Accounts Receivable Outsourcing Services

The Vendor is required to provide to support our revenue cycle team with a comprehensive resolution (claim resubmission, claim edits, underpayments, denials, appeals, adjustment identification, statements, telephone calls, etc.) of a targeted subset of our accounts receivable.
- Requirement:
•    Hospital commercial insurance accounts with an outstanding balance between $5 and $2,000, aged 35+ days from bill date with a payment grace of 10 days 
•    All physician Medicare and commercial accounts with an outstanding balance between >$5 and $500, aged 35+ days from bill date with a payment grace of 10 days 
•    Physician Medicaid accounts with an outstanding balance between $5 and $500, aged 45+ days from bill date with a payment grace of 15 days
•    Medicaid and commercial dental claims with an outstanding balance between $5 and $500, aged 35+ days from bill date with a payment grace of 10 days.
•    Hospital and professional self-pay accounts (both uninsured and patient responsibility balances after insurance) to be returned to authority
•    Initial placement will only include the inventories of previous vendors with the expectation.