Your billing team submits claims and posts payments. But is anyone actually watching your margin? Most practices have a claims-filing team, not a revenue partner. The work that protects your bottom line usually falls through the cracks: auditing follow-up, reconciling deposits, chasing down why AR is aging. During one bank reconciliation, our team found tens of thousands of dollars in checks that had been posted but never deposited. They were sitting at the post office. In this episode, Dr. Heather Signorelli walks through 8 signs your billing team is only filing claims: 1. Payer follow-up: nobody audits how often claims are touched or whether denials get resolved. 2. AR management: insurance AR over 90 days sits above 20% and nobody fixes the root cause. 3. Bank reconciliation: deposits are not matched to ERAs, so cash goes missing or AR looks inflated. 4. Capitation: lump sum and wrap payments are never checked against qualifying claims. 5. Eligibility: front desk issues get one email and then sit in AR. 6. Patient collections: statements go out, but nobody owns patient AR over 90 days. 7. Metric review: reports arrive, but nobody sits down to act on what is out of benchmark. 8. Workflow: the billing office and the clinic never connect on the front-end process. Three actions this week: 1. - Ask your team how often each open claim was touched in the last 30 days. 2. - Pull your insurance AR over 90 days and compare it to 20%. 3. - Ask who matches bank deposits to posted payments, and how often.