Days in AR dropped 40%. Outstanding balances over 90 days reduced by more than half.
Engagement map
From operating problem to measured outcome
4 weeks delivery · 4 tools in the implementation stack
Challenge
An 8-provider multi-specialty clinic had average days in accounts receivable sitting at 68, well above the 35–40 day benchmark.
What we built
We built an automated AR workflow on top of their practice management system.
Result
Average days in AR dropped from 68 to 41 over 6 months, a 40% improvement.
Recorded outcomes
Delivery timeline: 4 weeks. Metrics are shown in the same context as the published engagement.
An 8-provider multi-specialty clinic had average days in accounts receivable sitting at 68, well above the 35–40 day benchmark. Their billing team was manually identifying overdue accounts and making follow-up calls, but with 400+ active patient balances and payer follow-up queues, consistent outreach was impossible. Claims were aging past 90 days and some were being written off that didn't need to be.
We built an automated AR workflow on top of their practice management system. A daily aging report is pulled and segmented by payer type, balance amount, and days outstanding. The system sends targeted communications at day 15, 30, 45, and 60, escalating in urgency and using different channels (email at 15, text at 30, both at 45, billing specialist queue at 60). Payer-specific follow-up tasks are generated for insurance claims. Patient-responsibility balances go through a payment link flow.
Average days in AR dropped from 68 to 41 over 6 months, a 40% improvement. Outstanding balances over 90 days decreased by 54%. The billing team shifted from manually hunting overdue accounts to reviewing the system's daily exception queue. Collections improved without adding staff.
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