Hospital Accounts Receivable (AR) Management
Convert ageing claims into collected cash — systematically, by insurer, by TPA, by claim.
AR ageing is the single most expensive metric on a hospital's finance dashboard. Every claim that crosses 60 days drops in collectability, every claim past 90 days starts attracting write-offs, and every aged claim represents working capital your hospital has lent the insurer interest-free. Our AR Management service is a disciplined, dedicated, daily follow-up operation that pulls claims forward through the ageing buckets and converts them into cash on your books.
Where Hospitals Lose Revenue
Most hospital AR problems share a small set of root causes:
Reactive follow-up
Claims are chased only when a query lands or a payment is missed, not proactively.
No ageing discipline
0–30, 31–60, 61–90 and 90+ buckets are not separately worked, so older claims slip further.
Insurer-agnostic process
The same generic follow-up template is used for every payer, ignoring TPA-specific escalation rules.
Lost ownership
Claims handed across shifts, teams or systems lose continuity — no one knows the latest insurer response.
Missing escalation matrix
Escalations stall at the first insurer email; no defined ladder up to TPA grievance, regulator or legal.
Unposted payments
Payments arrive but are not posted against claims, so AR appears worse than it is.
Write-off without justification
Aged AR gets written off without root-cause review, hiding patterns that would otherwise be fixable.
Disciplined AR management turns all of these around — and routinely shifts 15–35% of aged AR from 'unrealisable' back into collected cash.
A Dedicated AR Pod Working Your Ageing Buckets Every Day
We deploy a dedicated AR analyst team — sized to your claim volume and AR profile — that works your ageing buckets every business day. Each analyst owns a defined slice (by insurer, by TPA or by ageing bucket), so continuity is preserved and insurer relationships build up over time.
Every claim in AR is tagged with its current status, last action date, next action date, owner and escalation level. Our workflow tooling enforces SLA timers: if a query response is overdue, it escalates. If an insurer commitment is missed, it escalates. If an aged claim crosses a bucket boundary, it gets a senior reviewer.
For each insurer and TPA we maintain a documented escalation ladder — from claims processor, to team lead, to TPA grievance, to insurer ombudsman where warranted. Aged AR (90+) gets a senior recovery specialist with deeper case-by-case work: re-submitting with supplementary documentation, framing medical-necessity letters, and pursuing partial settlements where appropriate.
Your finance team gets a real-time AR dashboard: ageing buckets, recovery rate by bucket, insurer-wise outstanding, TPA-wise outstanding, recovery forecast and the list of claims contributing the most to ageing — all visible without a phone call to your billing team.
Service Workflow
From bucket assignment to cash recovery, every business day.
- 1AR Bucket Assignment
- 2Status Verification
- 3Insurer Follow-up
- 4Query Response
- 5Escalation If Stalled
- 6Senior Review (90+)
- 7Payment Posting
- 8Recovery Reporting
Key Features
Everything included as a single, managed engagement.
AR Ageing Buckets
0–30, 31–60, 61–90 and 90+ worked separately with bucket-specific recovery tactics.
Insurer-Wise Follow-up
Dedicated follow-up rhythm for each insurer based on their contractual SLA and historical behaviour.
TPA Escalation Matrix
Documented escalation ladder for every TPA — processor, lead, grievance, ombudsman.
Aged Claim Resolution
Senior recovery specialist for 90+ aged AR with case-by-case re-submission and appeal strategy.
Payment Posting Reconciliation
Receipts posted against claims so AR reflects true outstanding — no over-stated ageing.
Recovery Campaigns
Periodic focused campaigns on high-impact AR cohorts — vintage, insurer, specialty.
Write-Off Recommendations
Aged claims reviewed before write-off, with root-cause logged for upstream prevention.
Real-Time AR Dashboard
Live ageing buckets, insurer outstanding, recovery forecast and follow-up status.
Collection Acceleration
Whip in next-week-realisable cash through targeted recovery sprints.
Dedicated AR Analysts
Named analysts owning defined insurer or TPA slices — continuity, relationships, expertise.
Benefits
Measurable improvement across the metrics that move hospital finance.
Increase Collections
Recover what's owed faster and reduce the share of write-offs.
Reduce Denials
Catch documentation, coding and authorisation gaps before submission.
Reduce Claim Turnaround Time
Shorter cycle from discharge to insurer settlement.
