Are you struggling to recover unpaid claims from insurance companies? Is your revenue tied up in aging accounts receivable (AR)?
You’re not alone !! Industry data shows that over 65% of denied claims are never reworked, and nearly 30% of a practice’s revenue often sits in AR for over 90 days.
The root cause? Poor follow-up processes and ineffective denial management.
That’s why partnering with the right AR recovery company is more than a fix, it’s a strategic move to restore cash flow and improve your bottom line. To help you get started, we’ve compiled a list of the top 10 AR recovery companies in the USA.
1. Nexus io
Nexus io, based in Phoenix, AZ, offers Medical AR (Accounts Receivable) recovery services to healthcare providers like doctors offices, surgery centers, hospitals and mental health clinics across the USA. Their billing experts help recover old claims, especially those unpaid for 60 to 120+ days by fixing errors, managing denials, and following up with insurance companies.
With a 90% collection rate and a 30% drop in AR days, they help providers get paid faster and improve cash flow. Nexus IO handles both insurance and patient balances using secure, HIPAA-compliant processes, real-time tracking, and easy-to-understand reports.
2. Medcare MSO
Medcare MSO, headquartered in Irvine, California and founded in 2012, provides specialized medical AR Recovery Services as a standalone offering. As per Zoominfo, revenue of Medcare MSO is $105.7 Million. Using a 4-part strategy that includes Systematic Evaluation, Prioritization, Claim Correction and Resubmission, and Patient Communication, the company helps recover aging accounts over 120 days old.
In one case study, collections increased from $86,000 to $144,000 in just one year, resulting in a 67.4% revenue increase. Medcare MSO handles low-value claims, prevents denials, ensures HIPAA compliance, and offers free AR analysis with a patient-friendly and results-driven approach.
3. Atlantic RCM
Atlantic RCM, based in Dallas, Texas and established in 2022, is a trusted name in medical Accounts Receivable (A/R) Recovery Services, generating $5.7 million in revenue (Zoominfo). With industry data showing that 25% of patient services go unpaid and 40% of claims are either denied or never resubmitted, Atlantic RCM tackles these issues head-on through a dedicated A/R recovery team.
Their experts handle all types of claims new, old, small, or large with constant follow-ups until payment is secured. The company boasts a high collection ratio, especially for well-aged claims, and reduces bad-debt reserves through systematic claim evaluation and resubmission. Atlantic’s quick and prompt recovery services improve providers’ liquidity, while their flexible, scalable practices align with diverse payment models.
Atlantic RCM assures complete HIPAA compliance to maintain patient data confidentiality and security. It also offers billing services in several specialty areas-these include cardiovascular care, brain and nerve care, anesthesia, radiology, podiatry, and more. These services ensure better cash flow for healthcare providers with retention of financial strength.
4. BillingParadise
BillingParadise, headquartered in Atlanta and established in 2004, offers advanced AI-enabled Old medical AR Recovery services tailored for hospitals and health systems. According to Zoominfo, revenue of this company is $19.7 Million. With over 15 years of industry experience, their dedicated team of 150+ AR callers makes more than 1.7 million calls annually to recover aged claims.
Their proprietary CleAR system automates AR management, reducing manual work hours by 51%, increasing collections by 70%, improving productivity by 80%, and cutting down AR by 98% while lowering bad debt write-offs by 60%.
They also provide AI-powered patient AR recovery services that reduce follow-up delays, streamline payment collection, and verify insurance from over 20,000 plan types in just 5 seconds. These solutions enhance both provider efficiency and patient experience, making BillingParadise a leading choice in AR recovery.
5. CureMD
CureMD, headquartered in New York with a revenue of $115.4 million, offers expert medical AR recovery services that help healthcare providers recover unpaid claims, reduce denials, and improve cash flow. According to Zoominfo, revenue of CureMD is $115.4 Million.Their solutions have led to a 30% increase in revenue, a 98% clean claim rate, 3x faster payments, and a 100% compliance guarantee.
CureMD’s services include proactive AR recovery with timely follow-ups, AI-driven analytics for faster resolutions, and comprehensive denial management that results in over 90% recovery of aged claims. They also provide specialty-focused support for inpatient, outpatient, military, and workers’ compensation claims. Their risk-free, performance-based model ensures clients only pay for successful recoveries.
6. CureCloudMD
Founded in 2010 and headquartered in Farmingville, NY, CureCloudMD generates $14.1M in revenue and serves 85 doctors across 18 departments and 12 research labs. According to Zoominfo, revenue of this company is $14.1 Million. With 150 awards, they offer HIPAA-compliant, cloud-based AR recovery services tailored for hospitals and clinics.
Their specialists reduce AR days to under 15, appeal denied claims within 60 days, and provide 24/7 support and specialty-specific solutions. CureCloudMD delivers regular analytics, expert staff training, and EHR integrated billing helping providers streamline revenue cycles, cut bad debt, and boost reimbursements. Trusted for transparent, cost-effective AR solutions nationwide.
