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A/R Recovery

Recover aging accounts with a 95% and above successful collection rate

A/R recovery works when it is run as an operating cadence: triage, documentation alignment, and AI-driven analysis. We don't just chase line items—we identify and correct the root cause of aging to protect your future cash flow.

Triage by recoverability

Segment accounts by payer, denial category, aging, and required documentation.

Appeal-ready packages

Build consistent, payer-aligned packages with the right forms and evidence.

Cadence & escalation

Follow-up rhythm that prevents re-aging and enforces timely payer responses.

Recovery Playbook
How we run A/R recovery

We use a structured approach to prevent chaos: define segments, address root causes, and apply consistent follow-up. The intent is to recover aging accounts while preventing the same issues from re-entering A/R.

  1. 1
    AI-Driven Inventory and Triage
    Accounts segmented by AI-predicted recoverability, aging bands, payer buckets, and denial root causes.
  2. 2
    Corrective actions
    Eligibility fixes, authorization pathing, coding/documentation alignment, claim correction.
  3. 3
    Resubmission and appeals
    Payer-aligned resubmissions, appeals, reconsiderations, and dispute tracking.
  4. 4
    Follow-up cadence and escalation
    Worklists, call cadence, electronic follow-up, escalation rules, and accountability.
  5. 5
    Prevention and Root Cause Loop
    15+ years of specialized knowledge applied to tracking root causes and implementing controls to prevent repeat denials.
Inputs
What we need from you

Recovery speed depends on access to the right data and decision makers. We keep requirements practical and minimal, but consistent.

  • A/R aging + payer detail

    Aging buckets, payer breakdown, and denial codes/reasons where available.

  • Access to claim and remittance detail

    EOB/ERA detail to support categorization, corrections, and appeals.

  • Documentation retrieval pathway

    How we obtain notes, referrals, auths, and clinical documentation when needed.

  • Point of contact for decisions

    Single point of ownership for priorities, write-offs, and escalation decisions.

  • Payer portal access (if applicable)

    To verify status, submit documentation, and track disputes efficiently.

Common starting scopes
90+ day A/R Denied claims backlog Top 3 payers focus Authorization-driven denials
Triage Framework
How we prioritize the backlog

Not every account is equally recoverable. We prioritize based on recoverability, required effort, and prevention value. This prevents wasted cycles and improves throughput.

Bucket Typical issues What we do Output
Denied / Edited Missing info, payer edits, non-covered, coding/documentation mismatch. Corrective action, payer-aligned resubmission/appeal package, tracking. Status change + prevention notes for repeat drivers.
Auth / Eligibility Coverage mismatch, missing authorization, retro pathways, plan rules. Verify coverage, validate auth pathing, prepare documentation and payer follow-up. Clear next action: resubmit, appeal, or write-off recommendation.
Documentation Notes missing, signatures, referrals, medical necessity support. Document retrieval workflow + alignment + resubmission/appeal readiness. Complete package and controlled submission.
Aging / No Follow-up Claims aging due to missing cadence, unclear ownership, no escalation. Worklists, cadence, escalation rules, payer portal follow-up, calls. Movement cadence + reduced silent aging.
Next Step
Request an A/R review

If your A/R is aging, denials are accumulating, or follow-up is inconsistent, we can rapidly assess recoverability, define a recovery cadence, and reduce repeat drivers going forward.

Short review call • Prioritized findings summary • No obligation
Request A/R Review Email: inquiry@yesitbilling.com