// AR Calling Services

The amount of services offered by physicians, hospitals, and nursing homes is always growing. Patients owe a certain sum to physicians or hospitals each time they receive treatment and care.

An effective insurance model enables healthcare companies to simply and quickly recover past-due payments from insurance carriers. This is where accounts receivable (AR) calling services come in. It assists healthcare service providers in running their practices effectively and successfully, while ensuring that the owing cash is reimbursed as soon as possible.

In a healthcare company, the accounts receivable follow-up team is in charge of investigating denied claims and reopening them in order to get the maximum payment from insurance carriers. Medical billing A/R and revenue cycle management managed by an in-house team are a thing of the past. Billing experts with specialized skill sets are now required to provide A/R follow-up services.

It should be emphasized that, in addition to A/R calling services, various other critical activities such as charge input, verification, and payment posting must be accomplished beforehand. A medical billing professional establishes the exact procedure code and diagnostic code depending on the treatment plan during these operations. There is a potential that the insurance company will refuse claims if they do not follow the regulations; therefore, having a specialized A/R team and insurance follow-up specialists who can follow-up with the insurance firm to address your disputed claims is critical.

There is a significant amount of work to be completed before the physician can submit a claim to the insurance company. An A/R team should ideally consist of two sections –

• A/R analytics
• A/R follow-up

The A/R analytics team is in charge of researching and evaluating refused claims and partial payments. In addition, if a code issue is discovered in a claim, the A/R team corrects it and resubmits the claim.

The A/R follow up team, on the other hand, is continually communicating with patients, healthcare professionals, and insurance companies and taking appropriate measures depending on their comments or reactions. The abilities and quality of services provided by the A/R staff eventually contribute to defining a healthcare practice’s financial health.