Client and Family Friction from Claim Denials and Documentation Demands

$10,000-$18,000 annually in lost placements + state complaints about poor claimant communication (potential licensing reviews) • $10,000-$18,000 annually in negative referrals & reputation damage; word-of-mouth complaints in disability community • $10,000-$20,000 annually in claim rework + reputation damage; word-of-mouth complaints in disability community reduce referrals

Accounts Receivable Clerk keeps a color-coded Excel tracker of denials by plan and reason, manually checks each MA portal, and then calls or emails families and doctors’ offices to collect missing paperwork, saving PDFs to shared drives and updating the spreadsheet by hand. • Accounts Receivable Clerk maintains a manual denial log in Excel, stores scanned paper timesheets and care plans in disorganized shared folders, and individually contacts families, caregivers, and AAA case managers by phone and email to close gaps, often mailing or hand-delivering revised forms. • Accounts Receivable Clerk tracks denied claims and missing documentation in ad-hoc Excel logs and paper folders, then manually calls, emails, or texts caregivers and family members to reconstruct visit details and resend forms, while keeping personal notes and reminders in Outlook and on sticky notes.