Solutions
Plutus Health combines Voice AI Payer, Voice AI Patient, Claim Status AI, and experienced A/R specialists to recover revenue faster, reduce aging, and keep cash flowing without increasing headcount.
Get Your Free RCM Assessment →Explore All 25 AI Agents →Our A/R specialists proactively follow up on unpaid insurance claims based on each payer's reimbursement cycle, making sure every outstanding balance gets timely attention before it ages.
Voice AI Payer continuously retrieves claim status, verifies processing updates, documents payer responses, and keeps every account moving without manual phone delays.
Contracted reimbursements are compared with actual payments to identify underpayments, payment variances, and overlooked revenue opportunities for recovery.
Denied claims are investigated, corrected, appealed, and monitored through final resolution using payer-specific documentation and escalation workflows.
Outstanding patient balances are managed through intelligent outreach, payment verification, balance clarification, and structured collection workflows that improve recovery while maintaining patient satisfaction.
Every payer, collector, denial category, aging bucket, and recovery trend is measured continuously to identify bottlenecks and improve long-term collections performance.
Voice AI Payer performs high-volume outbound calls, navigates payer IVRs, retrieves claim status, follows up on appeals, documents structured outcomes, and routes only high-value exceptions to experienced A/R specialists.
OlympusAI evaluates every outstanding account based on aging, denial history, payer responsiveness, reimbursement value, and timely filing deadlines to prioritize the claims with the highest recovery potential.
We use payer scorecards, collector productivity, denial trends, aging reports, and cash-flow analytics to help leadership improve financial performance over time.
Every outstanding account is ranked by financial value, payer behavior, denial complexity, filing deadlines, and recovery probability so specialists focus first on the claims that matter most.
Voice AI Payer manages routine status calls, retrieves updates, verifies payments, monitors appeals, and escalates only complex negotiations, disputed claims, and high-dollar balances to experienced A/R specialists.
Recovered payments, underpayment trends, denial outcomes, and payer performance feed directly into Olympus Analytics, helping reduce future aging and continuously improve collections.
Accounts receivable management involves tracking unpaid claims, managing payment collection from payers and patients, aging report monitoring, denial follow-up, appeal processing, and ensuring timely resolution of all outstanding balances to optimize cash flow.
Key AR metrics include Days Sales Outstanding (DSO), clean claim rate, denial rate, collection percentage, accounts receivable aging (30/60/90+ days), appeal success rate, and revenue per claim - all tracked for continuous improvement.
Plutus Health reduces AR days through claim scrubbing before submission, rapid denial identification and categorization, systematic appeal management, accurate payment posting, patient balance collection efforts, and regular AR monitoring and follow-up.
Strategies include payer status inquiries, systematic resubmission of lost claims, prioritized appeal efforts on high-value denials, patient payment reminder systems, write-off analysis, and continuous process improvement based on AR trending.
A healthy AR should have 60%+ of claims in the current (0-30 days) category, maximum 20% in 31-60 days, 10% in 61-90 days, and minimal amounts over 90 days. Plutus Health helps achieve these benchmarks through expert AR management.
Our 30-day A/R assessment analyzes aging accounts, payer behavior, underpayments, denial patterns, and recovery opportunities to build a prioritized recovery strategy using OlympusAI and experienced A/R specialists.