Last updated: 2026-08-21
Honest Taskers, AGS Health, and Transcure lead this year's shortlist of insurance accounts receivable specialist companies, seven firms ranked on how they work aging buckets by payer, chase claims before timely filing expires, escalate stalled payers, and pull days in AR down rather than just reporting it, all under a signed BAA. Aged insurance AR is finite work with a deadline, so throughput and triage matter more here than anywhere else in the revenue cycle.
Disclosure: Honest Taskers publishes this list and appears at position 1. We're judged on the same five published criteria as every other company here.
At a glance
- 1Honest Taskers
- 2AGS Health
- 3Transcure
- 4Coronis Health
- 5Medusind
- 6Neolytix
- 7Staffingly
On this page
- How we chose the best insurance accounts receivable specialist companies
- Why does a specialist triage the AR list instead of working it in order?
- Best insurance accounts receivable specialist companies compared
- The 7 companies
- What are the risks of outsourcing AR to a specialist?
- How much does an insurance AR specialist cost?
- What should you look for in an insurance AR specialist company?
- How do you get started with an insurance AR specialist?
- Methodology and sources
How we chose the best insurance accounts receivable specialist companies
Insurance AR work is measured by two numbers, which are days in accounts receivable and the share of your balance sitting past 90 days. So we looked at what moves them, which is working aging buckets by payer rather than by date, calling payers instead of only resubmitting through portals, checking timely filing deadlines before spending effort, pursuing partial payments as well as zero payments, and reporting by payer so the pattern is visible.
From there we compared five things, which are stated accounts receivable capability, whether the firm publishes an AR performance figure, delivery model and published pricing, delivery location, and HIPAA posture. Two firms name accounts receivable management as a separate service, which are AGS Health and Medusind, and one publishes an actual AR number, which is Transcure at 24 days, company-reported. Those specifics are worth more than general claims of expertise, so we've said who publishes what. Unpublished facts are marked "not publicly listed".
For the filing rules that cap this work, the Centers for Medicare and Medicaid Services publishes Medicare timely filing limits and appeal deadlines, and AAPC is the credentialing body for the coding knowledge that determines whether a denial is worth appealing at all. The local-hire figure to hold these quotes against comes from the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics, which reports a median $23.32 an hour for billing and posting clerks, about $48,500 a year.
Why does a specialist triage the AR list instead of working it in order?
An aged AR report worked top to bottom is the most common way practices waste money on this. The oldest claims are often the least recoverable, either because filing limits have passed or because the original problem was never fixable, while claims at 45 to 60 days are still live and cheap to resolve.
Good triage sorts on three things at once. First, deadline proximity, because anything approaching timely filing gets worked today regardless of value. Second, recoverability, since a claim denied for no authorization on a service already delivered is usually a write-off, whatever its size. Third, payer pattern, because twenty claims stuck behind the same payer edit are one phone call rather than twenty.
Ask any vendor how it sequences a bucket and you'll learn most of what you need. If the answer is oldest first, it's billing you for motion. If the answer involves deadlines, recoverability, and payer clustering, it's going to move your numbers.
Best insurance accounts receivable specialist companies compared
| Company | AR capability (as stated) | Published AR performance | Published pricing | Purchase model | HIPAA posture (as stated) |
|---|---|---|---|---|---|
| Honest Taskers | Specialists placed to work aging and call payers in your system | Not published | $10.00 to $12.65/hr | Staffing, per hour | Compliance verified by Accountable; BAA when PHI is accessed |
| AGS Health | A/R management published as a named service | Not published | Not publicly listed | Outsourced service, enterprise | Cybersecurity designation cited; no SOC 2 or ISO named |
| Transcure | AR follow-up within full revenue cycle | 24-day AR, 98% first-pass clean claims (company-reported) | 3% to 5% of monthly collections | Outsourced service | ISO 27001; HIPAA stated (company-reported) |
| Coronis Health | Claims management and AR follow-up | Not published | Not publicly listed | Outsourced service | Not publicly listed |
| Medusind | Accounts receivable follow-up published as a named service | Not published | Not publicly listed | Outsourced service | Not publicly listed |
| Neolytix | Billing operations with small-practice tiers | Not published | Not publicly listed | Outsourced service | ISO 27001 certified; HIPAA stated |
| Staffingly | Billing staffing covering follow-up work | Not published | $399/wk at 45 hours | Staffing, per week | SOC 2 Type II, ISO 27001, signed BAA (company-reported) |
1. Honest Taskers
Best for: practices that want someone calling payers daily and learning which representative resolves things.
