- May 5, 2025
- Posted by: Josh Knoll
- Category: Accounts Receivable

“We’re gonna need a bigger boat.”
Remember that famous line from Jaws?
That’s how aging A/R feels in many healthcare practices.
It starts small — a few past-due claims here, some missed follow-ups there. Suddenly, you look again, and there’s a massive backlog of payments, 120 days old or worse. You’re sinking, and the shark is your cash flow.
But don’t worry because you can fight back.
You just need the right tactics, a tighter process, and a bit of grit. (And with the right planning, it’s easier than hunting sharks!) We’re chasing dollars here by telling you ways to improve your healthcare accounts receivable services. And today, we’re going to show you how to bring that aging A/R down from 120 days to just 30.
Let’s roll.
Why Aging A/R is a Silent Killer
Aging accounts receivable (A/R) is like the junk drawer of your revenue cycle. You keep putting things off, hoping one day you’ll clear it. But each day you wait, it gets messier. In healthcare, old A/R means money that is harder to collect, tantamount to lost claims, patient frustration, and yes — major revenue leakage.
Here’s what happens when your A/R ages past 90 or 120 days:
- Insurance companies start pushing back harder
- Chances of full payment drop significantly
- Your team spends more time chasing less money
- Denials become harder to appeal
- Your financial reports start to look ugly
Want to keep your lights on and your practice growing? You need to collect faster — ideally within 30 days. Fortunately, you can keep the your healthcare AR in excellent shape by following the tips mentioned below-
Tips to Improve Your Healthcare Accounts Receivable Services
Step 1: Clean Up the Front Desk First
Surprised? Most A/R issues start before the claim is even sent.
Your front desk is the gatekeeper. If they get the patient’s insurance info wrong or skip verifying coverage, you’ll end up with denied claims — and they’ll sit in A/R bucket forever.
Quick fixes:
- Verify insurance before the visit (yes, always!)
- Get the correct demographic info — name, DOB, insurance ID
- Train front-desk staff to spot issues and fix them early
When your front desk is solid, your billing team has fewer fires to put out later.
Step 2: Stop Waiting — Bill Daily
Don’t batch. Don’t wait a week. Send claims daily.
Healthcare billing isn’t wine. It doesn’t get better with age. The faster you submit clean claims, the sooner you can receive payments.
Bonus tip: Automate your claim submissions. Always leverage your EHR system to spot errors before submitting a claim. It cuts down on denials and gets money moving faster.
Step 3: Triage Your A/R Like an ER Doctor
Picture this: Your aging A/R report is a packed ER. You’ve got 30-day patients and 120-day patients. Who do you help first?
Start with the ones most likely to pay. Focus on:
- High-dollar claims
- Claims between 30–60 days (still fresh)
- Payers who respond quickly
Don’t waste your best staff on dead-end claims. Prioritize, work smart, and hit the ones with the best shot at success first.
Step 4: Set a 72-Hour Rule for Denials
Denials will happen. That’s just part of the game. But sitting on them? That’s where you lose.
Set a hard rule: Every denial must be worked within 72 hours. No excuses.
- Log the reason
- Fix the issue (coding, modifiers, missing info)
- Resubmit fast
Many practices let denials pile up. Don’t be like them. Speed beats delay every time.
Step 5: Fire Up the Patient Collections Engine
Here’s the truth: A big chunk of your healthcare accounts receivable might be patient responsibility. Co-pays, deductibles, coinsurance — it adds up fast.
But most practices are shy about asking patients for money. Don’t be.
Ways to improve:
- Collect co-pays upfront (not later)
- Provide your patients with multiple payment options so that they can make the payments conveniently
- Send friendly, frequent reminders
- Use texts or emails, not just paper bills
Don’t shy away from making phone calls to your payers. A five-minute call can sometimes collect what three months of billing failed to do.
Step 6: Get Proactive with Follow-Ups
Aging A/R doesn’t just magically age. It happens when follow-ups stop.
You need a dedicated healthcare accounts receivable service partner that does it for you.
Here’s what strong follow-up looks like:
- Call payers. Don’t just send emails.
- Escalate delayed claims after 30 days.
- Track every call, every status update.
- Keep hammering until the check arrives.
Be polite. Be professional. But be relentless.
Step 7: Use Reports
You can’t fix what you don’t track. Every week, look at:
- A/R aging buckets (0–30, 31–60, etc.)
- Denial reasons — top 5 culprits
- A/R days
- Clean claim rate
Spot the leaks. Plug them fast. These reports are your radar. They’ll tell you when you’re drifting off course.
Step 8: Reward Speed, Not Just Accuracy
Your billing team may be precise, but are they fast? The goal isn’t just clean claims — it’s timely clean claims.
Make speed part of your KPI. Celebrate same-day billing. Recognize staff who reduce A/R days.
You’ll be amazed how a little motivation (even a free lunch!) can fire up your team.
Step 9: Use Tech, But Don’t Hide Behind It
Automation is awesome. But don’t let software lull you into ignoring your A/R.
Use tools to:
- Flag old claims automatically
- Route tasks to the right person
- Track payer behavior over time
But remember: Tech supports your team. It doesn’t replace their hustle.
Step 10: Know When to Outsource
If your in-house team is overwhelmed, it might be time to call in reinforcements.
Outsourcing your A/R follow-up doesn’t mean giving up control. It means giving your team a breather and letting experts chase the oldest claims.
Look for a partner who:
- Has experience in your specialty
- Offers real-time reporting
- Charges based on results, not flat fees
Sometimes, just removing the 90+ day claims from your plate makes a huge difference.
Final Thought: Don’t Let the Shark Win
Managing A/R may feel like being stuck in Jaws. The longer you wait, the closer the shark gets.
But you’re not helpless. With a few smart changes, you can go from flailing in 120-day waters to smooth-sailing at 30.
Train your team. Work your claims daily. Use tech wisely. And if it’s too much to handle alone, bring in experts like SunKnowledge Inc.
Wrapping It Up – Your Bigger Boat
We know that managing healthcare accounts receivable services is no small task. It affects your cash flow, your team, and your patient relationships. But it doesn’t have to sink your practice.
By tracking your metrics, fixing the leaks, and following proven steps — or by calling in expert help — you can stay ahead of aging claims.
Think of it this way: With the right help, you won’t just survive the shark. You’ll sail past it — in a bigger, better boat – without even noticing it.
