Scoping call
FreeA short call about your backlog and your systems. We tell you whether a sprint fits and what a diagnostic would cover. No cost and no commitment.
Diagnostic
A few daysWe review your aging, unapplied payments, and systems, then tell you what we found and whether we are the right fit. It is a short paid review, quoted in writing before it starts and credited toward the sprint if you go ahead.
Written scope
Before work startsYou receive a statement of work with deliverables, exclusions, timeline, and a fixed fee. Work begins after you sign.
Cleanup
Two to six weeksWe match payments, work the aging, and reconcile customer records inside your systems. A second person reviews every high-risk change before it goes live. You get a scorecard each week.
Handoff review
Final weekWe show you the before and after numbers and hand over written procedures. Then you choose: run it yourself, or continue with Managed Revenue Services so the gains hold.
Managed Revenue Services
Get paid for every dollar of care you deliver.
PHS puts a senior revenue cycle leader inside your team. We find what your receivables are hiding, recover what’s still collectible, and fix the causes so the leaks stay closed.
The scoping call is free. The diagnostic fee is credited toward the cleanup sprint.
- Commercial payer ERA$18,240.00OpenMatched
- Lockbox deposit$6,975.50OpenMatched
- Medicare ERA$42,110.75OpenMatched
- ACH, no reference$2,300.00OpenEscalated
- Patient card batch$9,860.00OpenMatched
Led by Prosper Jechete, MBA, CRCR
- $2.4B+Annual net revenue under his revenue cycle leadership, across 100+ clinics
- 45%+Fewer claim denials after his process redesign at a hospital system
- HospitalsInpatient and outpatient operations, surgery centers, and physician networks
- AccountingMonth-end close, audit support, and acquisition integration
Revenue cycle and corporate accounting experience from some of the largest health systems in the U.S.
- Scope in writingDeliverables, exclusions, and price are signed before work starts.
- Your systems, your loginsWe work inside your own tools with multi-factor sign-in. Nothing is kept on our machines.
- You keep the decisionsWrite-offs, credits, and settlements need your approval.
- Privacy handled firstA business associate agreement is signed before we see any patient data.
Revenue rarely leaks loudly.
Deposits arrive on schedule, so everything looks fine. Underneath, denials expire unworked, payers underpay their contracts, and cash sits unapplied while your team chases accounts already paid. None of it shows in the bank balance. All of it shows up in year-end write-offs, or in a buyer’s diligence report.
Expiring
Claims that will become uncollectible if no one acts before the filing or appeal deadline.
Escaping
Dollars lost to denials and underpayments that nobody actually decided to write off.
Not real
AR on the books that will never turn into cash: unapplied payments, credit balances, stale accounts.
Part of your team, not your vendor list.
Most revenue cycle vendors are paid to process claims. PHS is paid to improve your results, and is measured on them.
Through Managed Revenue Services, a senior PHS leader joins your leadership meetings, works alongside your billing team or vendor, and owns a monthly scorecard you and your board can understand.
Think of it as a fractional revenue cycle director, backed by a proven method and vetted specialists. We cover the middle and back of the revenue cycle, from coding and claims through denials, payments, AR, and the general ledger.
Find. Recover. Embed.
Start small and decide at each stage. Nothing renews on its own, and each stage is quoted in writing before it begins.
Find
A focused diagnostic, credited toward the sprintWhat your AR is really worth, what’s about to expire, and where revenue is escaping, in your own numbers. We reconcile your billing system to your books, because that’s where problems hide.
Recover
A cleanup sprint, fixed feeWe work the recoverable dollars first, starting with the deadlines closest to expiring: denials, aged AR, underpayments, unapplied cash, and credit balances.
Embed
Managed Revenue Services, monthlyWe trace every denial to its cause, fix the workflow, track results monthly, and brief you on payer changes before they turn into denials.
Five commitments we make to every client.
The standards we hold ourselves to, and the ones you can hold us to.
A named leader, not a queue
You know exactly who is accountable for your revenue cycle results.
Root causes fixed, not just claims reworked
Every denial is traced to the step that caused it, so the same denial doesn’t keep coming back.
Your books and your billing system agree
We reconcile them every month, so the AR your board sees is AR you can actually collect.
