Get paid the full amount
you actually earned.
Back-end work is where earned revenue is either recovered or written off. Disciplined A/R follow-up, denial analysis and appeals turn stuck claims back into cash — and turn recurring denial patterns into prevention upstream.
A/R follow-up & claim status
Denial management & appeals
Patient statements & refunds
Reduction in internal team involvement
Reduction in cost to collect
Quality score maintained
Reduction in A/R days
Aged A/R is earned revenue you have already paid to produce
Every claim in aged A/R represents care that was delivered, documented and billed. The cost has already been incurred. The only question is whether disciplined follow-up recovers it — or whether it quietly becomes a write-off.
Follow-up that stops at the first no
Claims worked once, denied once, and never appealed — even where the denial was overturnable.
Denials treated as individual events
Each one re-worked in isolation, so the same root cause keeps producing new denials every week.
Underpayments that are never challenged
Claims paid, but not at contracted rates — and nobody checks the difference.
Patient balances left to age
Statements that go out late, calls that never happen, and small balances that consume effort without a policy.
The full back-end scope, handled end to end
Nothing sits unworked
A/R & claim resolution
- A/R follow-up
- Claim status
- Requests for information (RFI)
- Small balance write-off
Denials overturned — and prevented
Denials & appeals
- Denial management
- Denial analysis
- Appeals & resolution
Patient responsibility handled properly
Patient balances & refunds
- Patient statements
- Inbound & outbound calls
- Refunds
People accountable for
the outcome, technology
doing the repetition
Workmate, our workflow and automation layer, sits over the systems you already use. It is EMR-agnostic — we work inside your platform rather than asking you to move to ours — and every automated decision stays reviewable by the team that owns the result.
01
Capture
Work, documents and payer responses are captured from the systems and channels where they already live.
02
Decide
Rules and models triage what can be handled automatically and what needs a specialist to look at it.
03
Execute
The action is taken — verified, submitted, posted, appealed — with a person accountable for the outcome.
04
Learn
What happened feeds back, so recurring causes get fixed upstream instead of re-worked every month.
Human-in-the-loop by design: automation removes the repetition, it does not remove the accountability.
Specialty depth, not a generic billing pool
Worked to resolution, not to a queue
A claim is not finished when it has been touched. It is finished when it has been paid, appealed to conclusion, or written off under an agreed policy.
Root-cause analysis feeds prevention
Denial analysis is fed back into front-end and mid-cycle controls, so the same denial reason stops recurring instead of being re-worked forever.
Appeals written to be won
Appeals are built with the documentation and payer-specific argument the case actually requires, rather than a template resubmission.
Patients treated like your patients
Statements, inbound and outbound calls are handled with the tone and care of your own team, because that is what patients experience.
Measured on outcomes, not activity
Cost
Lower cost to collect
Up to a 30% reduction in cost to collect, with a 14% reduction in the internal team involvement required to run the cycle.
Speed
Fewer days in A/R
An 18% reduction in A/R days, achieved by resolving the causes of delay rather than adding follow-up headcount.
Quality
Quality held above 98%
Quality scores maintained above 98% across audited work, because accuracy at this stage is what prevents rework everywhere else.
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How much of your A/R is actually recoverable?
Share your aging buckets and denial mix and we will show you what is realistically collectable — and what is being written off that should not be.
A/R follow-up & claim resolution
Denial management, analysis & appeals
Patient statements, calls & refunds
What is back-end revenue cycle management?
Back-end work is often described as A/R and denials management. It begins the moment a claim is adjudicated — or fails to be — and continues until the balance is resolved, whether by the payer, the patient, or an agreed write-off policy.
The distinguishing feature of good back-end work is that it does two jobs at once. It recovers the specific dollars in front of it, and it produces the denial analysis that stops the same problem recurring. Without the second job, A/R work becomes a treadmill: the same denial reasons, re-worked every month, forever.
In short
Back-end revenue cycle management covers everything after a claim is submitted: accounts receivable follow-up, claim status checks, denial management and root-cause analysis, requests for information, appeals and resolution, patient statements, inbound and outbound patient calls, refunds and small balance write-off. Its purpose is to ensure providers are paid the appropriate amount for services already rendered.
How back-end revenue cycle work runs
01
Monitor claim status
Track submitted claims through adjudication so nothing sits silently unpaid, and respond to requests for information before they age.
02
Work A/R by priority
Follow up on outstanding receivables in the order that recovers the most value, rather than working oldest-first regardless of collectability.
03
Manage and analyse denials
Categorise every denial by root cause, work the recoverable ones, and record the pattern so the cause can be fixed upstream.
04
Appeal to resolution
Build appeals with the documentation and payer-specific argument the case requires, and pursue them to a conclusion rather than a single attempt.
05
Resolve patient balances
Issue statements, handle inbound and outbound patient calls, process refunds where due, and apply an agreed small-balance policy.
— FAQ
Questions buyers actually ask
What does back-end revenue cycle management include?
Back-end revenue cycle management includes accounts receivable follow-up, claim status monitoring, denial management and denial analysis, requests for information, appeals and resolution, patient statements, inbound and outbound patient calls, refunds and small balance write-off. It covers everything that happens after a claim has been submitted.
How do you handle denials?
Every denial is categorised by root cause, not just re-worked. Recoverable denials are appealed with the documentation and payer-specific argument the case requires, and pursued to a conclusion. The pattern behind them is recorded and fed back into front-end and mid-cycle controls, so the same denial reason stops recurring.
Can you work our aged accounts receivable?
Yes. Aged A/R represents care that has already been delivered and paid for in cost terms, so it is worth working properly. We prioritise follow-up by recoverable value rather than working strictly oldest-first, and pursue claims to resolution rather than closing them after a single attempt.
Do you handle patient balances and refunds?
Yes. Patient statements, inbound and outbound patient calls, refunds and small balance write-off are part of our back-end scope. Patient contact is handled with the tone and care of your own team, because for the patient there is no distinction.
What is denial analysis and why does it matter?
Denial analysis is the practice of categorising denials by root cause rather than treating each as an isolated event. It matters because it is the only way to stop the same denial reason recurring. Without it, accounts receivable work becomes a treadmill of re-working the same problems every month instead of eliminating them.
Ready to recover what you have already earned?
Let’s look at your aging and denial mix — and the team that can turn stuck claims back into cash.