Calculate Your Savings
70+
Specialties
Expertise
Expertise
Accounts Receivable Services
AR Recovery Services
- AI-Led A/R Segmentation & Claim Prioritization
- Denial, Underpayment & Zero-Pay Resolution
- Contract Variance & Reimbursement Analysis
- Payer Escalations, Appeals & Final Resolution
90+ Day A/R Expertise
Govt. & All Payers
AI-Assisted Prioritization
Our Core Strengths
1000+
Physicians
Served
Served
AAPC
Certified Billers
& Coders
& Coders
AI-Powered
Medical Billing
99%
First-Pass
Claim Rate
Claim Rate
What Are AR Recovery Services?
AR recovery services help healthcare providers recover unpaid and underpaid revenue by resolving denials, correcting billing errors, following up with payers, addressing aging claims, and collecting outstanding balances to improve cash flow and reduce revenue loss.
Why Practices Need Professional AR Recovery Services
Outsourcing accounts receivable to professional A/R recovery services is essential for controlling aging receivables, preventing timely-filing losses, reducing write-offs, and improving collection rates through targeted payer follow-up calls, denial resolution, underpayment recovery, and A/R prioritization.
A/R Follow-Up & Management
- Proactive follow-up on open balances and overdue accounts.
- Timely payer and patient communication.
- Customized follow-up cadence for faster collections.
Insurance & Patient Statement Management
- Accurate, clear, and compliant patient statements follow-up.
- Multiple statement delivery options (mail, email, SMS).
- Improves patient response and reduces balance aging.
Denial Follow-Up & Rework
- Thorough denial analysis and categorization.
- Root cause identification and corrective action.
- Appeals and claim resubmissions to recover lost revenue.
Aging Analysis & Backlog Management
- Regular AR aging report review and balance segmentation.
- Prioritized worklists for high-value accounts.
- Reduces Days Sales Outstanding (DSO).
Payment Posting & Reconciliation
- Accurate posting of ERA, EOB, and patient payments.
- Reconciliation of payments to open items.
- Identifies variances and prevents revenue leakage.
Payer & Patient Resolution
- Resolution of payer holds, disputes, and underpayments.
- Patient payment plan assistance and support.
- Strengthens relationships and accelerates collections.
Credit Balance & Refund Management
- Identification of credit balances and overpayments.
- Timely refunds and adjustments.
- Prevents compliance issues and patient dissatisfaction.
A/R Reporting & Performance Analysis
- Real-time A/R dashboards and KPI tracking.
- Performance insights and trend analysis.
- Data-driven decisions to improve collections.
Provider Experiences
What Our Satisfied Clients Say About Us
Healthcare teams share how clearer account ownership, payer follow-up, and focused recovery work improved their aging A/R.
“Our 120-day A/R had no clear ownership, and the same accounts were being touched repeatedly. MedsIT Nexus segmented the aging report, built payer-specific work queues, and assigned a documented next action. We finally gained control of our oldest balances.”
Dr. Jenn Bennett Oakridge Family Medicine Center
“We were receiving payments below our contracted rates but could not identify the pattern. Their team compared ERAs with payer fee schedules, flagged each variance, and submitted supported appeals. That process helped us pursue underpayments we had previously accepted as final.”
Dr. Daniel Ortiz Oakvillage Internal Medicine
“Coordination-of-benefits denials were delaying many of our claims. MedsIT Nexus verified the correct payer order, reviewed eligibility records, updated COB information, and resubmitted the affected claims. Their careful account-level work stopped the same denial from circulating through our A/R.”
Dr. Aisha Rahman Your Path Behavioral Health
Real recovery work. Clearer account ownership. Better A/R visibility.
Our Process
AI-Powered Accounts Receivable Management
AI-Powered AR Recovery Expertise
Intelligent automation. Human expertise. Maximum recovery.
Predictive Prioritization
AI scores claims by recovery probability, value & urgency.
Pattern Recognition
Identifies denial trends, payer behavior & root causes.
Intelligent Automation
Automates follow-ups, workflows & document retrieval.
Human Expertise
Complex cases are escalated to our AR recovery specialists.
01
AI Analysis & Prioritization
AI analyzes aging claims, denials, payer behavior, and deadlines to score and prioritize high-recovery opportunities.
02
Automated Actions & Investigation
AI triggers the right actions: corrections, document requests, data retrieval, resubmissions & follow-ups.
03
Specialist Intervention & Escalation
Our AR management services experts handle complex denials, payer escalations, appeals & negotiations where human judgment makes the difference.
04
Payer Communication & Resolution
Multi-channel outreach via portal, phone, email & fax. AI suggests the best contact, timing & message for faster responses.
05
Payment Recovery & Optimization
Payments are captured, posted, reconciled, and underpayments identified & recovered. AI learns & improves recovery strategies continuously.
The Result
Faster recoveries. Lower A/R.
Stronger cash flow.
