI & ERA automation expert

Co-managed workflow system

Let your in-house team work alongside our accounts receivable experts or select the gaps in which you lack the staff / expertise
and implement a co-managed workflow system

Temporary resources

Hire temporary Accounts Receivable resources for short periods until your staffing gaps are fulfilled.

AR analyzer software

BillingParadise not only has the best resources it also has the best AR management software that can keep your practice AR under check and prevents AR buckets exceeding 30-60 days.

Our Accounts Receivable Analyzer that Clear AR Backlogs and Optimize Receivables

Statistical data of Accounts receivable nationwide compared to BillingParadise

Medical groups and individual practices Days in AR 90+ days
Top 25% Best Performing Practices 38 12.92%
National Average Primary Care 36 12.50%
Surgeon National Average 51 13%
BillingParadise 23 6%
ASCs Days in AR 90+ days
National Average Multispecialty 26.3 11.60%
National Average for ASC's 36.8 17.80%
National Average for Multi/Ortho 42 18%
National Average for GI 30 13%
National Average for Eye 27 12%
BillingParadise 19 4%

Industry standard benchmarks

The question from all medical groups and hospitals is how can one know and measure the rate of success resolving and getting reimbursed for pending accounts receivable. Well, the answer is simple: BillingParadise follows MGMA and HFMA benchmarks and also helps your hospital and medical groups to achieve the HFMA MAP award.

Our industry-standard benchmark and KPIs include:

50 or more A/R days = Below Average or Poor PerformanceIn healthcare RCM, billing, and collections, BillingParadise uses more than 7 KPIs, and our 15 KPI model keeps track of almost every corner of RCM processes, especially Accounts Receivables.

  • A/R Days
  • First Pass Resolution Rate (FPRR)
  • Gross Collection Rate (GCR)
  • Net Collection Rate (NCR)
  • Percentage of A/R Older than 60 Days
  • Collections per Visit
  • Contractual Variance
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While calculating the AR days the following KPI metric is used as a benchmark

35 or fewer A/R days = Good or High performance

35-50 A/R days = Average Performance

Client AR Challenges and Solutions that we offered

The Problem

One of our mental health clients had a problem sending claims to the right payer and more than $100K was in pending AR.

Our Solution

BillingParadise analyzed their AR and found that a particular group of patients had an insurance carrier that had separate mental health coverage that the front office staff failed to notice.

The Problem

One of our orthopedic and spine surgery clients was not receiving payment and no denial information for a particular payer.

Our Solution

Our AR experts identified that the doctor has updated the service location address but the payer end did not update it successfully. Our AR team then expedited by calling the respective payer and asking them to take $150K worth of claims to reprocess and issue payment ASAP.

The Problem

Our OBGYN client stated that their in-house AR staff does follow-ups and does not get the claims paid.

Our Solution

When we investigated we found that their AR staff only refiled the claims that received payment and did not fix the underlying problems resulting in them eventually writing off $50K worth claims every quarter. We then identified it to be a pending documentation claim where insurance has sent multiple correspondences to submit. Our AR team quickly coordinated with their records department, recovered the correspondence and had those claims submitted with proper documentation, and got them paid.

Our Hospital AR Management Service Workflow

 Hospital AR Management Service

How?

By performing 3 stages of the AR process

  • AR Analysis
  • AR prioritizing and consolidating
  • EOB- Explanation of Benefits will be updated into billing software on a daily basis.

Included processes:

  • AR calling
  • Unpaid claims reimbursement
  • Documentation submission for pending claims
  • Solving clearing house rejections
  • Old or aged AR resolution

Included processes:

  • Do not include Clearing House charges or charges incurred for sending paper claims.
  • Paper claims submission charges would be $1.00.

BillingParadise having 24*7 Services @ 1(888)-571-9069 to answer your quries about medical billing service and pratice management solutions.

know more about the billing claims fill up the inquiry form here.

Struggling To Bill With Your EHR?

At BillingParadise we know the features and workarounds of your EHR system. All our RCM tools are integrated with the system you use.