How MediCommerce rebuilt payment posting, added benefits verification, and cut 180+ AR from 9 percent to 3 percent for a two location, 18 provider group
Payment Posting
The Backlog
When the Change Healthcare clearinghouse outage hit, this client was left with a five month backlog in payment posting, and every week it sat unresolved meant more cash that had already been collected but not yet reflected anywhere in the books.
The Fix
MediCommerce onboarded a full time resource in June 2024 dedicated to working down the backlog. As the volume of unposted payments became clear, a second full time resource joined in mid July 2024, and together the two worked through five and a half months of backlogged postings by mid November 2024.
4,706 checks totaling $2,870,320 cleared from the backlog, covering 143,569 CPT lines across 30,602 encounters
Once the backlog was clear, payment posting settled into a steady monthly rhythm of 865 checks, $412,000 in payments, 9,405 CPT lines, and 4,626 encounters, posted on time every month going forward.
Benefits Verification
MediCommerce added benefits verification to the client’s operations in December 2024. The team now verifies an average of 180 visits per day across two locations and eighteen providers, totaling roughly 3,600 verifications every month, giving the front office confidence in coverage before the patient ever reaches the chair.
AR and Denials Follow Up
The Problem
The billing agency handling AR before MediCommerce had a habit of writing off balances rather than working them, with no real reporting to show the client’s management what was actually happening in AR. Pending claims went unfollowed for long stretches, global issues went unreported, and the AR balance climbed steadily across every aging bucket with no one accountable for turning it around.
The Turnaround
MediCommerce took over denials follow up in May 2025 with two full time resources and immediately worked through a three month backlog of denied claims. Once the backlog was current, those same two team members shifted to also cover AR aging, balancing denial work with proactive follow up. Denials are now worked within a three day turnaround from the day they are captured.
180+ AR aging reduced from 9 percent to 3 percent since MediCommerce took over
MediCommerce now delivers a monthly AR dashboard to the client’s management team, laying out the AR trend, recurring global issues, denial patterns, and production numbers in one place. As the client’s CFO put it in a recent meeting, “our AR have never been such in control in the past.”