BillingParadise offers technology powered Account receivable management services to enable hospitals and health systems to liquidate legacy AR. Free up revenue backlogs with a team that works 24/7 to do just that. Reduce days in AR and bad debt. We will show you how.
24/7 AR recovery services: Save 16 hours a day. We work 24/7 and whether you are a health system or a hospital we get the end goal and work towards it
Decrease costs: Reduce the cost of medical AR recovery services and inject more cash flow into your organization
Gain more flex: We customize our AR resolution services to align with various payment models and settings of care. We are flexible and responsive to your needs.
Tech powered: AR Analyzer, our Account Receivable management services platform helps to liquidate the most difficult to collect AR dollars
AR is recovered at any stage of the aging bucket so you don't have to give up on the 180+ days pending AR dollars. We follow an effective methodology to handle every single segment of your Account Receivable cycle. Lower internal expenses and close out AR backlogs quickly.
What DIY AR Staffing Actually Costs
Cost to rework one denied claim
$25–$118
Source: HFMA
DIY staffing slows down every claim sitting in that queue.
1 AR Caller(s)
Costs vary by specialty & engagement length.
Move Faster With a Dedicated Team
Experience backing every hire
21+ Years
BillingParadise, in healthcare RCM
A team that's already staffed and trained, not one you have to search for.
Free comparison · No obligation · 2 minutes
| 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% |
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.
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 services.
One of our mental health clients had a problem sending claims to the right payer and more than $100K was in pending AR.
BillingParadise analyzed and found that a particular group of patients had an insurance carrier that had separate mental health accounts receivable management coverage that the front office staff failed to notice.
One of our orthopedic and spine surgery clients was not receiving payment and no denial information for a particular payer.
Our healthcare Account Receivable management services 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.
Our OBGYN client stated that their in-house AR staff does follow-ups and does not get the claims paid.
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 Account Receivable management services team quickly coordinated with their records department, recovered the correspondence and had those claims submitted with proper documentation, and got them paid.
Free Whitepaper for CFOs & PE Operating Partners
How Much of Your AR Just Crossed Into the 25–50% Recovery Zone?
Past 120 days, that's all that's left to collect. See the model that catches it before it gets there.
Recoverability by Age
Do you need to work down a huge volume of difficult to resolve accounts?
Is your aging AR a major strain on your revenue cycle?
Do you want to optimize account resolution and insurer payments?
BillingParadise offers AR follow-up services that will improve your cash flow and organize your AR workflow to meet best practice standards.
Reconcile claims to your most significant payers
Reduce outstanding balances and prevent future revenue backlogs
Accelerate your AR follow up process with our 24/7 AR calling team
Improve AR collection practices
Resolve your biggest AR challenges at a lower cost
Receive AR report cards through AR Analyzer
Our AR follow up teams understand insurer payment mechanisms and enable your medical practice to zero down on your aging receivables. We follow work lists that prioritize AR based on age and dollar value. Our sophisticated Account Receivable Management software speeds up revenue recovery efforts and helps you stay in the loop through on-demand AR summaries and reports.
They addressed all of our needs very fluidly, and I'm looking forward to a long-term partnership
Their team caught coding errors our previous vendor missed for over a year.
I'd highly recommend them to practices looking to improve their revenue cycle.
Yes, we handle paper claim submission for payers without electronic capability including certain workers' compensation carriers, auto insurance claims, and niche payers. Our team manages printing on CMS-1500 or UB-04 forms, mail tracking when required, and follow-up to confirm payer receipt.
Yes, our team is experienced in resolving clearinghouse-specific rejection codes across major platforms. We address formatting errors, enrollment issues, data validation edits, and coordinate with clearinghouse support teams to correct and resubmit claims quickly.
Yes, we work with major national and regional payers and understand their specific billing rules, authorization requirements, and claim policies. Our team proactively manages payer-specific requirements to reduce denials and payment delays.
Yes, our denial analysis process determines whether an issue occurred during clearinghouse transmission, payer adjudication, or system configuration. Identifying the exact source allows us to resolve the problem quickly and prevent repeated claim failures.
Yes, we communicate directly with payers on behalf of your practice for claim status inquiries, appeals, reconsideration requests, provider relations issues, and policy clarifications. All communications are documented and tracked for accountability.
Yes, we track claim submissions using acknowledgment reports and claim status tools. If a claim was not received by the payer, we investigate the cause, correct any issues, and resubmit the claim with proper tracking to ensure successful delivery.
Yes, proactive claim tracking is a core part of our AR management process. We monitor claims from submission through payment, follow up on unpaid claims within defined timeframes, and escalate delayed adjudications to ensure timely reimbursement.
