Synopsis
Accounts Receivable is the heartbeat of your revenue cycle. Yet, delayed payments, unresolved claims, and inconsistent follow-up can leave substantial revenue stuck in limbo. Whether you're a medical billing company, hospital, or specialty practice, your ability to collect on time directly impacts operational efficiency and financial stability.
At Orgusta, we transform A/R into actionable insights and collections. Our dedicated A/R experts dig into the root causes of delays, prioritize accounts by payer behavior and aging, and execute focused recovery strategies. More than just chasing balances, we aim to clean your pipeline, restore cash flow, and prevent future A/R buildup with continuous process improvements.
Our A/R Management Advantage
1. Intelligent A/R Recovery
✅ AI-powered analytics to prioritize high-value, at-risk claims
✅ Payer-specific collection strategies for Medicare, Medicaid, and commercial accounts
✅ Aggressive appeals & underpayment disputes to recover every dollar owed
2. Denial Prevention & Process Optimization
✅ Root cause analysis to fix recurring A/R bottlenecks
✅ Staff training & workflow redesign to prevent future backlogs
✅ Contract compliance audits to ensure proper reimbursement
3. Technology-Driven Efficiency
✅ Real-time A/R dashboards – Monitor aging, collections & productivity
✅ Automated follow-up workflows – Reduce manual effort
✅ Predictive analytics – Flag high-risk claims before they age
Services Provided
✅ Comprehensive A/R Follow-Up -Pursue all open accounts across payer types and aging buckets with structured workflows that drive faster collections.
✅ Denial & Underpayment Recovery - Rework denied and underpaid claims using payer-specific protocols to maximize reimbursement.
✅ Root Cause Analysis & Remediation - Identify systemic errors in billing, coding, or eligibility that are causing repeat denials or delayed payments.
✅ Analytics-Powered Prioritization - Segment A/R by financial impact, aging, payer behavior, and probability of recovery to focus efforts strategically.
✅ Payer Contract Review Support - Analyze patterns in reimbursement shortfalls and denial reasons to support contract negotiations and updates.
✅ Real-Time Dashboard & Reporting - Gain clear visibility into inventory status, team productivity, aging trends, denial types, and resolution performance.
Technical Capabilities
✅ Seamless integration with your billing system & clearinghouse
✅ Automated escalation workflows based on payer behavior
✅ SLA-driven follow-ups (15/30/60/90+ day buckets)
✅ Live KPI dashboards for performance tracking. Data-driven insights via business intelligence dashboards
✅ Real-time alerts for claims approaching filing deadlines
Best Practices for Faster A/R Resolution
✅ Prioritize by Age & Value – Focus on high-dollar, aging claims before filing deadlines.
✅ Specialize Collectors by Payer – Improve resolution speed with payer-specific expertise.
✅ Early Intervention – Flag slow-moving claims within 15-30 days to prevent write-offs.
✅ Denial Trend Integration – Use denial data to prevent recurring A/R issues.
✅ Weekly Performance Reviews – Adjust strategies based on real-time collection metrics.
Expected Results
📉 Reduce A/R over 90 days by 25-40% (within 90 days)
💰 Increase net collections with targeted payer follow-up
⏱ Shorten revenue cycle by resolving claims faster
💸 Recover aged receivables before they become write-offs
📊 Enhance financial visibility with real-time dashboards
📉 Higher clean claim rate through continuous process correction
Why Orgusta’s A/R Management Works
Proactive, Not Reactive
✅ We flag issues early—before claims become uncollectible.
✅ Predictive analytics identify high-risk accounts.
Payer-Specific Expertise
✅ Dedicated teams for Medicare, Medicaid, and commercial payers.
✅ pre-built appeal templates for faster dispute resolution.
End-to-End Accountability
✅ Daily follow-ups with documented payer communications.
✅ Weekly performance reviews to refine strategies.
Technology-Driven Efficiency
✅Automated workflows reduce manual follow-up.
✅Real-time reporting keeps you in control.