Jul 30, 2026
How Much Does It Cost to Outsource Medical Billing?
- Medical Billing
- OneMed Billing
The problem
Unpaid claims slowing you down?
When claims sit in AR too long, cash flow takes the hit, staff time gets absorbed chasing them, and a share end up written off simply because nobody got to them in time.
Our specialists work behind the scenes every day — identifying stalled claims, reprocessing denied ones, following up with payers, and keeping the billing cycle moving without adding to your internal team’s workload.
AR balance
unworked
worked weekly
same starting point
Illustrative. AR only moves in the direction you work it.
Why aged AR stays aged
AR isn’t a queue. It’s a decay curve.
A queue implies you’ll get to everything eventually. AR doesn’t work that way — every day a claim ages, the odds of collecting it fall, and at some point the filing and appeal windows close it permanently. Meanwhile the natural instinct is to work the newest claims, because those are the quickest wins. Which is exactly why the oldest bucket never shrinks.
Likelihood of collecting, as a claim ages
easiest to work
so this is where
most teams start
most teams start
hardest to work
so this is where
it quietly expires
it quietly expires
windows close
0–30
31–60
61–90
91–120
120+ days
Working newest-first feels productive. It’s why the
120-day bucket never shrinks.
So we sort by aging bucket first, and prioritise by value
and time remaining.
Illustrative of the general relationship — the actual curve depends on payer, denial reason and contract terms. Filing and appeal windows vary widely and some are far shorter than practices expect.
How we sort it
Every bucket gets worked, including the last one
Aging isn’t just a reporting category. Each bucket needs a different action and carries a different level of risk.
MONITOR
0–30 days
Normal adjudication. Watched for anything that hasn’t acknowledged or has gone quiet early.
FOLLOW UP
31–60 days
Active payer contact begins on schedule, before a claim starts looking like everyone else’s problem.
ESCALATE
61–90 days
Standard follow-up has failed. Claims are escalated and the underlying reason is identified rather than re-chased.
SUPERVISOR
91–120 days
Raised to payer supervisors or medical directors, with the documentation assembled to support the case.
TIME-CRITICAL
120+ days
Highest value at risk. Worked against remaining filing and appeal windows — or flagged honestly as unrecoverable.
WHAT'S INCLUDED
We chase down every dollar, every time
Follow-up across all aging buckets, from recent submissions to claims 120 days overdue.
Payer-specific AR worklists
Worklists built and prioritised by payer, so follow-up matches each one’s process rather than treating them all alike.
Follow-up via portal, email and phone
Whatever that payer actually responds to. Portal-only follow-up is where a lot of claims stall unnoticed.
Denials resolved through correction or appeal
Denied claims in AR are reprocessed, corrected or appealed rather than left aging as unpaid balances.
Escalation to supervisors and medical directors
When standard follow-up stops working, claims are escalated rather than re-called into the same queue.
Weekly aging summaries and recovery reports
You see what moved, what didn’t, and what’s approaching a deadline — every week, not at month end.
Full traceability on every interaction
Each call, portal check and escalation logged, so the history of a claim is always reconstructable.
Where a claim needs a formal appeal rather than follow-up, it moves to Appeal Management; where a denial pattern is driving the aging, Denial Management addresses the cause.
HOW IT WORKS
From aging bucket to resolved claim
A structured approach that shortens the time between submission and payment.
AR data received and sorted by aging bucket
Your aging report is loaded and split by bucket, so the oldest and highest-risk claims are visible immediately.
1
2
Payer contact method identified
We establish how that payer actually responds — portal, phone or written — before spending time on the wrong channel.
Follow-up actions initiated
Calls, portal checks and written follow-ups begin on a schedule matched to that payer’s timelines.
3
4
Status updated and payer notes logged
Every response recorded against the claim, including reference numbers and who said what.
Next step taken: resubmission, appeal or correction
The claim is moved forward rather than simply re-checked, with denials routed to the right workflow.
5
6
Outcome tracked and reported
Resolution recorded and reported back, so aging comes down visibly rather than anecdotally.
Integration
We integrate smoothly with your billing operations
We work as an extension of your billing team, whether you manage claims in-house or through a third-party vendor. Our team accesses your billing platform securely by VPN or credentialed access, communicates through daily status updates, and shares custom reports in whatever format you already use.
Every payer interaction and escalation is logged with full traceability — so if you ever need to show what was done on a claim and when, the record exists.
OneMed AR
dedicated agents payer-specificYour platform
in-house or third-party vendor
Every call, portal check and escalation logged.
BAA signed before access is granted.
SCALE
Built to handle large follow-up queues
Whether you run multiple providers, specialties, or locations, we scale without losing timelines or payer-specific nuance.
Broad payer and specialty coverage
Commercial, Medicare and Medicaid, plus specialty billing including DME, infusion and behavioral health.
Dedicated AR agents
Assigned agents with payer-specific expertise who track denial patterns rather than working each claim cold.
HIPAA-compliant workflows
Consistent follow-up and documentation under HIPAA, with a BAA executed before any access is granted.
WHY ONEMED
Tired of chasing claims with no progress?
If your AR is growing but collections aren’t, the missing piece is usually dedicated time rather than better software.
| Capability | In-house staff | Software only | OneMed Billing |
|---|---|---|---|
| Manual payer follow-up | Limited by workload | No | Yes |
| Dedicated AR team | Rare | No | Yes |
| Denial analysis and action | Partial | None | Full |
| Rebilling and correction | Inconsistent | No | Yes |
| Escalation and appeals | Limited | No | Yes |
| Tracking and reporting | Basic | None | Detailed |
RESULTS
What clients have achieved with our AR support
| Metric | Before OneMed | After OneMed |
|---|---|---|
| Average AR days | 56+ | 32 |
| Claims resolved within 60 days | 63% | 89% |
| Monthly collection rate | 78% | 94% |
| Write-offs due to no follow-up | High | Under 3% |
“Our AR had piled up over months. After bringing OneMed in, we saw a jump in collections within 45 days. Their team is consistent and professional.”— Revenue Cycle Manager, Multi-Provider Clinic
Representative results across onboarded practices. Actual outcomes vary by specialty, payer mix, and starting AR position.
GET STARTED
Get an AR aging review
Send us your aging report. We’ll show you what’s still recoverable in each bucket, which claims are closest to their filing windows, and what your 120+ bucket is actually worth.
- No-obligation review of your current AR aging
- BAA executed before any access is granted
- Secure VPN, RDP or credentialed access — whatever suits your IT
Prefer to talk now?
(315) 366-8242
Request your review
We'll reply within one business day to scope it with your team.
By submitting this form you agree to be contacted
regarding OneMed services. We never share your data.
Frequently Asked
Common questions.
Can you help reduce write-offs?
Absolutely. We identify which claims are salvageable and take quick action to recover revenue before timely filing limits expire.
How often do you follow up?
We work claims based on payer timelines — typically every 7 to 10 business days unless urgent
Do you work on older claims too?
Yes. We work across all aging buckets, including claims over 120 days old..
How do you access our billing system or claims data?
We securely connect through VPN, RDP, or shared access — whatever setup you’re comfortable with.
Do you provide reports on your performance?
Yes. We share daily claim updates, weekly AR aging reports, and monthly recovery summaries.
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