Medical Accounts Receivable Services

From Aging Receivables to Reimbursed Revenue

  • HIPAA-Compliant Healthcare Accounts Receivable Management Services
  • Insurance Follow-Up, Aged AR Recovery, and Underpayment Review
  • Delivered in Your EHR, Practice Management System, and Clearinghouse
Get Your Medical AR Management Proposal

Success Stories

...it's all about results

Healthcare Claim Denial Management

Healthcare Claim Denial Management

Denial Management for a Specialized Mental Health Practice

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Healthcare Revenue Cycle Optimization

Healthcare Revenue Cycle Optimization

RCM Optimization for a Multi-Hospital Healthcare System

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Medical Records Indexing and Cleansing

Medical Records Indexing and Cleansing

Medical Records Indexing for a US Healthcare Consultant

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MEDICAL ACCOUNTS RECEIVABLE SERVICES

Optimize Cash Flow with Dedicated AR Recovery Support

Most practice management systems automatically sort unpaid claims by status, age, and dollar amount. But if the burden of managing that queue falls on your team, their productivity, care quality, and your revenue cycle suffer simultaneously.

Our healthcare RCM team believes firmly that delays, denials, and unpaid claims shouldn't dictate your practice’s financial health. So, we provide comprehensive medical accounts receivable services, recovering aged balances, securing secondary coverage, and ensuring payors honor your contracted rates. We work within your technical stack (PM, EHR, clearinghouses), check the status of each open claim, record payer reasoning, and take the required action (resubmitting claims, appealing denials) to secure as much revenue as possible.

OUR SERVICES

Healthcare Accounts Receivable Management Services We Provide

Don’t force your clinical and administrative staff to spend valuable hours on administrative roadblocks instead of focusing on patient care. Our medical AR management services manage every phase of the post-submission revenue cycle, from real-time status tracking and multi-tier payer coordination to aged balance recovery and fee-schedule audit compliance, to ensure that every dollar your practice earns is fully accounted for and successfully collected.

diagnosis

Insurance AR Follow-Up Services

We check the status of every submitted claim through EDI 276/277 status inquiries, payer portals, and phone calls to payer representatives. We follow up on each claim until it is paid, denied, or closed and record the date, the reference number, and exact feedback, status update, or reason given by the payer in your PM system.

Tertiary Billing

Secondary and Tertiary Billing Services

For patients with more than one health insurance policy, if the primary payer leaves a balance due to deductibles, co-pays, coinsurance, or non-covered items, we check for secondary and tertiary insurance, apply coordination of benefits (COB) rules, and appeal to them with an explanation of benefits (EOB) document to recover the balance.

Aged AR Recovery

Aged AR Recovery Services

We sort claims that have crossed the 90, 120, or 180-day limit by dollar value and by how close each one is to the payer’s filing deadline. We process claims that are about to expire first by requesting missing records, fixing data errors, and resubmitting before the appeal window closes.

Recovery

Underpayment Recovery Services

Every paid claim gets checked against your contracted fee schedule and the payer’s published payment rules. When the paid amount is short, we note the CPT code, the payer, what was expected, and what came in. Then we file a reconsideration request with that evidence attached.

PROCESS

How Our Healthcare Accounts Receivable Management Services Operate

Once you outsource accounts receivable management in healthcare to SunTec India, sign the agreement, and share role-based access to our team across your PM system, clearinghouse, and payer portals, here’s what our workflow looks like.

01

Account Receivable Prioritization

Pulling and analyzing the AR aging report to categorize outstanding claims by aging buckets (30, 60, 90, 120+ days), payer type, and dollar amount. High-value claims approaching timely filing deadlines are prioritized first.

02

Insurance Follow-Up & Status Tracking

Investigating why claims remain unpaid.Contacting insurance payers via electronic portals (276/277 EDI transactions) or phone representatives to verify the current status of unresolved or pending claims.

03

Denial & Rejection Management

Identifying root causes, reviewing EOB and ERA denial codes to determine the reason for non-payment (e.g., missing information, medical necessity issues, or authorization gaps).

04

Appeals & Re-submissions

Correcting clean claims for immediate electronic re-submission, or drafting formal appeal letters with supporting medical documentation for clinical denials to enforce contracted rates.

05

Payment Posting & Reconciliation

Posting payments, contractual adjustments, and write-offs to the Practice Management (PM) system. Any remaining balance after insurance adjudication is transferred to secondary insurance or patient responsibility.

CLIENT SUCCESS STORIES

It's all about results.

