We understand the financial challenges that both patients and providers face. The high cost of delivering accessible healthcare services sometimes causes an economic divide that makes it difficult for patients to pay for care and for providers to serve their communities. Professional’s collaborative, New Deal approach to patient financial engagement, based on behavioral science and advanced analytics, helps providers bridge this divide. Professional’s vast healthcare services portfolio offers revenue cycle support wherever it is needed.
Early Out Services
Professional’s Self-Pay Early Out service line, which is provided either in your name or on your behalf through the Ensource brand, benefits both patients and providers. Timely patient communication through multiple channels creates more opportunities to collaborate with patients, establish payment arrangements and prevent bad debt. Early, respectful communication reduces any confusion about the billing process and helps maintain healthy patient relationships.
Our team is trained to adopt the mission of your organization to provide patients with a seamless standard of service and carry your values through the duration of the billing process. We cater to your patients’ needs by taking the time to create personalized solutions based on their unique circumstances and engagement preferences. Through this kind of dedicated financial care, our partners see faster payments and fewer balances turned over to collections.
Learn more about our fully customizable service model.
AR Management
Like our Early Out service line, our ARM services are completely customizable and allow clients to create engagement models that best suit their patient community. We provide financial clearance services including support with financial assistance applications to ensure compliance with IRS section 501 (r), referrals to a preferred patient-financing partner, insurance follow-up, mail return services, and digital account management for both patients and providers. Additionally, we provide continuous performance monitoring to ensure communication activities are yielding the best possible results.
Unlike other sectors, medical debt affects all demographics in society. Today’s patient with a delinquent account may be tomorrow’s patient who is shopping for healthcare services or who is avoiding needed treatment due to cost concerns. To ensure a positive patient experience and worry-free access to care, healthcare providers must have a 360-degree view of all patient interactions along with consistent communication. Professional’s collection service line, Professional Credit, provides full transparency with 24/7 access to account activity and recordings of all calls with patients. In addition, we offer outreach services to connect with patients earlier in the revenue cycle and prevent their accounts from progressing into delinquency.
We also provide many convenient options for patients to manage their accounts including our mobile friendly patient portal, omni-channel communication strategy and highly trained staff.
Our intent is to make the whole process easier for your patients and easier for you so we employ a variety of advanced technologies that enhance recovery, facilitate transparency, and strengthen patient relations.
Read more about Professional’s technology.
RCM Staffing Solutions
Health Systems of all sizes experience staffing challenges from time to time. Shortages due to illness or the necessity for downsizing can take a toll on in-house teams and slow key parts of the revenue cycle. With service demands and patient inquiries at an all-time high, it can be difficult to prioritize the daily operational needs of your organization with those of patients. When this becomes the case, both parties suffer. Poor patient experiences result in poor patient loyalty and a lower propensity to pay— negatively impacting the revenue cycle.
We strive to provide full partnership to our healthcare clients, which means going above and beyond to provide the services our clients need. Through the Ensource service line, we offer a variety of scalable services that support your administration needs. Already trained to reflect the values of your organization, the Ensource team can help pick up the slack in your administrative office while providing patients with a seamless standard of service. Skilled in a number of areas, our representatives can tackle a variety of specialty projects…
- Overflow Call Center
- Mail Return Processing
- Scheduling
- Patient Outreach
- Insurance Verification & Follow-up
- Billing
- Revenue Cycle Consulting
And more!
We can provide the support your organization needs for as long as you need it. We offer a variety of contract options guaranteed to fit any budget; limited or short-term agreements available. Our clients benefit from professional administrative specialists familiar with the idiosyncrasies of patient relations and healthcare compliance as well as custom service agreements tailored to their unique project demands.
Let us help you, help patients.
Schedule a consultation.
Compliance with IRS Section 501(r)
We consult with our 501(c)(3) health system clients and have incorporated standard processes in our operation to ensure they are compliant with IRS 501(r) requirements under the Affordable Care Act. We review financial assistance notifications, can develop and send custom notifications as necessary, and have strict controls to manage the timing of all communications and potential extraordinary collection actions consistent with both the health system’s policy and IRS 501(r) requirements.
HFMA Peer Reviewed
Professional’s AR service line, Professional Credit, is proud to be Peer Reviewed by the Healthcare Financial Management Association (HFMA). The Peer Review designation spotlights healthcare products and services that objectively earn top ratings during a thorough evaluation process. Part of the evaluation process prior to designation is surveying the product’s current clients and prospects on a variety of topics that measure quality and effectiveness.
See our recent evaluation: Professional Credit Peer Review Results
High-balance denial review and reimbursement
According to a recent Advisory Board Survey, write-offs from denied claims have risen 90% over the past six years. Healthcare providers do what’s best for their patients even if they are having to fund costly treatment for which insurers sometimes refuse to reimburse.
Professional’s legal team is able to review higher-balance claims when the appeals process has been exhausted and advise if further action should be taken to challenge the denials. Our team can also take action on your behalf.
To learn more on Professional’s experience with high-balance denials, follow this link to read two mini case studies.
Revenue Cycle Consulting Services
We understand the complexities of Revenue Cycle Management and the desire to get back to the business of treating your patient community. That’s why we developed a strategic Revenue Cycle Consulting Program to assist our clients in an effort to boost efficiency and optimize their existing systems and processes. We assess each level of operations to identify the areas of greatest need and help you prioritize improvements based on time, cost, and ROI.
Professional’s Revenue Cycle Consulting Program includes:
Revenue Cycle Management Assessment
- System optimization analysis
- Process flow improvement
- EMR consolidation and cleanup
- Chargemaster evaluation
- Workflow optimization
- Denial & Insurance Follow-up
- Legacy A/R planning and management
- Billing Edit and Claim Review
Internal Resources Assessment
- Performance/Productivity assessments
- Business office standardization
- Training and morale
Strategic Process Improvement
- Denial prevention
- Automated contracting
- Reimbursement evaluation
- Remittance to Cash posting assessment
Patient Experience Assessment
- Patient access
- Digital-first implementation
- Quality service assessment
Our experienced consulting team is ready to assist you in strategic improvement and remedy pain points unique to your organization, alleviating the burden on your in-house teams so you can spend more quality time with patients.