No surprises from payers
When payer rules change, we tell you what it means for you before the denials arrive.
Your team gets stronger
We lead and coach your people. Your process and your data stay yours.
How PHS compares
| Question | PHS Managed Revenue Services | RCM or billing vendor | Consultant | Full-time director |
|---|---|---|---|---|
| Who leads | A senior leader named to you, inside your team | An account manager and a production team | A project team that visits | One hire, after months of recruiting |
| Measured on | Denials prevented, dollars recovered, AR that is real | Claims processed and accounts touched | Recommendations delivered | Depends on the hire |
| Fixes the cause | Yes, and tracks it monthly so it stays fixed | Runs the process as it is | Recommends, then leaves | If they have time beyond daily work |
| Books and billing | Reconciled to the general ledger every month | Billing-system reports only | Usually out of scope | Depends on their background |
| How you pay | A fixed monthly fee. You keep every dollar collected. | Often a percentage of collections | Project fees | Salary, benefits, and recruiting costs |
Built for providers who’ve outgrown basic billing.
We work alongside your current biller and platform, and sign a business associate agreement before touching patient data.
Physician groups and specialty practices
Rising denials and no senior revenue cycle leader to own the fix.
Dental and specialty groups preparing for a sale
Clean, provable AR protects the valuation when a buyer’s diligence team looks closely.
Surgery centers, imaging, and infusion
Heavy prior authorization and medical necessity pressure from commercial and Medicare Advantage plans.
We also apply the same method to order-to-cash for finance teams outside healthcare, where short-pays and disputes behave a lot like denials.
What we fix
Built in healthcare revenue cycle, with the finance discipline to make every fix reconcile at month-end close.
Receivables and cash recovery
Aged AR, denials, unapplied cash, cash posting backlogs, and credit balance and refund reviews. Every open item gets worked, including the small ones a percentage-based firm would skip.
Workflows and systems
Written procedures, process redesign, and cleanup inside your billing, ERP, or practice management system, so the backlog does not rebuild after we leave.
- Download bank deposits and remittancesCash poster
- Match each deposit to a remittance or invoiceCash poster
- Route anything unmatched within 24 hoursAR lead
- Review the unapplied report before closeController
Financial visibility
A weekly scorecard that shows where cash is stuck, how much, and who owns the next step. You see progress every week, not only at the end.
Revenue governance
Approvals, controls, and audit trails so write-offs, credits, and refunds hold up under review. Nothing posts to your books without your sign-off.
- Small balance write-off, 214 accounts$3,418Approve
- Patient refund, credit balance$640Approve
- Payer overpayment return$12,905Approve
Each decision is logged with who approved it and when.
What is your backlog costing you?
Put in rough numbers from your last aging report. Nothing is sent anywhere until you choose to send it.
The over-90 column of your aging report and the unapplied cash balance on your balance sheet are enough to start. Use 8% if you are not sure of your cost of money.
An estimate from your own figures, not a promise of what will be collected. The diagnostic replaces it with numbers from your systems.
How a cleanup sprint runs
Five steps. Each one ends with something you can check before the next begins.
You see the contract before you commit
Every sprint runs on a written statement of work like this one. It lists what you get, what is excluded, the fixed fee, and exactly what needs your approval.
Statement of work
AR and unapplied cash cleanup
- You get
- Every unapplied payment matched or escalated with a reason
- Every balance over 90 days reviewed and marked collect, dispute, or write off
- Customer records reconciled between your CRM and ledger
- Written procedures and a first weekly scorecard
- Not included
- Bookkeeping, payroll, tax preparation, and ongoing collections.
- Timeline
- Two to six weeks, set by the size of the backlog.
- Fee
- Fixed, quoted in writing after the diagnostic.
- Done when
- Every open item has an owner and a status.
- You approve
- Write-offs, credits, settlements, and anything that posts to your live books.
Sample only. Your scope is written after the diagnostic and signed before any work begins.
The team behind your revenue cycle
You are giving us access to your books. Here is who leads the work, how each client team is built, and how you can verify us.
Leadership
Prosper Jechete, MBA, CRCR
Prosper has spent more than a decade inside healthcare finance and corporate accounting: running revenue cycle operations, closing the books, and fixing the handoffs between the two.
