Accounts Receivable Management Services That Recover Aging Claims and Improve Cash Flow

A claim that sits unworked past 90 days has roughly a 50% chance of never being collected, yet up to 65% of denials are actually recoverable if someone follows up in time. Industry benchmarks put a healthy Days in AR under 40, with no more than 15–20% of total AR sitting in the 90+ day bucket, but most practices without dedicated AR follow-up drift well past both. RCM First’s accounts receivable management team works your aging claims systematically, prioritizing by dollar value, payer, and urgency, so earned revenue actually reaches your bank account instead of quietly eroding in an unworked queue.

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Accounts Receivable Management Built Into a Full Revenue Cycle Workflow

RCM First’s accounts receivable team brings over 15 years of combined revenue cycle experience across internal medicine, mental health, cardiology, physical therapy, urgent care, laboratory, and more. AR follow-up isn’t handled as an isolated collections task here, it’s connected directly to our billing, coding, and denial management workflow, so aging claims are caught and worked before they slip past recoverable timelines, instead of sitting in a queue no one owns.

Accounts Receivable Services We Provide

Full-cycle AR follow-up, from the first aging bucket through the last recoverable dollar.

AR Aging Analysis & Prioritization

Outstanding balances categorized into aging buckets (0-30, 31-60, 61-90, 91-120, 120+ days) and prioritized by dollar value, payer, and urgency.

Insurance Claim Follow-Up

Systematic follow-up on unpaid and underpaid insurance claims, tracked from submission through resolution.

Denial-to-AR Recovery

Claims caught in denial or appeal status worked and pushed toward resolution before timely filing windows close.

Patient Balance Collection

Proactive statements, payment plan options, and follow-up on patient-responsibility balances before they age into bad debt.

Payer-Wise Performance Reporting

Clear reporting broken down by payer, provider, and aging bucket, so you can see exactly where revenue is stuck.

Timely Filing Risk Monitoring

Claims approaching payer-imposed filing deadlines are flagged and worked before the window closes for good.

Why Aging Accounts Receivable Quietly Drains Practice Revenue

AR isn’t a static number sitting on a report, it’s a living, aging pool of earned revenue that gets harder to collect the longer it goes unworked. Without dedicated follow-up, claims drift past the point where recovery is still realistic.

50% Collection Odds Past 90 Days

A claim that sits unworked past 90 days has roughly a 50% chance of never being collected.

65% of Denials Are Recoverable

Yet most go permanently written off simply because no one followed up in time.

Under 40 Days Is the Benchmark

High-performing billing operations keep Days in AR below 40, many practices without dedicated follow-up run well past it.

15-20% Is the Ceiling for 90+ Day AR

Healthy practices keep no more than 15-20% of total AR sitting in the 90+ day bucket; beyond that signals a systemic follow-up gap.

How RCM First's Accounts Receivable Management Works

Step 1

AR Aging Analysis & Prioritization

Every outstanding balance is pulled and sorted into aging buckets, then prioritized by dollar value, payer, and urgency, so the highest-recovery claims get worked first.

Step 2

Active Claim & Patient Follow-Up

Unpaid claims are followed up with payers, denials are appealed within filing deadlines, and patient balances are pursued through statements and payment options.

Step 3

Reporting & Prevention

AR trends are reported back by payer, provider, and aging bucket, feeding directly into front-end fixes that keep future claims from aging in the first place.

Accounts Receivable Management, Frequently Asked Questions

What's a healthy Days in AR benchmark for a medical practice?

High-performing billing operations keep Days in AR below 40, with no more than 15-20% of total AR sitting in the 90+ day aging bucket.

Is it too late to recover a claim once it's past 90 days?

Not necessarily, but the odds drop significantly, a claim past 90 days has roughly a 50% chance of never being collected. That’s why prioritized, systematic follow-up matters more the older a balance gets.

How is AR management different from denial management?

Denial management focuses specifically on claims that have been rejected by a payer. AR management is broader, it covers all outstanding balances, including unpaid but not-yet-denied claims and patient-responsibility balances, not just denials.

Do you handle patient balance collection too, or just insurance claims?

Both. RCM First’s AR management covers insurance-side follow-up as well as patient balance collection, including statements and payment plan options, before balances age into bad debt.

Stop Letting Revenue Age Past the Point of Recovery

Every day an unworked claim sits in your AR queue is another day closer to it becoming permanently uncollectible. Let RCM First’s accounts receivable team recover what’s owed, before the window closes.