Pricing: $10.00–$12.65/hrModel: Staffing, per hourLocation: US clients; PH, LatAm, India and Pakistan recruitingFirst hire: Two-week working trial
Honest Taskers places healthcare-trained specialists who work aging buckets in your own system, call payers rather than only resubmitting through portals, check filing deadlines before spending effort, and pursue partial payments alongside outright denials. A dedicated person builds payer-specific knowledge quickly, which is what shortens resolution time, because knowing which payer needs a phone call and which responds to a corrected claim is learned rather than documented. Candidates train on HIPAA and data privacy under a dedicated compliance officer and sign a Business Associate Agreement when they'll access PHI, with compliance verified by Accountable. Rates run $10.00 to $12.65 an hour, the first hire includes a two-week working trial, and reported retention of 99.6% average monthly keeps that knowledge in place. See the virtual medical billing service page for scope.
Limitation: one placement gives less throughput than a vendor bench, so a large aged backlog may need capacity before it needs continuity.
2. AGS Health
Best for: hospitals and large groups with aged AR spanning multiple facilities and payers.
Pricing: Not publicly listedModel: Outsourced service, enterpriseLocation: Washington DC; Chennai, IndiaScope: A/R management, denials, claims, coding
AGS Health publishes A/R management as a named service rather than folding it into general billing, and pairs it with denial management, claims management, coding, and clinical documentation integrity. That matters for aged AR because most of a stubborn bucket is denial-driven, so having the denial and coding capability in the same contract removes the handoff that usually stalls resolution. Named clients include Banner Health, Baylor Scott & White Health, and Richmond University Medical Center, with delivery from a Washington DC headquarters and a center in Chennai, India, which is the scale that can put a team on a backlog rather than a person.
Limitation: built for health systems, so a small practice is unlikely to be the right fit.
3. Transcure
Best for: practices that want an AR performance number committed to in public before they sign.
Pricing: 3%–5% of monthly collectionsModel: Outsourced serviceStaff: 1,100+ certified billers and codersSecurity: ISO 27001
Transcure is the only firm here that publishes an accounts receivable figure, reporting 24-day AR alongside a 98% first-pass clean claim rate, both company-reported. Those two numbers together are the honest way to judge AR work, because a low AR achieved by aggressive write-offs is not the same as a low AR achieved by clean submission. It runs AR follow-up inside a revenue cycle service priced at 3% to 5% of monthly collections, with more than 1,100 AAPC-certified billers and coders, and serves small and independent practices as well as health systems across 40-plus specialties.
Limitation: percentage pricing means AR clean-up costs scale with your collections rather than with the work involved.
4. Coronis Health
Best for: behavioral health and community health centers whose aged AR is authorization-driven.
Pricing: Not publicly listedModel: Outsourced serviceScope: Claims management and AR follow-upFocus: Named specialty and setting experience
Coronis Health handles claims management and accounts receivable follow-up for named settings including behavioral health, community health centers, hospitals, hospital-affiliated practices, and physician groups across anesthesiology, orthopedics, primary care, and hospitalists. Setting knowledge does real work in AR, because behavioral health balances often sit unpaid behind authorization limits and unit caps rather than coding errors, and a team that recognizes the pattern stops appealing claims that were never payable. It also describes process design work, which addresses why the bucket keeps refilling.
Limitation: it publishes neither pricing, delivery location nor any named certification.
5. Medusind
Best for: multi-line groups needing AR follow-up across medical and dental balances.
Pricing: Not publicly listedModel: Outsourced serviceScope: AR follow-up, denial management, postingScale: $3B+ charges billed last year
Medusind publishes accounts receivable follow-up as a named service alongside denial management, payment posting, and fee schedule maintenance, which is the combination that separates genuine underpayments from balances that only look unpaid. It covers dental as well as medical, where aging behaves differently because annual maximums and plan year resets create balances that aren't denials at all. Published scale is substantial, with more than $3 billion in charges billed last year and support for over 70 practice management systems.
Limitation: neither pricing, delivery location nor any security certification is published.
6. Neolytix
Best for: small practices wanting AR work from a firm that sells at their size.
Pricing: Not publicly listedModel: Outsourced serviceScope: Billing operations, coding auditSecurity: ISO 27001
Neolytix runs billing operations with explicit small-practice and mid-market tiers, reports 270-plus organizations across 31 specialties and 40 states, and holds ISO 27001 certification. Its standalone coding audit is the useful part for AR, because a bucket that keeps refilling with the same denial reason is a coding or registration problem rather than a follow-up problem, and an audit tells you which. Because it also places virtual staff, you can shift from outsourced clean-up to a dedicated person once the backlog clears.
