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TestimonialsAR recovery services that clear the backlog and keep net AR under 60 days
Under 60
Net AR days — the target we manage your account to
Every week
Every aging bucket reviewed by a named account manager
30 · 60 · 90 · 120+
Every bucket gets its own workflow and its own owner
300+
Healthcare organizations, across 40 US states
The Basics
What is AR in medical billing?
Accounts receivable in medical billing is every dollar billed and not yet collected from payers and from patients,organised by how long it has been outstanding. Accounts receivable management in healthcare is the ongoing discipline of working that balance down: payer follow-up, patient statements, and weekly reporting by aging bucket until each dollar is collected or deliberately written off.
The number that matters is not the total. It is the distribution. A practice with $2M in AR where most of it is under 30 days is healthy; the same $2M concentrated past 90 days is a write-off waiting to be booked. That is why AR is measured in buckets rather than as a single figure, and why “our AR is high” tells a CFO almost nothing on its own.
AR management and AR recovery are two different jobs, and conflating them is the most common reason a backlog never clears. Management is the weekly discipline applied to current claims. Recovery is a dedicated campaign against claims that have already aged past what an internal team can realistically chase. Run one without the other and you either build a backlog you never clear, or clear one that immediately refills.
Where AR gets stuck
What is actually happening in each aging bucket
| Bucket | What has usually happened | The right action | What it is not |
|---|---|---|---|
| 0–30 days | Normal adjudication. Nothing is wrong yet. | Monitoring only. Confirm the claim was accepted, not just submitted. | Not a follow-up call. Calling a payer at day 12 wastes the call. |
| 31–60 days | The payer has it and has not responded, or a rejection was never worked. | Claim status inquiry, and a check that the claim actually reached the payer. | Not a resubmission — that creates a duplicate and restarts the clock. |
| 61–90 days | Something is wrong and nobody has looked. Usually a rejection, an unworked denial, or a payer enrollment gap. | Establish the cause before doing anything. The action depends entirely on which of the three it is. | Not a generic follow-up cadence. This is the bucket where a template wastes the window. |
| 91–120 days | Filing windows are starting to close, particularly on secondary and tertiary claims. | Payer-specific escalation, worked in deadline order rather than balance order. | Not a write-off decision yet — but the point where one becomes likely. |
| 120+ days | Recovery odds are falling and internal pressure to write off is building. | A dedicated recovery campaign, run separately from current billing so neither starves the other. | Not the same queue that already failed the claim once. |
| Patient balances | One statement went out. Whoever was going to pay has paid. | Multi-channel outreach, payment plan setup, hardship screening. | Not a second identical statement. |
What AR management and medical accounts receivable services include
Eight numbered items as a bordered list, not cards. Published so a buyer can compare vendors, including against us.
Aged AR analysis by payer and dollar value
A follow-up workflow assigned to every aging bucket
Payer-specific follow-up, not a generic script
Timely filing window tracked per payer, per claim
Underpayment and short-pay identification
Multi-channel patient statements, payment plans and hardship screening
Over-120-day recovery campaigns run separately
Weekly aging-bucket review with a named account manager
What AR management and medical accounts receivable services include
Aged AR analysis by payer and dollar value
AR reviewed across every bucket by payer and by balance, so the highest-value recovery opportunities are worked first rather than whatever is at the top of the list.
A follow-up workflow assigned to every aging bucket
30, 60, 90 and 120+ each get their own workflow and a named owner. The action differs by bucket, which is why one cadence applied to all of them fails.
Payer-specific follow-up, not a generic script
Follow-up built around how each payer actually responds — which ones answer a status inquiry, which need a specific escalation route, which have a shorter secondary filing window than you expect.
Timely filing window tracked per payer, per claim
Windows differ by payer and by plan, and a lapsed window is unrecoverable at any price. The queue is worked in deadline order, not balance order.
Underpayment and short-pay identification
A claim paid below the contracted rate looks identical to one paid correctly unless somebody checks it against the fee schedule. Short pays are worked alongside unpaid balances.
Multi-channel patient statements, payment plans and hardship screening
Statements delivered across more than one channel, with payment plan setup and hardship screening built in — so the patients who need a plan get offered one instead of a second copy of the same bill.
Over-120-day recovery campaigns run separately
Aged balances, small balances and complex cases worked as a defined campaign alongside your current billing, so day-to-day claims keep moving while the backlog comes down.
Weekly aging-bucket review with a named account manager
Every bucket reviewed weekly by a person you can name — not a quarterly check-in and not a monthly PDF. This is what stops a claim quietly re-ageing.
