Maximize Your Revenue: Recover 95%+ of Outstanding Claims
Expert AR Recovery Services
Specialized accounts receivable recovery solutions to reclaim lost revenue from denied, underpaid, or aging claims—fast
HIPAA-Compliant
Pay as you go
No fixed contract
Financial stability
AR Recovery services
Financial stability is the backbone of any successful medical practice—but unpaid claims and denials cripple your revenue cycle. We don’t just track aging AR—we aggressively recover every dollar you’ve earned.
✅ 95% Recovery Rate
✅ 60-Day Guarantee –
✅ No Recovery, No Fee –
✅ Experts in Medicare, Medicaid, and commercial insurer rules
✅ End-to-End Service—From claim review to appeals and collections
Recover 95% of Your Aging Claims – Turn Denials into Immediate Revenue
Biggest AR Recovery Challenges
Aging Claims
42% of healthcare organizations have 90+ day AR exceeding 15% of total revenue due to delayed follow-ups.
Expert Solution:
Tiered follow-up system reduces aging AR by 60% within 90 days
Payer Specific Rules
Each insurer has unique timely filing limits (Medicare: 1yr, Medicaid: 60-180 days) causing 23% revenue loss.
Expert Solution:
Payer-specific workflows ensure 100% deadline compliance
Understaffed Teams
Hospitals spend $38.50 per claim on manual follow-ups versus $9.20 with specialized teams.
Expert Solution:
Dedicated AR specialists increase productivity by 300%
Lack of Analytics
67% of providers lack real-time AR dashboards to prioritize high-value claims.
Expert Solution:
Custom analytics identify 85% of recoverable revenue within 30 days
Patient Responsibility
High-deductible plans leave 28% of patient balances uncollected after 120 days.
Expert Solution:
Multi-channel patient AR recovery improves collections by 45%
Credentialing Issues
Out-of-network claims account for 19% of denied AR due to provider enrollment gaps.
Expert Solution:
Continuous credentialing monitoring prevents network status lapses
Schedule a Consultation with Our Medical Billing Experts
We understand your need to keep things small, intimate, and personalized. Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions.
AR Recovery Services
We Offer
Patient AR Recovery
Specialized collection of patient responsibility balances through customized payment plans, soft-touch calls, and text/email reminders. Ideal for high-deductible plans.
45% Higher Collections
Insurance AR Recovery
Aggressive follow-up on unpaid/disputed insurance claims with payer-specific appeal strategies. Includes aging AR beyond 60 days.
92% Recovery Rate
Denial Management
End-to-end handling of denied claims including appeals, corrected submissions, and clinical review for medical necessity cases.
85% Overturn Rate
Underpayment Recovery
Identification and collection of underpaid claims through contract rate analysis and payer negotiations.
$28k Avg. Recovery
Credentialing AR Resolution
Recovery of claims denied due to provider enrollment issues with simultaneous credentialing updates.
100% Network Fix
Bad Debt Recovery
Specialized collection of write-offs and bankrupt accounts through ethical recovery strategies.
33% Recovery Rate
AR Recovery Services
Process
Initial Review
Our AR team conducts a comprehensive audit of your billing records to identify all outstanding claims and unresolved issues. We analyze:
- Aging reports (0-30, 31-60, 61-90, 90+ days)
- Payer mix and denial patterns
- Historical collection rates
Problem Identification
We pinpoint the root causes of unpaid claims through:
- Claim status verification
- Denial reason analysis (coding, documentation, eligibility)
- Payer-specific requirement audits
- Patient responsibility validation
Corrective Action
We implement targeted solutions:
- Claim re-submission with corrections
- Appeals with clinical documentation
- Payer escalations for aged claims
- Patient payment plans
- System fixes to prevent recurrence
Follow-Up & Prevention
Our ongoing system ensures sustained results:
- Weekly claim status updates
- Monthly AR performance reports
- Staff training on denial patterns
- Process improvements
Benefits of Outsourcing
AR Recovery Services
Higher Recovery Rates
Specialized denial teams recover 85-92% of denied claims versus 40-60% with in-house staff.
92% Success Rate
Payer-Specific Expertise
Knowledge of each insurer's appeal requirements (UnitedHealthcare vs Medicare) increases approval speed by 50%.
