Accounts Receivable

Many healthcare providers have tried managing accounts receivables, in the process ended up mismanaging the whole thing, resulting in reduced cash flow and increased collection cost and negligence. Our account receivable service improves cash flow, reduces account receivables, increases collection ratios, and enhances customer relationships with timely Accounts Receivable Follow-Up Service. Pacific has invested in building cutting-edge technology and highly skilled workforce to provide best practice and service. Our professional approach and timely follow-up have increased the revenue to many healthcare providers. Call center executives meticulously follow patient records, analyze them, take up with the insurance companies, address and rectify the problem.

• Receivable Analysis
• Payer Follow-up
• Denials Management Reporting
• Practice Analysis
• Assessment Process: Daily Insurance aging report is run and claims are analyzed. The analysis is done to identify:
  • Unpaid Claims
  • Low Paid Claims
  • Denied Claims
  • Rejected Claims
  • Claims not on file

Analysis Process:

Our competent and knowledgeable professionals review each claim in each payor type to ensure proper reimbursement to the healthcare provider. After the Claims are analyzed, steps are initiated based on the following:

• Claims needing resubmission are checked for all necessary documents like Medical records, Referral, Authorization etc. and resubmitted.
  • Claims that need to be appealed for low payment, timely filing etc.
  • Separation of Denials.
  • The issue of instructions to the callers for the follow-up to get the status.
• Quality process
  • Quality audits are done at every stage and all accounts that are given for calling are closely monitored. Account receivables are tracked and documented properly.
• Reports. The following reports are generated monthly or as per client's preference. Reports provide information on monthly collection and account receivable outstanding.
  • Estimated Account Receivable Payments
    • Practice Analysis
    • Collection Ratio Report
    • Insurance Analysis
  • Account Receivable Aging Report

Insurance Aging

Cash flow and revenue management are among the most critical factors in any professionally run practice. At Pacific, we can assist you in driving your business growth by effectively managing your cash and revenue flow, by reducing the accounts receivable days and improving profitability by increasing the collection ratio.

Pacific has a large team of AR follow up professionals who can identify patient accounts that need to be followed up and take necessary action to collect unpaid claims and underpaid claims.

Our Services in Account Receivable include:

• AR analysis
• AR analysis
• Insurance follow-up
• Self-pay follow-up

Pacific Services also include on-time reporting of:

• Payer punctuality
• Payer Mix
• Aging analysis, Procedure code analysis, Insurance analysis, cash collection analysis, underpayment analysis expected collection report
  Charges, payments, and adjustments