Accounts Receivable (A/R) Management Services

Insurance A/R Follow-Up

We stay involved in unpaid insurance claims, and follow-up cases to speed up the insurance reimbursement process. Services include:

• Verification of the status of an insurance claim.
• Follow up calls to payers and portal management.
• Missing information resolution
• Claim correction coordination
• Payment delay investigation
• Failure to resolve unmet claims in a timely manner.
• Tracking payer commitments
• Investment: Financial resources are required to ensure the implementation of these plans.

A/R Aging Report Analysis

We investigate delinquent accounts and prioritize recovery opportunities to determine revenue risks. Our analysis includes:

• 30/60/90/120+ day aging review
• High-value account identification
• Payer-specific aging trends
• Provider-level A/R analysis
• Specialty-based collection review
• Root cause identification
• Recovery prioritization
• The benefit is that you can see who has unpaid revenue, and concentrate on high-impact accounts.

Outstanding Claim Resolution

ZechionMed is able to process unresolved claims to ensure it maximises income and minimises revenue leakage. Our team handles:

• Unpaid claim investigation
• Rejected claim resolution
• Missing documentation follow-up
• Eligibility-related issues
• Authorization issues
• Coding-related payment delays
• Payer response tracking
• Reduce revenue leakage from dormant claims and avoid over-writing claims.

Underpayment Identification & Recovery

Wrong payments to payers are extremely costly, resulting in substantial lost revenue for healthcare organizations. Our experts detect and claim underpayments. We perform:

• Contractual payment comparison
• Expected reimbursement analysis
• Fee schedule validation
• Incorrect adjustment review
• Short payment identification
• Payer dispute preparation
• Recovery tracking
• Costs: The costs of implementing the program.

Payer Escalation Management

We have complex payer issues in our A/R team that are managed via structured escalation processes. Support includes:

• Escalating aged claims
• Payer representative communication
• Appeal coordination
• Medical documentation requests
• Resolution tracking
• Follow-up scheduling
• Renting: Enhance payer accountability and speed claims resolution.

Strategies for Patient Balance Recovery

We help providers to balance patient responsibility and improve patient experience. Services include:

• Patient balance review
• Statement analysis
• Payment plan coordination
• Self-pay account follow-up
• Financial communication support
• Collection workflow optimization
• The benefit is to enhance patient collections without harming provider-patient relationships.

A/R Performance Reporting & Analytics

ZechionMed offers detailed reporting, which enables providers to see the financial performance. Reports include:

• A/R aging dashboards
• Collection performance reports
• Payer performance analysis
• The number of days to collect the receivables.
• Resolution rate reports
• Denial impact analysis
• Revenue recovery metrics
• Benefit: Make informed decisions and ongoing revenue optimizations.

Reduce Days in A/R

• Opt to recognize delayed claims and recovery strategies.

Increase Revenue Collection

• Recovers missed payments and minimises unnecessary write-offs.

Improve Financial Visibility

• View comprehensive reports and analytics.

Reduce Operational Costs

• Prevent the costs of having to hire, train and manage in-house A/R staff.

Improve the performance of the Revenue Cycle

• Make a more efficient and predictable billing procedure.