22%+
Increase in
Recovery Rate
Recovery Rate
35%
Reduction in
90+ Day A/R
90+ Day A/R
30%
Faster Days
in A/R
in A/R
98%
Claims Analyzed
Using AI
Using AI
Our Process
Book Your Complimentary AR Analysis
Our AR Recovery Process
A proven system. Measurable results.
Our AR recovery process turns aging receivables into prioritized recovery actions backed by AI intelligence and experienced payer specialists. We segment accounts by payer, balance, aging, denial cause, and recovery potential, while AI helps surface high-value claims, recurring denial patterns, underpayments, and accounts that need faster intervention.
Our experts then investigate the findings, correct claim issues, manage appeals and payer escalations, and follow each account through payment reconciliation. This combined approach keeps recovery focused, reduces time lost on low-impact work, strengthens A/R control, and helps move more collectible revenue toward resolution.
01
A/R Assessment
Analyze aging reports, payer mix, denial trends, & outstanding balances.
02
A/R Segmentation
Categorize accounts by age, payer, value, denial type, & deadline.
03
Claim Investigation
Check claim history, coding, authorization, & payer responses.
04
Corrective Action
Correct claim errors, add missing documentation, resubmit, or appeal.
05
Payer Follow-Up
Use portals, calls, clearinghouses, electronic inquiries, and escalations.
06
Payment Recovery
Verify reimbursement, identify underpayments, and reconcile payment.
07
Reporting
Provide recovery reports, remaining A/R, denial trends, and next actions.
Our Systematic Approach
AR Aging Buckets We Recover
A targeted timeline. Every aging bucket gets the right attention, at the right time, to turn outstanding claims into collected revenue.
0–30
DAYS
Early Monitoring & Rejection Detection
Early monitoring, rejection detection, and claim status checks.
31–60
DAYS
Payer Follow-Up & Payment Delays
Payer follow-up, missing information, and payment delays.
61–90
DAYS
Escalated Follow-Up & Denial Correction
Escalated follow-up, denial correction, and underpayment review.
91–120
DAYS
Priority Recovery for High-Risk Claims
Priority recovery for aging high-risk claims.
120+
DAYS
Deep Recovery & Escalation
Deep recovery analysis, payer escalation, appeals, and write-off validation.
We don’t just follow up.
We follow through.
Maximize
Collections
Collections
Reduce
Write-Offs
Write-Offs
Improve
Cash Flow
Cash Flow
Stronger
Revenue Cycle
Revenue Cycle
How We Prioritize A/R For Recovery
Recovery
Our Smart A/R Prioritization Model
We don’t chase every claim. We focus on what matters most for faster, higher recoveries.
Recovery
Priority Model
We prioritize claims using 12 critical factors.
01
Claim Age
02
Outstanding Balance
03
Timely Filing Deadline
04
Appeal Deadline
05
Payer Response
06
Denial Category
07
Documentation Availability
08
Previous Follow-up History
09
Recovery Probability
10
Contracted Reimbursement
11
Claim Value
12
Specialty
Visual Classification
Urgent A/R
Claims close to filing
or appeal limits
Time-sensitive actions
High-Value A/R
Large balances with
strong recovery potential
High impact recovery
Quick-Win A/R
Claims delayed by
fixable errors
Fast resolution wins
Complex A/R
Appeals, documentation,
payer disputes, and escalations
Specialized handling
Right Focus
On the right claims
Higher Collections
Better recovery outcomes
Lower Write-Offs
Reduce revenue leakage
Stronger Cash Flow
Healthier revenue cycle
Denial Categories
Denial Categories
Best Accounts Receivables Management Systems for All Denial Categories
Denial Categories
We Recover
We identify the root cause, fix it right, and recover the revenue others leave behind.
01
Eligibility
denials
denials
02
Prior auth
denials
denials
03
Coding
denials
denials
04
Modifier
denials
denials
05
Medical necessity
denials
denials
06
Timely filing
denials
denials
07
Duplicate
claims
claims
08
COB
issues
issues
09
Missing
documentation
documentation
10
Non-covered
services
services
11
Bundling
edits
edits
12
Payer-specific
edits
edits
13
Incorrect
claim routing
claim routing
14
Referral
issues
issues
15
Out-of-network
denials
denials
OUR FOCUS.
YOUR RECOVERY.
Every denial has a reason. Every reason has a solution.
WE FIND IT. WE FIX IT. WE RECOVER IT.
Payer-Specific A/R Recovery Services
Recovery Across Every Major Payer Type
Focused follow-up and recovery strategies tailored to each payer class.
Payer-rule gaps can put nearly 12% of claims at risk at first submission. With each payer enforcing different edits, authorizations, filing limits, and reimbursement policies, even small compliance misses can delay or reduce revenue.
That’s why we bring deep expertise across the full spectrum of payers to identify denials faster, take the right actions, and drive clean claim resolution. Our team combines technology, automation, and proven workflows to reduce days in A/R, improve reimbursement rates, and strengthen your revenue cycle, so you can focus on patient care while we handle the rest.