The Proof is in the Pipeline

Recovering denied claims, indexing patient records, processing the backlog of pending claims with maximum possible reimbursements — these are the types of RCM challenges our clients bring, and our teams solve. Explore how healthcare organizations across diverse specialties partner with SunTec India to eliminate denial backlogs, accelerate claims processing, and build resilient, high-yield revenue cycles.

healthcare claim denial management

Helping a Mental Health Firm Recover $240k+ in Denied ClaimsThrough Proactive Claim Processing

20%

Higher Claims Processed

70%

Increased the Success Rate of Denied Claims Appeals

95%

Improved Clean Claims Ratio
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healthcare revenue cycle optimization

Learn how we optimized healthcare reimbursement cycle by reducing average claim submission and denial resoluton time

$1.5M

Estimated Annual Recovery Achieved

10%

Reduction in Claim Denial Rate

35%

Reduced Additional Operational Costs
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medical-records-indexing-and-cleansing

Explore how we tackled the tedious task of sorting and indexing medical documents to facilitate insurance claims and reporting

RCM

Improved RCM Efficiency

40%

Reduced Claim Denials

2X

Faster Claim Processing
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SPECIALIZED HEALTHCARE AR MANAGEMENT SERVICES

Here’s What We Mean By “Following-Up on Unpaid Claims”

An aging report only tells you where your money is stuck. Our team focuses on getting it out by interpreting payer codes, resolving hidden rejections, and enforcing proper reimbursement. Discover how our specialized team translates specific payer responses into concrete action that recovers your revenue.

Status the Payer Returns What Our Medical AR Team Does Next
Paid, but nothing posted in your system We locate the remittance (ERA or paper EOB), post it to the account, and close the claim. If the check went to an old address or a lockbox, we trace it with the payer and request a reissue.
Pending or in process Our team notes the payer’s reference number and the date a decision is due. We set the next follow-up for that date. If a claim stays “pending” past the payer’s normal window, we call a payer rep and escalate.
Denied We track the CARC and RARC codes to identify the reason for denial. We sort the claim by cause (like eligibility, coding, authorization, medical necessity, or timely filing). Simple fixes get corrected and resubmitted. Claims that need a written appeal move to our denial management team.
No claim on file A clearinghouse rejection is not a denial, so it never shows up in a denial report. We check the clearinghouse acceptance report, fix the rejection reason, and resubmit.
Paid short (underpaid) If the payment is short, we file a reconsideration with the fee schedule as proof. If the contract rate itself is the problem, we document it so you can raise it at your next renewal.

Security and Compliance

Your data security is our priority

ISO
Certified

HIPAA
compliance

GDPR

GDPR
adherence

Regular
security audits

Encrypted data
transmission

Secure
cloud storage

WHO WE SERVE

AR Management in Medical Billing, Aligned with Your Operational Needs

Effective revenue recovery requires deep familiarity with the clinical nuances, payer rules, and operational friction points specific to your healthcare specialty. Our medical accounts receivable services account for those nuances so we can deploy targeted follow-up strategies built around your organization's challenges.

Practices

Independent and Group Practices

Small in-house teams are often consumed by daily charge entry and immediate billing tasks, letting older unpaid claims accumulate. We take over your aged AR buckets so your staff can stay focused on current encounters without letting old revenue slip away.

Multi-Location

Multi-Location and Specialty Clinics

Managing varying payer contracts, billing workflows, and claim backlogs across multiple sites creates major financial friction. We consolidate and segment your AR by location and provider NPI, ensuring total visibility into site-specific claim issues.

Hospitals

Hospitals and Health Systems

Managing massive claim volumes across both hospital and physician billing creates severe backlogs. We organize unpaid claims by service line (like radiology, cardiology, or surgery) to catch payer-wide processing delays, claim-form mismatches, and recurring denials across entire departments.

Behavioral

Behavioral and Mental Health Providers

Mental health claims often get stuck because of strict visit limits, specialized third-party insurance managers, and constantly changing pre-authorization demands. We audit claims against your approved authorization units before resubmitting them.

Physical

Physical, Occupational, and Speech Therapy

Therapy claims regularly hit roadblocks like visit limitations, missing plans of care, and lapsed authorizations. Our team verifies pre-authorization parameters and plan-of-care documentation before resubmitting claims, eliminating repetitive denial cycles.

Medical Billing

Medical Billing Companies and RCM Firms

Scaling operational capacity to manage client backlogs usually requires costly internal hiring. We function as a seamless, white-label extension of your operational team, executing follow-ups directly inside your clients' systems under your brand name.

Surgery

Ambulatory Surgery Centers (ASCs)

High-cost surgical claims are vulnerable to severe underpayments and complex facility-fee bundling rules. We cross-reference every paid ASC claim against specific payer fee schedules and implant carve-outs to reclaim missing high-value revenue.

Health

DMEPOS and Home Health Agencies

Claims for medical equipment and home care demand extensive paperwork, such as signed physician orders, proof of delivery, or renewed rental approvals. We gather and organize all required clinical records before contacting the payer to recover unpaid service costs.