Limitation: accounts receivable isn't named or priced as a separate service.
7. Staffingly
Best for: practices wanting cheap added capacity to grind through a backlog.
Pricing: $399/wk at 45 hoursModel: Staffing, per weekLocation: India, Pakistan, BangladeshTrial: Advertises a two-week trial (company-reported)
Staffingly staffs billing follow-up at $399 a week per person for 45 hours, dropping to $349 at five or more and $299 at ten or more, which makes it the cheapest way here to add several people to a backlog at once. Volume capacity is the argument, since aged AR clean-up is finite work that rewards parallel effort. On security it publishes the most documentation in this group, reporting SOC 2 Type II, ISO/IEC 27001:2022, a signed BAA before work starts, and a $5 million errors-and-omissions and cyber liability policy, all company-reported.
Limitation: accounts receivable isn't named as a separate service, and its workflow is AI-assisted with a person verifying output.
What are the risks of outsourcing AR to a specialist?
- Timely filing expiry. Claims worked in the wrong order lose their deadline and become unrecoverable.
- Cherry-picking. A vendor paid on recovery works high-fee claims and lets small balances age out.
- Quiet write-offs. A falling AR number can mean adjustments rather than collections, so check both.
- Portal-only follow-up. Some payers only move when called, and resubmitting achieves nothing.
- Underpayments left behind. Partially paid claims sit outside most aging reports entirely.
- No root cause. If the bucket refills at the same rate, you're paying for clean-up forever.
- Reporting without payer detail. A blended AR figure hides which payer is the actual problem.
How much does an insurance AR specialist cost?
Two firms publish rates. Honest Taskers charges $10.00 to $12.65 an hour for a placed specialist, and Staffingly charges $399 a week for 45 hours, near $8.90 an hour before volume discounts. Transcure publishes 3% to 5% of monthly collections with AR follow-up included, while AGS Health, Coronis Health, Medusind, and Neolytix quote on request.
For a one-off backlog, contingency pricing on recovered dollars can be reasonable, but insist on a floor value so small balances still get worked, and agree that write-offs don't count as resolution. For ongoing AR management, hourly is the cleaner comparison because the goal is a falling days-in-AR figure rather than rising recovery volume. Either way, agree the reporting first, split by payer and aging bucket, or you won't be able to tell collection from adjustment. Rates change, so treat these as dated readings.
What should you look for in an insurance AR specialist company?
- A stated triage method covering filing deadlines, recoverability, and payer clustering.
- Reporting by payer and aging bucket, separating collections from adjustments.
- Phone follow-up capability, not portal resubmission alone.
- A floor claim value so small balances aren't abandoned.
- Underpayment pursuit as part of scope.
- Write-off authority limits agreed in writing.
- Root cause feedback reaching coding and registration.
- A signed BAA and clarity on where PHI is processed.
How do you get started with an insurance AR specialist?
- Pull your aging report split by payer and bucket, and note total days in AR.
- Flag everything within 30 days of a filing deadline, because that's the work that expires.
- Decide whether you need backlog capacity, ongoing management, or both in sequence.
- Ask each vendor how it would sequence your largest bucket, and compare the reasoning.
- Agree reporting, a floor value, and write-off limits before work starts.
- Sign the BAA and set system access to the minimum needed.
- Review at 90 days on days in AR and share over 90 days, checking adjustments separately.
If the same denial reasons keep refilling the bucket, the fix is upstream, and our virtual medical coder service page covers the role that addresses it.
Methodology and sources
We verified each company at its own website on August 21, 2026, recording stated accounts receivable capability, any published AR performance figures, delivery model and published pricing, delivery location, and HIPAA posture. Timely filing limits and appeal deadlines come from the Centers for Medicare and Medicaid Services, and coding credential references from AAPC. Rates are volatile and were captured as dated points, not permanent quotes. Where a company didn't publish a fact we marked it "not publicly listed", and self-stated claims are labeled company-reported. Firms that place general administrative staff without describing billing or accounts receivable work were excluded.
Related accounts receivable guides
Aged insurance AR is mostly unresolved denials, so our virtual medical billing service page walks the chain from submission through follow-up, which helps you see whether your bucket is a follow-up problem or a submission problem.
Where the same reason codes keep reappearing, the cause is usually code selection. The virtual medical coder service page explains what a coder owns, so you can stop paying to clean up the same denial every quarter.