Improve Cash Flow
Predictable, faster realisation of money already earned.
Recover Lost Revenue
Identify and reclaim missed billing, partial deductions and leakage.
Transparent Reporting
Real-time dashboards visible to finance leadership and management.
Dedicated RCM Team
A named team that knows your hospital, TPAs and patient mix.
Scalable Operations
Capacity flexes with claim volume — no in-house hiring overhead.
Industries Served
Healthcare organisations across India trust our RCM expertise.
- Corporate Hospitals
- Multi-Speciality Hospitals
- Single Specialty Hospitals
- Day Care Centres
- Cancer Hospitals
- Eye Hospitals
- Orthopaedic Hospitals
- IVF Centres
- Mother & Child Hospitals
- Dialysis Centres
- Diagnostic Centres
- Healthcare Chains
Performance Metrics
Numbers to be confirmed against the engagement and your hospital's baseline.
Why Choose Us
An enterprise-grade RCM partner, built around hospital realities.
Healthcare Domain Expertise
A team that has spent years inside hospital billing, TPA desks and insurance claim cycles — not a generic BPO retrained on healthcare.
Dedicated Billing & Recovery Team
A named account manager, a coding reviewer and an AR follow-up pod that knows your hospital, your TPA mix and your insurer relationships.
Technology Driven
Workflows orchestrated on a secure billing & recovery platform with audit trails, SLA timers, denial-pattern analytics and automated insurer follow-ups.
Data Security & Privacy
ISO-aligned controls, role-based access, encrypted transmission, secured storage and patient-data handling that maps to DPDP, HIPAA and HL7 best practices.
Transparent Reporting
Live dashboards covering claim status, AR ageing, denial trends, deductions and collection performance — visible to your finance leadership in real time.
Scalable Operations
Capacity scales with your monthly claim volume, peak surgical days and seasonal load — no recruitment burden on your finance team.
Compliance Focus
Coding aligned to ICD-10, CPT and HCPCS where applicable, plus discipline around CGHS, ECHS, ESIC, DGEHS, PSU and PMJAY scheme rules.
Continuous Process Improvement
Monthly root-cause reviews on denials, query patterns and leakage — feeding fixes back into your billing, documentation and EMR workflows.
Frequently Asked Questions
The questions hospital finance and operations leaders ask before they engage.
Recover Aged Receivables. Predictable Hospital Cash Flow.
A dedicated AR pod working your ageing buckets every business day.
Or explore the full Hospital Billing & Recovery Services catalogue.
No inflated promises. Documented scope, agreed KPIs and reporting you can audit.
Healthcare regulators rightly distrust guaranteed-outcome marketing — and so do we. Before we start, we put deliverables, KPIs and review cadence in writing; every month, we report against them in accounts you own. That's the kind of accountability healthcare deserves.
Written Scope & KPIs
Deliverables, KPIs, timelines and review cadence signed before kickoff. No vague retainers, no hidden scope, no empty promises.
Transparent Reporting
Monthly reporting you can audit — spend, enquiries, bookings and content shipped, in your own accounts and dashboards.
Healthcare-Only Specialists
20+ years building digital presence for hospitals, clinics & specialist doctors. Every campaign is compliance-reviewed by design.
Your Data, Your IP
Full ownership of website, ads accounts, CRM, creatives and patient data — always. Zero lock-in, full transparency.
What healthcare teams say about working with us
Client statements about our CRM, systems and compliance-first process.
"ClinicBOOST brought every enquiry, follow-up and appointment into one CRM. Our front desk finally works from a single queue, and no patient enquiry slips through the cracks."
"The most healthcare-literate systems team we've worked with. Every creative is compliance-reviewed before it ships, and the CRM reporting shows exactly where every rupee went."
"From website to WhatsApp to CRM — one connected system. Scheduling, reminders and follow-ups run themselves now, and we stopped juggling five separate vendors."
Get a healthcare growth plan built for your speciality.
Share a few details about your hospital, clinic or practice. Our team will audit your current digital presence and send a tailored growth roadmap within 24 hours.
- Speciality-specific patient demand analysis
- Conversion gap audit across web, ads, CRM & WhatsApp
- Compliance-safe creative & campaign blueprint
100% confidential. No spam. Healthcare team replies within 24 hrs.