As a healthcare provider, managing accounts receivable is a crucial part of your medical billing operations. Accounts receivable refers to the amount of money owed to you by patients, insurance companies, or other third-party payers. Managing these outstanding balances can be challenging, but it’s crucial to maintaining a steady cash flow and a healthy bottom line. In this article, we’ll discuss how to effectively manage accounts receivable in medical billing.

manage account receivable in medical billing

Tips to Manage Account Receivable

Here are some key tips to manage account receivable in medical billing

Verify Insurance Eligibility and Benefits

Before providing medical services to a patient, it’s essential to verify their insurance eligibility and benefits. This process helps to ensure that the patient’s insurance covers the services provided and reduces the likelihood of denied claims. It also helps to identify any co-pays, deductibles, or out-of-pocket expenses that the patient may be responsible for. Accurately verifying insurance eligibility and benefits upfront can help to avoid delays in payment and reduce accounts receivable.

Accurate Coding and Billing

Accurate coding and billing are critical to effective accounts receivable management. Errors in coding or billing can lead to denied claims, delayed payments, and increased accounts receivable. Healthcare providers should ensure that their billing staff is trained on the latest coding guidelines and regulations. They should also implement a system of checks and balances to ensure that claims are accurately coded and billed.

Timely Claims Submission

Submitting claims in a timely manner is critical to effective accounts receivable management. The longer a claim goes unpaid, the less likely it is to be paid. Healthcare providers should have a system in place for submitting claims promptly, and follow up on any claims that are not paid within a reasonable time frame.

Follow-Up on Unpaid Claims

Following up on unpaid claims is an essential part of managing accounts receivable. Healthcare providers should have a system in place for tracking unpaid claims and following up with insurance companies and patients to resolve any outstanding balances. This process should be done regularly to ensure that all outstanding balances are addressed promptly.

Offer Payment Options

Offering payment options to patients can help to reduce accounts receivable. Healthcare providers should consider offering payment plans, credit card payments, or online payment options to make it easier for patients to pay their bills. Offering multiple payment options can increase the likelihood of receiving timely payments and reduce the amount of outstanding balances.


In conclusion, managing accounts receivable in medical billing requires a proactive approach that includes accurate coding and billing, timely claims submission, and follow-up on unpaid claims. By implementing these strategies and offering payment options, healthcare providers can improve their cash flow and reduce accounts receivable. Effective accounts receivable management is crucial to maintaining a healthy bottom line and providing quality care to patients.