Contacting and speaking with the customer service department of your insurance carrier is the most usual technique to recover your healthcare account receivables. The number of individuals seeking medical attention and the number of hospitals and physicians is steadily expanding, keeping doctors and their staff busy. As a result, businesses are losing a significant chunk of their healthcare revenue due to insurance payments from patients, particularly when they have to call the insurance company for reimbursements.
What is AR?
Most central billing offices and outsourced billing organizations rely on dedicated receivables to resolve their debtors’ problems. The AR calling team is dealing with unpaid claims from insurance companies. They ensure that a hospital or practice runs efficiently and those outstanding payments from insurance companies and patients are retrieved. The accounts receivable follow-up personnel is also in charge of processing and reopening denied claims for insurance companies to pay as much money as feasible.
Account receivable follow-up has developed from in-house personnel to professional medical billing staff. The behavior of an AR team comprises a thorough awareness of the receivables trend and attentive follow-up and resolution of difficulties. This article will go over some of the most common operational account receivable issues.
Problems and Solutions in Healthcare Accounts Receivable
1. Insufficient understanding of the process
Account receivables require a thorough awareness of the numerous issues that lead to claim denials or payment delays. Corrective action is required to address these issues. Insufficient understanding of the process involves providing extensive insurance information, claims, or procedures that result in inevitable delays or negative outcomes. Ineffective follow-up leads to many requests for the same issue, demonstrating that allegations aren’t settled confidently.
- Lack of process knowledge solution.
- Train your customer services staff regarding Medical billing or hire a best medical billing company.
- To avoid protocol problems, assign callers to certain insurances or hospitals.
- Ensure that callers refrain from making unnecessary repetitions.
- By incorporating denial-based call braid, you’ll be able to develop more trustworthy documentation and close data gathering gaps.
- If the payer does not provide initial claim status through phone calls to the online follow-up teams, it is critical to analyze and return the claim.
- The callers’ call notes are audited regularly.
- Analyze your account receivables data regularly. By adopting an EHR system that is helpful in analytics and reporting is also a good solution for analysis of accounts receivable data.
2. Documentation of account receivable calls is lacking.
During a call, sort call notes in an organized manner. Account receivables team members’ delays in documenting call notes result in inadequate recordkeeping, missing called numbers, and missed patient claims information. As a result of these issues, inadequate corrective efforts are taken, causing further claim processing and payment delays.
- Lack of account receivable calls documentation solution
- Using objective inquiries, callers can capture the correct data for specific denial codes when using call flow software.
- Operations managers should look into automation options for standardizing call notes through automated documentation to tackle these difficulties.
- Call capture technologies are an excellent way to gather or double-check the missing information.
- Regularly train your account receivable callers to follow the team’s paperwork and processes under your billing company’s protocols. Your callers should review your conversations and data frequently.
3. Importance of telephone etiquette
When speaking with patients or healthcare insurance professionals, Account Receivable calling ethics entails maintaining a neutral tone and displaying hospitality. Patients and insurance personnel may be treated harshly or inconveniently if callers do not follow basic ethics.
4. A remedy for lack of telemarketing etiquette
Callers should treat the insurance representative and patients with respect and professionalism. The caller should ensure no unnecessary noise in the caller’s environment. Callers should be sincere and objective, and they should communicate with patients and insurance providers clearly and concisely.
Audit each caller’s workflow volume. Preparing for health will lead to fewer errors and increased collections.
Having your accounts receivables outsourced.
A Top Medical Billing Company can help you outsource your medical accounts receivable process. We can improve collections by implementing coordinated A/R management methods. We train and hire callers knowledgeable about healthcare, have experience with revenue cycle management, and have excellent communication skills. BellMedEx conducts rigorous audits to achieve a less than 1% error rate while enhancing medical billing and collections.