ANSWERS · OPERATIONS

My biller just quit — how do I protect cash flow?

When your biller leaves, cash flow is at risk from three things: claims that stop going out, denials that stop getting worked, and payer follow-up that stalls — and denied claims quietly age out of their appeal windows while the seat is empty. Triage in that order: keep clean claims flowing first, then protect the denied and aged pile from timing out, then hire without rushing a bad fit.

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Step by step

1
Keep claims going out
Make sure charges are still being submitted daily — a gap here stops new cash within weeks.
2
Secure the in-flight work
Find the open denials, appeals in progress, and pending auths so nothing with a deadline gets dropped.
3
Protect the appeal clock
Denied claims age out of their timely-appeal windows fast — identify what's near a deadline before it's lost.
4
Bridge the gap
Use a temporary biller, an outsourced team, or software for the denial/underpayment tail so recoverable money doesn't time out while you hire.
5
Hire deliberately
Don't rush a bad fit under pressure — a wrong hire costs more than a few weeks of coverage.

Common questions

What's most at risk when a biller leaves?

The denied and aged-A/R pile. New clean claims usually keep moving, but denial appeals and old-claim follow-up stop — and those have deadlines. That's where the quiet, permanent losses happen during a vacancy.

Should I outsource when my biller quits?

At least the hard tail. Even if you rehire in-house, denials and underpayments need to keep getting worked during the gap so recoverable claims don't age out. That part doesn't have to wait for a new hire.

Where Volari fits: Volari is built to cushion exactly this: the denied and underpaid pile keeps getting worked through a vacancy, so recoverable claims don't age out while the billing seat is empty — and you only pay on what's recovered.

Related answers
How do I lower my practice's denial rate?How do I reduce days in A/R?How do I know if I'm being underpaid by insurers?In-house billing vs. outsourcing: which is right for my practice?How do I renegotiate payer contracts for better rates?How do I fix my prior-authorization workflow?

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