Recovered in 90 days
Reduction in total AR
Reduction in 60-day aging
Time to measurable results
The Challenge
The clinic was experiencing slowing revenue growth due to a significant amount of revenue locked in Accounts Receivable (AR). Outstanding insurance balances and patient receivables were increasing, delaying cash collections and impacting overall cash flow.
Revenue that should have been available for operations remained tied up in aging receivables instead. Reimbursement cycles were slower than they needed to be, administrative workload on clinic staff was climbing just to keep up with follow-ups, and the longer claims and balances sat unresolved, the higher the risk of timely filing denials and eventual bad debt.
The clinic needed a structured, ongoing process for chasing down what was owed one built around consistent follow-up, clear accountability, and visibility into exactly where revenue was getting stuck, rather than reactive collections work squeezed in around everything else.
What We Did
We approached this as two connected workstreams: Proactive AR Follow-Up and AR Performance Visibility, so outstanding revenue could be recovered faster and future aging could be prevented rather than just treated after the fact.
Proactive AR Follow-Up – We established a weekly AR review process, prioritizing outstanding claims by payer, aging bucket, and dollar value to ensure consistent follow-up and faster resolution. This included proactive insurance follow-ups – claim status checks, appeals, corrected claims, eligibility verification, authorization reviews, and payer-specific documentation submissions alongside improved patient collections through timely statements, outbound calls, emails, payment reminders, and payment plan coordination.
AR Performance Visibility – We created a structured AR performance dashboard with weekly reporting, aging analysis, denial tracking, and escalation workflows, giving the clinic measurable KPIs to continuously monitor and improve collection performance going forward.
The Results
- Reduced total AR by $45K in 90 days
- Reduced 90+ day aging from 3.1% to 2.8%
- Reduced revenue leakage from delayed claim resolution
- Reduced 60+ day aging from 5.8% to 3.5% (a 39.7% improvement)
- Achieved stronger cash flow and improved revenue predictability
- Increased accountability through structured AR governance
