decisionhealth Newsletters, Part B News - 2015 Issue 8 (August)
Case No. 2: The case of the overwhelmed, undermanaged billing staff
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Article Overview
This article reviews a practice-management case study focused on billing staff workload, accounts receivable aging, and collections processes in a primary care setting. It is relevant to practice managers, billing supervisors, and revenue cycle staff looking for general guidance on organizing follow-up work, sharing information across teams, and improving A/R performance amid high-deductible health plan pressures. The discussion covers operational review findings, staffing allocation, and broad process improvements related to claim follow-up and patient collections.
Why This Topic Matters
The article addresses common revenue-cycle problems that can affect cash flow and staff morale when billing functions are understaffed or unevenly assigned. It provides a practical example of how workflow changes and better coordination can help a practice better manage A/R and collections.
Article Sections
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Case study
Introduces the practice setting and the overall billing and accounts receivable concern being reviewed.
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The client
Describes the type of practice, its locations, and the service environment involved in the review.
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The audit
Summarizes the scope of the billing review, including report review and assessment of accounts receivable trends.
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The result
Outlines the operational problems identified and the overall improvement observed after follow-up.
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Lessons learned
Presents broad workflow and staffing process improvements for A/R follow-up and patient collections.
What You Will Learn
- How a billing review can identify accounts receivable workflow issues
- How staffing and task allocation can affect billing department performance
- How A/R aging review can be used to organize follow-up work
- How communication between billing staff can support revenue cycle operations
- How patient collections processes can be structured more consistently
Who Should Read This
- Practice managers
- Billing supervisors
- Revenue cycle staff
- Healthcare consultants
- Primary care administrators
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