Skip to content

Strategic AR management

Strategic AR Management, Worked by Value

Most AR is worked in the order the report printed it. That is why the same low-value accounts get touched five times and the account that would have moved the balance ages out. We prioritize by what is recoverable and what is about to expire, then work it with a documented next action on every touch.

Two people at adjacent workstations, wearing headsets, working through queues on screen.

What we work

Insurance-side recovery, plus administrative support on the patient-responsibility balance.

  • Insurance AR follow-up
  • Aging analysis across every bucket
  • Account prioritization by recoverable value and timely-filing risk
  • Outstanding balance follow-up
  • Claim status verification with the payer
  • Underpayment identification against expected reimbursement
  • Documentation review before the payer is contacted
  • Payer correspondence handling
  • Escalation management for claims that stop moving
  • Timely-filing deadline tracking
  • Small-balance and write-off recommendation against your policy
  • Credit balance identification
  • AR reporting by bucket, payer and reason
  • Aging bucket management and movement tracking
  • Patient AR administrative support
An open-plan delivery floor: rows of height-adjustable desks, each with a monitor, between low acoustic screens.

Your queues, your system, the same people on them every day.

How an account is worked

The account is read before the payer is called. A call that starts with "what is the status" has already wasted the call.

  1. 01Rank
  2. 02Review
  3. 03Contact
  4. 04Document
  5. 05Resolve
  6. 06Escalate

What the aging buckets actually mean

Every AR report is organised by these five buckets. What the report does not say is that they are not equally worth working, and that the difference is not gradual.

Five accounts receivable aging buckets from 0-30 days through 120 days and over, with recoverability falling and effort rising as an account ages.

  1. 0–30days

    Current. Most of it resolves without intervention.

  2. 31–60days

    The working window. Follow-up here still moves the balance.

  3. 61–90days

    Status matters more than age. Something has stopped it.

  4. 91–120days

    Filing windows start closing. Escalation, not follow-up.

  5. 120+days

    Recovery, appeal, or a documented write-off recommendation.

Prioritization earns the most here, where an account is still recoverable and has stopped moving on its own.

What you get

A worklist ranked by value, not by report order
Recoverable value and timely-filing risk decide what gets touched first, and the ranking is rebuilt as the ledger changes.
A documented next action on every touch
Every account we work carries what the payer said, what it means and what happens next, with a date.
Underpayments identified, not just balances chased
Paid is not the same as paid correctly. Variance against expected reimbursement is flagged as its own work item.
Aging movement you can see
Reporting shows what moved between buckets and why, rather than a snapshot that looks the same every month.

Reporting cadence

Daily
Accounts worked, contacts made and anything escalated.
Weekly
Bucket movement, timely-filing risk and payer-level blockers.
Monthly
AR by bucket and payer, underpayment findings, and follow-up productivity against the agreed measures.

How it is measured

KPIs and SLAs are customized according to the client's process requirements and contractual scope.

These are the measures we report on. The targets against them belong in your agreement, where they can be negotiated and enforced, rather than on a web page where they cannot.

  • AR follow-up productivity
  • Accounts touched against accounts ranked
  • Aging bucket movement
  • Resolution rate by payer and reason
  • Underpayment identification
  • Timely-filing misses
  • Documentation quality, sampled at transaction level
  • Process compliance against the SOP
  • SLA compliance

Put your AR in an order that makes sense

Send us an aging summary by bucket and payer, and we will come back with a prioritization model, a team size and a transition plan.