The client is a renowned healthcare organization in the industry. They have an internal team which operates with clearinghouses and insurances companies to send claims and review the acceptance reports and detect any kind of submission mistakes. Any kind of registration issues are solved within 24 hours by the team and the errors are measured based on a percentage. This data along with the other reports are shared with hospitals on a regular basis. They also undertake any kind of edit which is needed in the software and trigger any kind of warning.
Before any kind of call is made to the insurance company, it is important that a complete analysis is undertaken of the inventory and the priority plan is shared with the customer. The client's priority list consists of old AR based on collectible and non-collectible denials, followed by high dollars in descending order, and finally new AR and non-collectible denials. The pattern of denials is identified when each of the priorities is presented in the form of a report which is shared with the clients on a monthly basis.
Accounts receivable is one of the most important steps in the revenue cycle management process. It helps organizations to maintain a better cash flow and collect the outstanding AR. Some of the problems faced by the client are listed here -
There were a few challenges we faced when the client decided to outsource their AR requirements to us. They were -
Taking into consideration the entire client's problems and keeping in mind the challenges we had to face, the following solution was planned for the client -
The team at Outsource2india ensured that the entire process went according to the plan. It was our priority to provide the required services within a quick turnaround time. Some of the key results we achieved during this project were -
Customer-oriented healthcare outsourcing is our forte. Get in touch with us
Outsource2india has been providing quality accounts receivable services to global clients along with other healthcare BPO services. Outstanding claims and delayed collections can prove to be strenuous to any organization, and we are here to help you out to relieve this strain. Our team is trained to handle any kind of AR requests and also is always updated with the latest rules and regulation changes in the industry. Our cost-effective services help you efficiently manage the incoming funds and hence maintain a good cash flow.