Medicare
Medicaid
Medicare
Advantage
Advantage
U.S. Department of Veterans Affairs (VA)
Commercial
payers
payers
Managed care
Workers’
Compensation
Compensation
Auto insurance
Out-of-network
claims
claims
TRICARE
Payer Networks
Account Review
Claim Routing & Scrubbing
Follow-Up & Resolution
Payment Recovery
Denial Management
Stronger Recoveries. Healthier Cash Flow. Happier Patients.
We navigate every payer path so you get paid faster.
MedsIT
Nexus
A/R Recovery
Expertise for Every
A/R Recovery
Expertise for Every
Medical Specialty.
Cardiology
Family Medicine
Primary Care
OB/GYN
Behavioral Health
Orthopedics
General Surgery
Dermatology
Gastroenterology
Mental Health
Pain Management
Occupational Billing
Who We Serve
Accounts Receivable Services Built for Every Type of Practice
From independent practices and specialty groups to hospitals and large health systems, our AR recovery services support every scale of care, including specialized hospital AR management to resolve aging claims, reduce outstanding balances, and accelerate collections.
Independent Practices
Multi-Specialty Groups
Specialty
Clinics
Hospitals & Health Systems
Urgent Care & Primary Care
Ambulatory Surgery Centers
Behavioral Health Practices
CCM & RPM Programs
Dr. Aleyna Brooks, MD
Medical Director
1st Choice Rheumatology & Infusion Center, Denver, CO
“We were getting paid, but not correctly. Their A/R recovery team found the pricing gaps inside our infusion claims, rebuilt the appeal path, and turned stalled balances into recoverable revenue.”
Case Study #1
Infusion Underpayments Reduced by 46.3%
1st Choice Rheumatology & Infusion Center was carrying large balances on biologic infusion claims because several commercial payers were reimbursing J-code lines below contract and suppressing separately payable drug wastage amounts. The balances looked paid at first glance, but the line-level underpayments kept aging beyond 90 days.
Our A/R recovery team built a line-level underpayment matrix, matched allowed amounts against payer contracts, validated HCPCS units, NDC crosswalks, JW and JZ usage, and reopened every affected account with payer-specific appeal support. Once each variance was tied to the correct contract language, the practice began recovering revenue that had been sitting in A/R for months.
Outcomes
46.3%
Reduction in infusion-related aged A/R
$418K
Previously underpaid infusion revenue recovered
74 → 27 Days
Average infusion A/R turnaround improved
EHR, PMS
& Billing Integrations
Seamless Integrations. Smarter Revenue
We connect with leading EHR, Practice Management, and Billing platforms to keep your data accurate, claims clean, and revenue moving.
Nationwide Coverage
We Provide Medical Billing Accounts Receivable
Services in All 50 States
Claim #A-10924
CPT 99214 · Aetna PPO
Clean claim rate
98.6%
Days in A/R
24 days
Feb
Jul
22%
Denials recovered
$1.9M
Reworked in 30 days
Payers & clearinghouses
50
States served with licensed A/R specialists
99.6%
First-pass clean claim acceptance rate
24hr
Turnaround on claim submission and follow-up
$1.9M
Denied revenue recovered last quarter
AR Recovery Services
Let’s Recover More Revenue From Aging A/R
Dedicated Payer Follow-Up
Persistent outreach and escalation to get claims moving and payments released.
Denial & Underpayment Recovery
Expert denial resolution and underpayment recovery that drives more dollars back.
Actionable A/R Reporting
Clear, data-driven insights to prioritize work, track performance, and improve cash flow.
HIPAACompliant
70+Specialties
All 50States
AR Recovery FAQs
Questions About AR Recovery?
We help practices, hospitals, and health systems recover aged claims faster with targeted strategies, expert follow-up, denial follow-up and appeals, and proven results.
AR follow-up in medical billing is the process of tracking unpaid, underpaid, or delayed claims after they are submitted to insurance companies. It includes checking claim status, identifying payment issues, contacting payers, correcting claim errors, unpaid claims resolution, and taking the next action needed to secure payment.
MedsIT Nexus helps healthcare organizations manage outstanding receivables by identifying aging claims, prioritizing high-value accounts, following up with payers, addressing denials and underpayments, and tracking collection progress. The goal is to reduce aging A/R, improve cash flow, and give practices better visibility into unpaid balances.
AR management covers the full lifecycle of outstanding claims, including tracking, prioritizing, and following up on unpaid balances. Denial management focuses specifically on identifying why claims were denied, correcting the root cause, and resubmitting or appealing them for payment.
The timeline depends on claim age, payer response times, denial complexity, documentation issues, and the size of the outstanding balance. Some accounts may move quickly once the correct follow-up begins, while older or more complex claims can take longer. A structured AR service usually starts by targeting the accounts with the highest recovery potential.
Yes. Our AR recovery team can work within your existing EHR, practice management, and billing systems. We adapt to your current workflow to track aging claims, document follow-ups, resolve payment issues, and support collections without requiring you to replace your existing platform.
The timeline depends on claim age, payer response times, denial complexity, and the condition of your existing A/R. Once recovery work begins, we prioritize high-value and actionable accounts first. This helps create early collection opportunities while our team continues working through older and more complex balances.