7. Wise Medical Billing
Wise Medical Billing (WMB), headquartered in Newark, Delaware and established in 2022, has quickly grown to approximately $5 million in revenue as per Zoominfo by delivering expert medical Accounts Receivable (AR) recovery services across the U.S. healthcare sector.
With alarming statistics showing that 35% of healthcare executives reported revenue leakage of 15% or more and 25% were unaware of the extent of their losses, WMB steps in as a critical solution.
Their services include recovering unpaid, underpaid, and aging claims over 120 days, correcting daily denials to avoid backlogs, and proactively working on older receivables before insurance deadlines. WMB also offers compassionate patient collection support and provides full or standalone AR solutions with no upfront fees as clients only pay if they get paid.
With a HIPAA-compliant and payer-savvy team, WMB is trusted by hospitals, physician offices, specialty care clinics, labs, and surgical centers nationwide to safeguard revenue and ensure financial stability.
8. TruBridge
Based in Mobile, AL and generating $345.7M in revenue (ZoomInfo), TruBridge offers powerful AR Management Services designed to recover aging small-balance co-pays and low-dollar claims without burdening healthcare practices staff. Their tailored solutions helped their client, Promise Healthcare, surpass a $25 million AR goal in just 60 days, with 50% of the amount collected within the first half.
“Sweetwater Hospital” , another client of TruBridge, also exceeded AR targets by 25%. With $27M recovered, 110% AR achievement, and 50% collection success, TruBridge turns potential write-offs into revenue, stabilizes cash flow, and supports transitions like EHR adoption.
9. Ace Med Assist
Ace Med Assist, based in Sheridan, Wyoming, offers expert AR recovery services across the USA, helping healthcare providers recover unpaid bills, insurance claims, and patient balances. According to Zoominfo, revenue of this company is around $5 Million. With over 10 years of experience, 100% HIPAA compliance, and 98% clean claims on submission, they serve 200+ satisfied clients, boosting claims by 35%.
Their services include customized solutions, advanced technology, early-out collections, self-pay and balance after insurance collections, third-party collections, insurance follow-up, and denial management. Ace Med Assist guarantees no fees if no recovery is made, ensuring improved cash flow and reduced bad debt.
10. R1 RCM
R1 RCM, started in 2003 and based in Murray, Utah, is very good at helping healthcare providers get paid faster. According to Zoominfo, revenue of R1 RCM is $7.3 Billion. They speed up collecting money owed, lower the time it takes to get payments, and help increase payments from both government and private insurance claims across the country. Their skilled team of doctors, lawyers, coders, and billing experts work closely with clients, using smart AI technology to deliver the best results.
Key services include Aged Receivables (EBO) integration, AR Clean Up, Legacy System Conversion, and Complex Claims management. R1 delivers 15 percent more cash collected, a 90 percent plus overturn rate, and up to 70 percent reduction in preventable denials. Their risk-free ATB assessment and ongoing legal and clinical reviews ensure continuous improvement and faster cash flow.
Things You Must Know Before Selecting an AR Recovery Company
Here are 5 specific and practical things you must know before selecting an AR recovery company.
Specialization in Aged AR (90+ Days) Recovery
If your practice has a significant backlog of unpaid claims older than 90 days, don’t assume every AR company can handle it effectively. Some firms only focus on early-stage follow-ups. Choose a company that has proven processes for deep follow-up, appeals, and resolution of aged AR.
Expertise with Both Government and Commercial Payers
Medicare, Medicaid, and private insurance all have different rules and deadlines for getting payments. The AR company should understand these rules and know how to work with both government and private insurers. Their team should also know why claims get denied and how to appeal them the right way.
Ability to Perform Root Cause Analysis of Denials
An effective AR recovery firm should not just recover payments but also identify the recurring reasons for claim denials. Whether it’s coding mistakes, missing documents, or eligibility issues, they should provide insights to prevent future AR buildup. This adds long-term value to your billing process.
Recovery Rate and Days to Collect
Ask the company to share their average recovery rates for claims over 90 or 120 days and their days-to-collect benchmarks. These performance metrics reflect how efficient and successful they are. Without real numbers, it’s hard to assess their actual impact on your revenue.
Transparent Reporting and Direct Communication
You should receive frequent reports showing AR status by payer, age, and resolution outcome. Avoid vendors who provide vague summaries or only report when asked. A good AR partner offers a dedicated account manager and structured updates to keep you informed and in control.
Bottom Line
Unpaid and denied claims can hurt your healthcare practice’s income. But the right AR recovery company can fix this. The 10 companies listed above were chosen based on real results like how fast they collect money and how well they handle tough claims. Whether you need help with old claims, insurance rules, or stopping denials, these companies can help improve your cash flow in 2025. Pick the one that fits your needs best.
