Every day a claim sits in accounts receivable unpaid, its collection probability drops. At 90 days, payers apply stall tactics. At 120 days, most practices write it off. ParaMed begins working every claim at 30 days and doesn't stop until it's paid or every appeal option is exhausted.
This is what a typical in-house billing A/R looks like. ParaMed's clients see dramatically different numbers.
The revenue is there. The claims have been submitted. The problem is that nobody is aggressively following up. Payers don't pay proactively — they pay because someone is holding them accountable.
Without a dedicated, systematic follow-up process, your A/R will always age beyond recovery. Here's exactly why it keeps happening.
Billing staff naturally focus on new claim submission — the path of least resistance. Old A/R requires investigation, phone calls, and documentation research that gets perpetually deprioritized.
Getting a payer to release a stalled claim requires knowledge of their internal processes, appeal rights, regulatory obligations, and escalation contacts — not general administrative skills.
Most practices treat 120+ day A/R as unrecoverable and write it off. ParaMed typically recovers 40–70% of what previous billing companies marked as uncollectable — because we don't give up.
Standard A/R reports show balances but not velocity. How fast is your 90+ bucket growing? ParaMed's reporting answers these questions with actionable intelligence — not just numbers.
ParaMed manages a complete receivables lifecycle with specialized services for every stage of the aging cycle — not just basic follow-up calls.
We contact every payer on every unpaid claim at the 30-day mark — not just large-balance claims. Our follow-up queue is prioritized by deadline, dollar value, and payer relationship with no claim left unworked.
Denied claims age into your A/R bucket and require active appeal management. ParaMed's recovery team identifies every denied claim in your aging bucket and works it through the full appeal process — Level 1, Level 2, and external reviews.
If your practice has a backlog of aging claims that previous billing staff stopped working, ParaMed can audit, prioritize, and aggressively recover that backlog. We've recovered millions in "written off" A/R that practices assumed was unrecoverable.
Patient financial responsibility is the fastest-growing segment of A/R. ParaMed handles patient balance follow-up with clear statements, online payment options, payment plan management, and compassionate communication that preserves patient relationships.
Not every A/R problem is an unpaid claim — many practices are systematically underpaid by payers applying incorrect fee schedules or unauthorized adjustments. ParaMed reviews every payment against your contracted rates and disputes every variance automatically.
Effective A/R management requires understanding where your receivables are, why they're aging, and what actions are being taken. ParaMed provides monthly A/R aging reports with velocity metrics, payer-by-payer performance, and actionable recommendations.
The approach to a 35-day unpaid claim is completely different from a 95-day denied claim or a 150-day written-off balance. ParaMed deploys specific, documented protocols for each aging stage — maximizing recovery at every point.
ERA feeds and payer portal monitoring. Clearinghouse rejection alerts trigger same-day resubmission. Acknowledgements confirmed before 30-day mark.
Every claim receives active follow-up — electronic status query or direct payer call. Documentation requests fulfilled within 48 hours.
Direct contact with payer claims supervisors, state insurance slow-pay flag preparation, internal escalation to senior A/R recovery team.
Complete appeal packages, formal Level 1 & Level 2 appeals, state insurance department complaints, peer-to-peer review requests. No claim written off before every option is exhausted.
External independent review, binding arbitration under provider agreements, state regulatory complaints, and attorney review for potential breach of contract claims.
Medicare and Medicaid have completely different follow-up processes than commercial insurers. ParaMed's A/R team is trained on payer-specific processes for every major payer — which is why our collection rates consistently exceed 97%.
MAC-specific portal claims status monitoring, Medicare Secondary Payer rules enforcement, and ABN compliance management. Medicare Advantage follow-up with plan-specific authorization and billing requirements.
State-specific Medicaid billing and follow-up for all 50 states — including MCO sub-plans, dual-eligible coordination, and EPSDT billing for pediatric services.
Payer-specific portal navigation, contracted rate verification, direct provider relations contacts for escalation, and systematic underpayment dispute processes for the four largest commercial payers.
WC billing requires state-specific fee schedule knowledge and adjuster follow-up protocols. Auto and liability cases require lien coordination and settlement monitoring — never processed through the same workflow as health insurance.
"We had $340,000 sitting in A/R over 90 days that our previous billing company had essentially stopped working. ParaMed audited it in week one and recovered $196,000 within 120 days. The rest was legitimately uncollectable, but at least we knew — and had documentation to write it off properly."
"Our A/R over 90 days was 31% of our total receivables — which our CFO said was normal. ParaMed showed us it was catastrophic. Within 6 months we were under 9% and our monthly collections increased by $28,000. It wasn't magic — it was systematic follow-up that we never had before."
"I didn't know that Medicare Advantage plans had different follow-up requirements than traditional Medicare. My old billing team was using the same process for both — which is why our MA denials kept getting written off. ParaMed's payer-specific knowledge recovered $67,000 in the first quarter."
Your accounts receivable is a live financial asset that changes every day. Here are the questions we hear most often about A/R recovery.
Speak to an A/R SpecialistParaMed's free A/R audit analyzes your current aging profile, quantifies the recovery potential in your over-90-day bucket, and shows you exactly what's causing your claims to age — before you spend a dollar with us.
See exactly where your money is sitting and which buckets are growing the fastest.
Written projection of your 90+ day bucket recovery potential — no obligation.
Which payers and denial types are driving your A/R growth — with a targeted action plan.
A senior A/R specialist personally reviews your submission and responds within 24 hours.
The collection probability on your aging claims drops every single day. The longer you wait, the less is recoverable. Let ParaMed show you exactly what's sitting in your A/R — and start collecting it.
Trusted by Practices Across US — Feedback from providers who rely on ParaMed for smarter Medical Billing.