Why practices and hospitals choose Neolytix for AR recovery
Keep Net AR Under 60 Days: Weekly Aging-Bucket Reviews
Aligned Incentives: We Are Paid on What You Recover
Recover Written-Off Balances Through Over-120-Day Campaigns
Current Billing Keeps Moving While the Backlog Comes Down
Payer Follow-Up Off Your Team: A Named Account Manager Every Week
AR Recovery for 31 Specialties Across 40 US States
Built Into Your Billing Cycle, Not Bolted On After It
AR recovery services: How Neolytix Runs Them
Service
Aging-bucket audit
Service
Recovery workflow build
Service
Patient and payer follow-through
Service
Weekly account manager review
Built for every leader responsible for AR
CFO and finance leadership
Revenue cycle director
AR and billing managers
Hospital and health system executives
One AR view across multiple facilities, payers and service lines, instead of a fragmented per-location process nobody owns end to end.
Practice administrators
Revenue integrity leaders
How hospital AR management services differ from a single practice
How Neolytix Compares to Conventional AR Management
| Typical billing company / in-house AR | Neolytix | |
|---|---|---|
| Every aging bucket assigned a workflow and a named owner | ||
| Aged claims worked in filing-deadline order, not balance order | ||
| Over-120-day recovery run as a separate campaign | Folded into the standard queue, often unworked | |
| Aging visibility by payer and dollar value | Monthly PDF or spreadsheet | InCredibly, the Neolytix reporting platform |
| Account manager review cadence | Quarterly or ad hoc | Weekly, named owner |
| Underpayment and short-pay identification | ||
| Patient collections | Single-channel, one-size-fits-all statements | Multi-channel, with payment plans and hardship screening |
Case Studies
Enhanced operational visibility and accountability
99.72%
Claims submitted successfully
0%
Critical missed billing events
100%
Staff trained on coding & documentation compliance
“Neolytix conducted a thorough billing audit revealing critical gaps in coding accuracy, documentation compliance, denial management, and revenue cycle workflows that posed substantial compliance risks and revenue leakage.”
Denial Management Built Around Your Organization.
Built around your specialty, payer mix, and claim volume — not a standard package applied to every account.
Root-Cause Resolution
Most vendors resubmit and move on. Every denial we work is traced to its source — coding gap, auth miss, payer rule change — so the same issue doesn’t regenerate next billing cycle.
Pre-Submission Protection
CRIS 2.0 runs eligibility, authorization, coding, and claim scrubbing checks on every claim before it reaches the payer. Fewer denials enter the queue in the first place.
Full Appeal Escalation
No claim is abandoned at the first rejection. We run a 4-tier escalation: internal appeal → peer-to-peer review → Independent Review Organization → state insurance commissioner complaint.
Consistent Rules Across Every Location
Multi-location groups get the same payer rules applied at every site. Our AI knowledge system keeps every analyst current — no variance in denial rates based on who worked the claim or where.
Works Inside Your Existing EHR
No migration required. We operate inside Epic, Athena, AdvancedMD, eClinicalWorks, and others — accessing your environment directly without disrupting current workflows.
Benchmarked Monthly Reporting
Denial scorecard by payer, location, and root cause every month — benchmarked against HFMA and MGMA norms so you know how you compare to peers, not just to last month.
Security-First. At Every Step.
Built for Compliance. Designed for Confidence.
Every service we deliver is built on a foundation of strict data governance and regulatory compliance. HIPAA safeguards and ISO 27001-certified security practices are embedded into how we work, not added after the fact.
Get in Touch With Us
FAQs
AR management and AR recovery FAQs
What is AR in medical billing?
Accounts receivable is every dollar billed and not yet collected, from payers and from patients, organised by how long it has been outstanding. What matters is not the total but the distribution — the same balance is healthy under 30 days and a write-off waiting to happen past 120.
What is the difference between AR management and AR recovery?
AR management is the ongoing weekly discipline applied to current claims. AR recovery is a dedicated campaign against claims that have already aged past what an internal team can realistically chase — typically 90, 120 or 180+ days. Run one without the other and you either build a backlog you never clear, or clear one that immediately refills.
What is a healthy AR days benchmark?
Neolytix manages to net AR under 60 days as a standing target. The right number varies by specialty, payer mix and practice size, so your own benchmark is set from your data at onboarding rather than taken from an industry average.
How are hospital AR management services different from a single practice?
What happens if a claim ages past 120 days?
Do you handle denials as well as aged AR?
Aged and unpaid claims are in scope here. Claims the payer has adjudicated and refused — root-cause coding, appeals and multi-level escalation — are covered under denial management services. In practice a proportion of any aged backlog turns out to be unworked denials, and those are handed across.
Do you take over patient collections, or only payer AR?
Both, and they run at the same time rather than in sequence. Patient balances get multi-channel statements, payment plan setup and hardship screening. Payer-side follow-up runs alongside, because working one and not the other leaves half the balance untouched.
Will our patients know they are dealing with a third party?
What happens to balances you decide are unrecoverable?
What is your fee structure for AR management and recovery?
Is Neolytix HIPAA compliant for AR and patient collections data?
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