Accounts Recievable management Process

Management of Accounts recievable in medical billing is responsible to maximize the collections and brining down the accounts recievable , it monitors all the activity related to accounts recievable in such a way to maximize the collection which is a core objective for any billing company.

For the above responsibilities, medical billing company have A/R analyst.

Responsibility of A/R analyst:

- maximize the collection
- Bringing Down the Acconts Recievable
- Reporting related to Accounts Recievable
- meet the Accounts recievable targets
- Keeping track of Electronic and paper Claims
- keeping track of rejection and denials so that further action can be taken on them.
- Keep himself and other departments updated with latest updates in billing
- Cordinate with call center agents (Follow up department) to get the issues solved

In order to bringing down the recivables, get the outstanding claims to be processed completely and for that , one should know about the outstanding claims.

- Claim not in System
- Claim pending
- Claim is in Process
- Claim denied

Claim not in system:

Claim not in system means that claim is not yet recieved by insurance , it can be because of many reason, either The mailing address or information on claim is not correct or the claim is in transit.

Claim pending:

It means that insurance have recieved claim but it is pending because of the information required from provider or patient.

Claim is in process:

it means insurance have recieved claim but it is in process as it take few days to process and the processing time of insurance is different to each other which we will also discuss in next article

Claim denied:

Claim is denied because of defined rules and regulation are not followed , insurance processed them and send EOB which will explain the denial reason.

Medical Billing Process summary
Charge Entry Process
Payment Posting Process
What is EOB (Explaination of Benefit)