The Process of Accounts Receivable Management

Accounts receivable management is the art of keeping track of how much credit the company has provided its consumers, and when the business can expect it back. Physicians provide patients with the best care possible and anticipate to be paid for their services from the insurance company and patients.

Whether we like it or not, the insurance design is here to remain and it is necessary for both small service providers like physicians workplaces and doctor groups and big providers like big medical facilities to diligently act on payments that are due. The accounts receivable management has actually established into the most substantial department in these organizations as they help in recovering the money from patients and insurance provider and help to keep the business running.

The job of accounts receivable management has actually progressed from a simple department activity to a specialized ability center by itself and needs professionals so that doctors can focus on delivering the best care to their clients. This activity has actually become a important and integral part of the overall billing services that are offered by medical billing companies. The process of accounts receivable follow up is preceded by charge entry, verification, and claim posting. The process of entering the charge codes into the health care claim sheet is called charge entry. This includes figuring out the treatment codes and medical diagnosis codes based upon the treatment carried out by the physician. There are specific rules defined by the insurance companies on what constitutes a legitimate claim and there are numerous guidelines some basic and others complex to identify the credibility of a claim. The audit team generally reviews the claim based on the guidelines and authorizes the claim for submission. This is a crucial action as this substantially reduces the danger of claim denials. The claims are then submitted to the insurer for processing. The insurer processes the claim and sends out a payment remittance to the billing business but the response time is unpredictable and for this reason the requirement of an unique accounts receivable group. The AR team takes over the claim and subsequents with the insurer for payments.

The AR team examines the claim for rejections, partial payments and non-payments and if the claim has been submitted incorrectly, the claim is remedied and re-submitted. The AR team develops a continuous communication system with the insurance business, patient and the medical workplace and thoroughly follows up to ensure total and quick payment.

The aging report is the most typical tool to measure the performance of the accounts receivable https://bizyellow.com/businesses/zenith-financial-network team. This reveals the amount that is because of the company and is broken down into different durations - 0 to 30 days, 31 to 60 days, 61 to 90 days and more than 90 days. An aging report that has less than 5% of overall amount pending for more than One Month is considered really efficient.

In conclusion, the accounts receivable management is THE most crucial service offered by medical billing business and the efficiency of this team will figure out the financial health of the billing business as well as the medical practice. If you have any concerns regarding accounts receivable and the best ways to receive timely payments from insurance companies.


Accounts receivable management is the art of keeping track of how much credit the company has offered its customers, and when the business can expect it back. There are specific guidelines defined by the insurance coverage business on what makes up a valid claim and there are hundreds of rules some basic and others complex to determine the credibility of a claim. The claims are then sent to the insurance business for processing. The insurance coverage company processes the claim and sends out a payment remittance to the billing business but the action time is unforeseeable and thus the requirement of an unique accounts receivable team. The AR team takes over the claim and follows up with the insurance coverage business for payments.

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