Overcoming common issues in Accounts Receivable Management

The most productive way to collect your account receivables in healthcare is by reaching out and talking to the customer. The number of patients seeking care and the number of hospitals and physicians is increasingly growing, keeping doctors and their staff busy. As a result, they are losing a massive portion of their patients’ and insurance providers’ income.

What is AR calling?

Most Central billing offices and outsourced billing companies rely on dedicated receivables to solve their debtors’ difficulties. The AR is calling team deals with insurance firms on unpaid debts. They ensure a hospital or practice is running smoothly, and outstanding payments are recovered. The follow-up staff on accounts receivable is also responsible for the processing and reopening of refused claims to be paid as much money as possible by the insurance firms.

The AR follow-up has progressed from in-house workers to professional staff. An AR team’s behavior includes a clear understanding of the pattern of receivables and diligent follow-up and close issues. In this blog, we list some essential operational problems and solutions.

Critical functioning issues in Accounts Receivable calling and solutions

Lack of process knowledge

The call for account receivables needs a detailed understanding of the various problems that trigger claim denials or payment delays. These problems need corrective action. That includes the provision of detailed insurance records, claims, or procedures that cause unavoidable delays or adverse effects. Ineffective follow-up leads to numerous demands for the same problem and shows that allegations are not resolved confidently.

Solution:

  • Provide your calling team with continuous training.
  • Assign callers to those insurances or hospitals to prevent errors in the protocols.
  • Ensure that the callers take care that unwanted repetitions are avoided.
  • Incorporating denial-based call tress will create reliable documentation and eliminate data collection gaps.
  • It is essential to review the claim and return the claim if the payer does not offer initial claim status through phone calls to the web-follow-up teams.
  • Call notes from the callers are periodically audited.
  • Periodically analyze your account receivables results.

 

Gaps in the call documentation

Call notes should be recognized in an organized way and directly or during a call. Delays in the documentation of call notes by account receivables team members cause ineffectual documentation, missed dialed numbers and missed patient information.  These problems lead to ineffective remedial measures, which further delay resolution and payments.

Solution:

  • Building a call flow software helps callers capture the right data for particular denial coders using objective questions. Operations managers can explore automation opportunities for standardizing call documentation through automated documentation to resolve each of these issues.
  • Call capture technologies have an ideal solution to collect or cross-check information that is lacking.
  • Train your calls regularly to follow the documentation and procedures of the team according to your billing company
  • Review your calls and data regularly by your callers.

 

Significance of call ethics

AR calling ethics means keeping a neutral tonality when talking to patients or insurance staff and exhibiting hospitality. If callers fail to comply with the basic ethics, they may be harsh or inconvenient for patients and insurance representatives.

 

 

Solution:

  • Callers should be respectful and professional with the insurance representative and patients at all times.
  • The caller should make sure that the atmosphere of the caller is free of unnecessary noise.
  • Callers should be very sincere and impartial and should interact with patients and insurance providers with great clarity.
  • The workflow volume of each caller should be audited. Health preparation will lead to reducing mistakes and enhancing collections.

 

Outsourcing your Accounts Receivables

Outsource your Medical Accounts Receivable procedure to experts like Right Medical Billing can bring organized A/R management practices and boost collections. We instruct and employ callers with healthcare knowledge, Revenue cycle management proficiency, and outstanding communication skills. At Right Medical Billing, we perform strict audits and aim to maintain an error rate of less than one percent while improving collection.

Written by: Kaynat Ishfaq

Author has been writing from last 4 years in Healthcare and medical billing field.

Other contributors:

Ayesha Kanwal

Marketing Specialist, SEO Specialist, Content Writer and Social Media Marketing Expert

Shahzad H

Revenue Cycle Management Consultant, Medical Billing & AR Audit, Free Standing Emergency Rooms, Micro Hospitals, Compliance, OON Negotiations, Digital Marketing

 

 

 

 

Tags:

medical billing, medical billing and coding, revenue cycle management, accounts receivable recovery, free-standing er billing, free-standing emergency room, out of network negotiations, prior authorizations

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