Medicine

Emergency Medicine and Urgent Care Groups

High patient turnover and frequent out-of-network scenarios lead to elevated demographic errors and patient balance transfers. We quickly resolve upfront registration rejections and manage complex insurance follow-ups to keep cash flow steady in fast-paced environments.

SUPPORTED PLATFORMS

Medical Accounts Receivable Services Delivered in Your Existing Stack

We do not ask you to export data, buy software, or open a new portal. Our team works in the systems you already pay for, with the access levels you set. Your billing manager sees the same screens we see, and every note we leave is in your record.

Platform Category Systems Supported
EHR/EMR Systems
 Epic, Oracle Health (Cerner), eClinicalWorks, Athena Health, NextGen Healthcare, Tebra (formerly Kareo), AdvancedMD, Medisoft, Lytec
Practice Management Software
CollaborateMD, DrChrono, Office Ally, Centricity (GE), eMDs, ModMed
Medical Billing Clearinghouses
Waystar, Availity, Change Healthcare, Trizetto (Cognizant), Office Ally, Navicure
Healthcare Payer Portals
Navinet, Availity, UHC Link, Cigna for Providers, Aetna Provider Portal, BCBS provider portals, CAQH
Government Payer Systems
CMS DDE (Direct Data Entry), Medicare Administrative Contractor portals, Medicaid state-specific portal access

RELATED SERVICES

End-to-End Healthcare Data and RCM Services

Explore our suite of specialized healthcare RCM and data management services designed to eliminate administrative bottlenecks, ensure compliance, and maximize reimbursement at every operational touchpoint.

Provider Credentialing Services

Patient Registration Support

Insurance Eligibility Verification Services

Prior Authorization Services

Medical Records Abstraction Services

Medical Coding Services

Medical Billing Service

Payment Posting Services

Denial Management Services

Payment Integrity Services

Healthcare Analytics and Reporting Services

AI in Healthcare-Solutions

CONTACT US

Stop Revenue Leakage with Healthcare AR Management Services

You can trust our HIPAA-compliant processes and experienced specialists to clean up aged backlogs, overturn complex denials, and hold payers to your agreed fee schedules. Test our capabilities before you commit. Share your current AR requirements with our RCM team today to receive a free sample of our healthcare accounts receivable management services.

FREQUENTLY ASKED QUESTIONS

Medical Accounts Receivable Services

In simple terms, accounts receivable (AR) is the money your practice is owed but has not yet received. This includes unpaid insurance claims, patient copays, coinsurance, and balances owed to your organization after a visit. A healthy practice tracks AR closely because old balances become harder to collect over time. Claims that sit for 60, 90, or 120 days often end in write-offs. That is lost revenue your practice could have kept.

Good healthcare accounts receivable management protects your practice's financial health. On the contrary, when AR days grow, several things happen:

  • Cash flow tightens: Payroll, rent, and equipment payments do not pause when insurance lags.
  • Operational costs rise: Staff spend time on follow-ups that a trained AR team could handle.
  • Write-offs increase: Every claim that ages past 90 days is closer to permanent loss.
  • Leadership loses visibility: It becomes hard to forecast revenue or plan for growth.

Industry studies show that 3% to 6% of earned revenue is lost each year to poor AR follow-up. For a mid-sized practice, that can mean hundreds of thousands of dollars a year in recoverable money.

Medical accounts receivable services track, follow up on, and collect unpaid money owed to healthcare providers by both insurance companies and patients for medical services already delivered. Our team contacts payers directly about unpaid or delayed claims, refiles appeals to recover lost revenue, and maintains a high success rate by leveraging dedicated specialists who know the specific guidelines for Medicare, Medicaid, and private insurers.

Medical billing is the front end. It involves creating and submitting clean claims. Healthcare accounts receivable management is the back end. It involves following up on unpaid claims, resolving denials, and collecting revenue the practice has already earned. Our team provides support for both.

AR management in medical billing covers claims with no payer response, pending claims, short-paid claims, claims waiting on a secondary payer, patient balances, and denied claims. Denial management services handle claims the payer has rejected and focus on appealing denied claims. Our team handles both cases to ensure seamless cash flow for the healthcare provider.

The cost to outsource healthcare accounts receivable management services depends on the scope of the project, the size and age of accounts receivable, the scope of the project (one-time backlog cleanup or ongoing follow-up on new claims), types of insurance payers, etc. You can get a custom quote by sharing your requirements to info@suntecindia.com.

Filing limits vary by payer. Medicare allows 120 days from the remittance date to request a redetermination. Commercial payers typically allow 30 to 180 days, depending on the plan and the state. Medicaid rules are set by each state and can run from 30 to 365 days. Once a limit passes, the claim is usually lost. So we sort every open claim by how many days remain under its payer’s rule and work on cases with the shortest deadlines first.