AR Recovery Services
Every unpaid claim is money you already earned. We get it back.
BilRex’s AR Recovery Services track down aged, denied, and underpaid claims across every payer (insurance and patient) so your practice collects what it’s owed, faster.
HIPAA Compliant ┊ Multi-Specialty Support ┊ Experienced AR Specialists ┊ All Major Payers
OUR AR RECOVERY PROCESS
Every bucket gets a specific action plan. Nothing just sits and ages.
Why Choose BilRex
Dedicated AR Specialists
HIPAA Compliant
Multi-Specialty Billing
Personalized Recovery Strategy
Why practices lose revenue
Most practices don’t lose money because of bad care. They lose it because claims get stuck, ignored, or written off before anyone fights for them.
Claims sitting untouched past 60–90 days because internal staff are focused on new billing, not old AR.
Denials that are never appealed. Many practices simply resubmit once and give up.
Underpayments that go unnoticed because payments are posted without checking the contracted rate.
Patient balances that are never followed up after the first statement.
Staff turnover and training gaps that leave aging AR buckets unmanaged for months.
EMR/clearinghouse data getting lost during system transitions, leaving claims orphaned.
What is AR recovery?
Accounts Receivable (AR) Recovery is the process of identifying, investigating, and collecting outstanding payments owed to a healthcare practice, from insurance payers and from patients, that have not been paid within the expected timeframe.
Done right, it isn’t just “chasing old money.” It’s a systematic audit of your entire revenue cycle to find where payments stalled and fix the root cause so it doesn’t happen again.
Unlike standard billing, AR recovery specifically targets:
Our AR recovery services
A full-spectrum recovery service built around your existing billing workflow. We don’t disrupt it, we reinforce it.
Aged Claims Recovery
30/60/90/120+ day claims, prioritized by dollar value and payer type.Denial Management & Appeals
Root-cause analysis, correction, and formal appeals with payers.Underpayment Recovery
Contract rate comparison and recovery of shortfalls.Patient AR Recovery
Statement follow-up, payment plans, and courteous balance collection.Legacy AR Cleanup
Recovering claims left behind after EMR migrations or vendor transitions.Government Payer Recovery
Medicare, Medicaid, and MAC-specific follow-up protocols.Commercial Payer Recovery
Payer-specific escalation paths for major commercial insurers.Credit Balance Resolution
Compliance on the reverse side of AR, including overpayments.Our AR Recovery Process
AR Audit & Data Import
We pull your full AR report from your PM/EMR and segment it by age, payer, and dollar value.
Prioritization
Claims are ranked by recoverability and value, with highest-impact accounts worked first.
Insurance Follow-Up
Our specialists contact payers to resolve outstanding claims and delays.
Appeals & Corrections
Denied claims are corrected, documented, and appealed according to payer guidelines.
Payment Verification
Every payment is checked against contracted reimbursement rates.
Patient Balance Recovery
Courtesy follow-up and payment plans improve patient collections.
Reporting & Optimization
Detailed reporting keeps your team informed while continuously improving recovery performance.
Aging bucket strategy
Different age brackets need different tactics. BilRex applies a distinct strategy to each, with a different recovery-probability profile.
Why choose BilRex
Common reasons claims stay unpaid
Each of these has a specific fix, which is why generic “resubmit and hope” approaches fail, and targeted root-cause recovery works.
Common reasons claims stay unpaid
| KPI | WHAT IT MEASURES | BILREX IMPACT |
|---|---|---|
| Days in AR | Average time claims remain unpaid | Reduced through faster follow-up cycles |
| AR > 90 days (%) | Portion of AR at highest risk | Actively worked down, not ignored |
| Denial rate | % of claims denied on first submission | Root-cause fixes reduce recurrence |
| Clean claim rate | % of claims paid without rework | Improves as recurring errors are corrected |
| Net collection rate | Actual $ collected vs. contracted allowable | Increases via underpayment recovery |
| First-pass resolution rate | Claims resolved without appeal | Improves with better upfront correction |
Insurance follow-up process
Our insurance AR team follows a structured, payer-specific cadence, backed by maintained contact logs and escalation contacts, so follow-up never starts from zero.
Denial recovery
Denials aren’t dead ends. Most are recoverable with the right correction.
Underpayment recovery
Payers don’t always pay the full contracted rate, and most practices never check. Even small per-claim underpayments add up to significant annual revenue loss across a full patient panel.
Patient balance recovery
Recovering patient responsibility (co-pays, deductibles, coinsurance) requires a different, more careful touch than insurance follow-up.
Specialties we support
Each specialty carries its own coding nuances, payer quirks, and denial patterns. Our team is trained across all of them.
How BilRex compares
| FEATURE | BILREX | TYPICAL IN-HOUSE TEAM | GENERIC BILLING VENDOR |
|---|---|---|---|
| Dedicated AR-only specialists | Yes | Usually split with new billing | Sometimes, as add-on |
| Payer-specific appeal playbooks | Yes | Varies by staff experience | Limited |
| Underpayment rate-checking | Standard practice | Rarely done | Rarely included |
| Aging bucket-based strategy | Yes | Ad hoc | Sometimes |
| Transparent recovery reporting | Weekly/Monthly | Internal only | Varies |
| No-disruption EMR integration | Yes | N/A | Often requires migration |
| Compliant patient AR recovery | Yes | Varies | Varies |
Proven Expertise in
50+ EHR/EMR/PMS
WebPT
Tebra
RXNT
PracticeEHR
PracticeFusion
NextGen
Kareo
Epic
EclinicalWorks
DrChrono
CureMD
ColaboratesMD
CentralReach
CareCloud
AthenaHealth
AdvanceMD
Get The Answers You Need
Frequently Asked Questions
Find answers to frequently asked questions about our services, processes, billing solutions, and client support.
It means someone is finally chasing down every claim that got stuck, denied, or underpaid, and pushing it through to an actual payment instead of letting it quietly age into a write-off.
Most practices start seeing recovered payments land within the first 30 to 60 days, though the exact pace depends on your payer mix and how old the backlog is.
Not really. Recovery odds drop the older a claim gets, but plenty of claims past 120 days still get paid once the actual reason they stalled is fixed.
Both. Government payers have their own rules and contacts, and our team follows those processes just as closely as we do for commercial insurers.
You get a clear explanation of why, with documentation attached, so any write-off decision is based on facts rather than a guess.
Patient outreach stays respectful and low-pressure, with clear statements and flexible payment options, so collections don’t come at the cost of the relationship.
Pricing depends on your AR volume and can be structured as a percentage of what’s recovered, a flat monthly rate, or a mix of both.
No. We work inside the system you already use, so there’s no migration or disruption to your current workflow.
A biller is usually juggling new claims too. Our team works aging AR exclusively, which means the old backlog actually gets consistent attention instead of getting pushed to the bottom of the list.
A quick way to tell is checking what percentage of your AR is sitting past 90 days. If that number feels high, or nobody on staff can tell you offhand, a free AR audit will make it clear.
