Account Receivable Management Services for Hospitals and Medical Groups

Hire the best AR Team
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AR Package

We offer customized A/R Packages to suit the individual needs of hospitals & clinics.
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AR Process

The core fundamentals of our A/R process is to guarantee practitioners get paid correctly and in a timely manner.

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Old A/R Recovery

No matter how old the ageing buckets, our follow-up goal set is to collect the monies upfront in as little time as possible.

24/7 Account Receivable Management Services

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 Account Receivable management 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

We Quarterback Your Entire AR Operations with Expert Account Receivable Management Services

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.

Hire the Best AR Team now!

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Health Systems

We helps to grow revenue and maintain positive cash flow
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Group Practices

Automate and standardize medical billing & RCM processes with our feature-packed, user focused RCM tools.
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Hospitals

Complete revenue cycle management and operational support that is built from the ground up for you

Introducing KYAR to your Revenue Cycle Management

Reduce Revenue Leakage with KYAR

Introducing KYAR to your Revenue Cycle Management

Reduce Revenue Leakage with KYAR

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 Account Receivable Management services 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 services.

  • 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 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.

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 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.

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 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.

BillingParadise's Account Receivable Management Service Workflow

Account receivable management Workflow

The right follow up team to whittle down your AR

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?

Payment received

BillingParadise offers AR follow-up services that will improve your cash flow and organize your AR workflow to meet best practice standards.

Handpicked content: An integrated health system in Dallas winds down AR with BillingParadise's ARM services

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.

Case Studies

Behavioral Health Billing Services
Technological and Operational Transformation of a Behavioral Health Facility
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Neurology billing services
From 56 to 96: A Neurology Medical Group’s Path to 99% Increased Collections.
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obgyn billing services
Know How BillingParadise increased 60% revenue for an OB/GYN Center
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4 Scalable RCM Pricing Models that Fit Perfectly For your Practice!

Choose from 4 scalable RCM pricing models to boost profitability, efficiency & get 4 free tailored quotes. Grow your practice by choosing the right revenue cycle management services that are profitable and efficient.

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End to End RCM
Partial RCM
Co-Managed System
FTE Model

Specialty Focused RCM Services

We have specialized teams of AAPC certified medical billing specialist who hold speciality specific certifications to handle your billing and claims management

Frequently Asked Questions

1. Do you support paper claim submission when electronic billing is not accepted?

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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.

2. Can you help resolve clearinghouse-specific rejections?

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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.

3. Do you assist with payer-specific issues?

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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.

4. Can you help identify whether a denial is payer-side or clearinghouse-side?

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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.

5. Do you manage payer communications on behalf of practices?

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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.

6. Can you help with claims that were never received by the payer?

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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.

7. Do you provide claim status tracking and follow-ups?

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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.