50% Faster
Reduced Operational Costs
Save $29 per claim compared to in-house processing by eliminating training and software costs.
$29/Claim Saved
Preventive Analytics
AI-powered denial pattern detection reduces future denials by 35-40% within 6 months.
40% Reduction
Compliance Assurance
Certified specialists ensure 100% compliant appeals meeting all payer and HIPAA requirements.
100% Compliant
Real-Time Reporting
Custom dashboards track recovery KPIs and identify $18k+ monthly in preventable denials.
$18k/Month Found
AR Recovery
FAQs
What's your average denial recovery rate?
We recover 85-92% of denied claims across all major payers (Medicare: 94%, Commercial: 88%, Medicaid: 84%). This compares to the industry average of 40-65%.
92% Overall Success Rate
How quickly do you process appeals?
Standard appeals are submitted within 3 business days (vs. 10-14 day industry average). For urgent cases, we offer 24-hour rush processing.
72-Hour Guarantee
Do you handle both technical and clinical denials?
Yes. Our teams include:
- Technical specialists for coding (CPT/ICD-10), modifiers, and billing errors
- Clinical reviewers (RNs and MDs) for medical necessity and documentation denials
What's your pricing model?
We offer two options:
- Percentage of Recovered Revenue: 25-35% based on volume
- Flat Fee Per Appeal: $25-$75 depending on complexity
Can you reduce our future denials?
Absolutely. Our Denial Prevention Program identifies root causes and typically reduces denials by:
- 35-45% within 3 months
- 60-70% within 12 months
How do you track results?
Clients receive:
- Real-time dashboard showing recovered amounts by payer/denial type
- Monthly reports with ROI analysis and prevention recommendations
- Alert system for emerging denial trends
What's your experience with Medicare appeals?
Our Medicare specialists have:
- 94% success rate at Redetermination (Level 1)
- 88% success rate at Reconsideration (Level 2)
- Filed 1,200+ ALJ hearings (Level 3)
Do you work with our existing EHR?
We integrate with all major systems including:
- Epic, Cerner, NextGen
- Athena, eClinicalWorks
- Meditech, Allscripts
Setup takes 2-5 business days.
Seamless Integration
How do you handle patient responsibility denials?
Our Patient AR Recovery service includes:
- Insurance verification to confirm patient responsibility
- Customized payment plans (0% interest options)
- Soft-touch collection calls (70% acceptance rate)
What's your onboarding process?
5 Simple Steps:
- Sign BAA (1 day)
- EHR integration (2-5 days)
- Denial data audit (3 days)
- Workflow customization (2 days)
- Team training (1 day)
Most clients are live in 7-10 business days.
Quick StartSave Time & Money with Our Medical Billing Service
Specialties We Serve
Family Medicine
Nurse Practitioners
Internal Medicine
Pediatrics
OB/GYN
Pain Medicine
Sleep Medicine
Cardiology
Dermatology
Endocrinology
Gastroenterology
Neurology
Podiatry
Pulmonology
Physical Therapy
Urgent Care
Psychiatry
Anesthesiology
Speech Therapy
Occupational Therapy
Otolaryngology (ENT)
Physical Medicine & Rehab
Geriatrics
Allergy & Immunology
Mental Health Therapists
Nephrology
Ambulatory Surgery Center
Wound Care
Addiction Medicine
Infectious Disease
AR Recovery Services
Insurances Covered
Medicare
Medicaid
VA Health
TRICARE
ACA Marketplace
UnitedHealthcare
Aetna
Cigna
Humana
Anthem
BCBS National
BCBS Alabama
Florida Blue
BCBS Michigan
Empire BCBS
Horizon BCBS
BCBS NC
Highmark BCBS
BCBS Texas
Premera BCBS
Kaiser Permanente
Molina
Centene
Oscar Health
Health Net
CDPHP
Capital Blue
Independence BC
CareFirst
Regence BCBS
UHC Medicare
Humana Medicare
Aetna Medicare
Cigna Medicare
BCBS Medicare
Trusted Medical Billing Services
Verified Results
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
Very attentive and efficient
Always available to explain things or answer questions or concerns
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
David is wonderful very responsive and on top his work. Great experience.
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.
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