Facing Obstacles In Business Growth?
Case study Increasing Healthcare Cash Collections

Increasing Healthcare Cash Collections Through Specialized Payer Recovery

How SkyCom helped a U.S. healthcare collections organization increase cash collections by 30% in less than 12 months through payer specialization, contract-based underpayment analysis, and disciplined recovery operations.

CASE STUDY

30% Increase in Cash Collections Through Specialized Recovery Operations

Healthcare Payer Recovery Healthcare Collections Revenue Recovery Commercial Payers

30%

Increase in Cash Collections

10 → 25

Agents, 2023–2025

75%+

Team Achieving 90%+ QA Scores

25

Worked Accounts per Agent/Day Target

3–4

Payers Assigned per Agent

THE CHALLENGE

Recovering More Revenue From Complex Commercial Payer Accounts

A U.S.-based healthcare collections organization specializing in commercial payer accounts was looking to strengthen its recovery operations.

The organization focused on identifying and recovering revenue from:

  • Zero-payment claims
  • Denied claims
  • Underpaid claims identified through facility contract audits

As healthcare reimbursement became more complex, the client needed a scalable recovery model that could improve collections performance while navigating payer restrictions, system limitations, and inaccuracies in underpayment data.

Several operational constraints were limiting recovery performance.

THE SKYCOM SOLUTION

A Payer-Specialized Recovery Operation

SkyCom established a dedicated healthcare collections operation built around payer specialization, contract-based analysis, productivity management, and quality control.

The engagement began with a 10-agent pilot team in 2023 focused on commercial payer accounts.

As the team demonstrated stronger performance and recovery outcomes, the operation scaled to 25 agents by 2025.

The model was built around four core disciplines:

Payer specialization

Agents developed deeper expertise in specific commercial payers.

Contract-based underpayment analysis

Agents independently analyzed underpayments using payer contract terms.

Quality and productivity management

Performance was managed through defined productivity targets, QA monitoring, coaching, and continuous feedback.

Operational resilience

The team maintained recovery activity even when payer access and CRM limitations affected normal workflows.

THE RESULTS

More Cash Recovered From Commercial Payer Accounts

The engagement delivered measurable financial and operational improvements.

Business Outcome
Result
Cash Collections
30% increase
Program Scale
10 → 25 agents
QA Performance
75%+ of team above 90%
Productivity Target
25 worked accounts/agent/day
Payer Specialization
3–4 payers per agent

THE BUSINESS IMPACT

SkyCom helped the organization establish a more disciplined approach to commercial payer recovery.

The operation enabled the client to:

  • Increase cash collections.
  • Improve underpayment recovery accuracy.
  • Build specialized payer expertise.
  • Scale the recovery team as performance improved.
  • Maintain productivity despite system limitations.
  • Establish stronger quality controls around collections operations.

The result was not simply a larger collections team.

READY TO IMPROVE YOUR HEALTHCARE REVENUE RECOVERY?

SkyCom helps healthcare organizations strengthen payer recovery, collections operations, and revenue-support workflows through specialized, scalable teams.

Client Profile

Industry:

Healthcare

Organization Type:

U.S.-Based Third-Party Healthcare Collections Organization

Operation:

Commercial Payer Recovery

Focus:

Zero-Payment, Denied & Underpaid Claims

Initial Team:

10 Agents

Expanded Team:

25 Agents

Delivery Model:

Dedicated Healthcare Collections Operation

Get the Detailed Version Here