He has led revenue cycle operations for more than 100 clinics with over $2.4B in annual net revenue, cut claim denials by more than 45% at a hospital system with inpatient, outpatient, and surgery center operations, and taken outsourced billing work back in-house. Because he also comes from corporate accounting, the fixes he makes reconcile at month-end close, not only in the billing system. He leads every PHS client engagement.
- Hospital system operations
- Healthcare operations and transformation: denial reduction, EMR rollout, executive dashboards
- National clinic network
- Revenue cycle shared services for more than 100 clinics
- Revenue cycle services
- Revenue cycle turnaround for a high-risk account
- Hospital system finance
- Corporate accounting, month-end close, and acquisition integration
- Credentials
- MBA, Gupta College of Business, University of Dallas. Certified Revenue Cycle Representative (CRCR), Healthcare Financial Management Association.
How each client team is built
- Engagement lead
- A senior PHS leader who owns your results, your scorecard, and the relationship with your leadership
- Revenue analysts
- Data pulls, billing-to-ledger reconciliation, scorecards, and underpayment testing
- Denial and AR specialists
- Appeals, follow-up, cash posting cleanup, and credit balance resolution
- Coding reviewers
- Coding and documentation audits when the diagnostic calls for them
Each team is sized to the work. Specialists are vetted by PHS, work under PHS leadership, and are bound by PHS confidentiality and business associate terms.
Company details
- Legal entity
- Prosperity Heritage Services LLC
- Location
- Dallas–Fort Worth, Texas
- infor@phs-usa.com
- Phone
- (940) 437-0661
A master services agreement, a statement of work, and a business associate agreement when patient data is involved. All three are in place before any work begins.
Is this a fit?
We stay narrow on purpose. It keeps the work fast, accountable, and easy to measure.
Good fit
- Denials, aging balances, or unmatched payments keep growing
- You want senior revenue cycle leadership without a full-time hire
- You can give us system access and one decision-maker
- You want a written scope and a fixed fee
Not a fit
- Bookkeeping, payroll, or tax preparation
- Running front-desk scheduling, registration, or patient access
- Projects where we cannot get access to your systems
Questions buyers ask
If yours is not here, ask it in the form below.
How is PHS different from an RCM or billing vendor?
A billing vendor is paid to process claims. PHS is paid to improve your results and is measured on them. A named PHS leader works inside your team, traces denials to their causes, and reconciles your billing system to your books every month. We work alongside your current biller or vendor rather than replacing your team.
Is this cheaper than hiring a revenue cycle director?
For most mid-sized organizations, yes. A full-time director costs salary, bonus, benefits, and recruiting, and takes months to hire. Managed Revenue Services is a fixed monthly fee for senior leadership, starts in weeks, and can be scaled up or down as your needs change.
Why a fixed fee instead of a percentage of collections?
A percentage rewards chasing the largest balances and leaving the rest. A fixed fee lets us work every open item, including the small and awkward ones, and you keep everything that is collected.
What does it cost to get started?
The scoping call is free. If a sprint looks like a fit, the diagnostic is a short paid review, quoted in writing before it starts and credited toward the sprint if you go ahead. You get its findings in writing either way.
Do you need to be on site?
No. We work remotely inside your own systems, with logins you issue and multi-factor sign-in. We can meet your team on site in Dallas–Fort Worth when it helps.
Which systems do you work in?
The ones you already use. In healthcare, we work inside your practice management system and alongside your current biller. Outside healthcare, that is typically NetSuite, Salesforce, HubSpot, or similar.
How do you handle patient data?
A business associate agreement is signed before we see any patient data, and nothing is kept on our machines. Access is removed at handoff unless you continue with Managed Revenue Services.
What happens after the sprint?
You choose: run it yourself with the written procedures, or keep us on through Managed Revenue Services so the gains hold and denials keep falling. There is no automatic renewal.
Book a free scoping call
Find out what your receivables are hiding. A 30-minute call, no cost and no obligation. Bring your questions; we’ll bring a few of our own.
What happens next
- We read your note and reply with a few times for the call.
- On the call, we talk through your denials, your AR, and your systems.
- If we are not the right fit, we say so.
Prefer email or phone? Write to infor@phs-usa.com or call (940) 437-0661.
Start with our free one-page Unapplied Cash Cleanup Checklist.