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, keep us on a monthly retainer, or book another sprint.
Clear your AR and unapplied cash backlog without adding headcount.
A fixed-scope cleanup sprint, done inside your own systems. We match the payments, work the aging, and hand back written procedures. You approve every write-off.
Free scoping call. Two to six weeks. Fixed fee, signed before work starts.
- 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
- Prime Healthcare
- Fresenius Medical Care
- Conifer Health Solutions
- Tenet Healthcare
- 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.
What we fix
Built in healthcare revenue cycle. The same discipline works anywhere billing is complex and cash arrives without a clear match.
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 we work with you
Start small and decide at each stage. Nothing renews on its own, and each stage is quoted in writing before it begins.
Diagnostic
A few days, paid and credited toward the sprintWe measure the backlog, find what is causing it, and give you written findings with a fixed quote.
Cleanup sprint
Two to six weeks, fixed feeWe work every open item inside your systems, then hand back written procedures and a scorecard.
Managed revenue operations
Monthly, only if you want itWe keep the process running each month so the backlog does not come back. Stop whenever you choose.
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.
How a sprint runs
Five steps. Each one ends with something you can check before the next begins.
Measured before and after
The diagnostic records your starting numbers. The handoff review shows the same numbers after the sprint, so the result is in writing, not in a sales claim.
Sample layout. Your scorecard uses your own figures, and we agree the measures in the written scope.
Two kinds of backlog, one way of working
The problem looks the same in every industry: cash comes in and nobody can say what it paid for.
Business receivables
For finance teams in distribution, logistics, staffing, professional services, and construction.
- Payments received that nobody has matched to an invoice
- Balances past 90 days with no clear owner
- Customer records that disagree between CRM and ledger
- A billing backlog holding up month-end close
Typical systems: NetSuite, Salesforce, HubSpot, and similar.
Healthcare revenue cycle
For physician groups, dental service organizations, therapy networks, surgical centers, and labs.
- Payer remittances that do not match bank deposits
- Denial backlogs nobody has time to work
- Credit balances that create compliance risk
- Underpayments that go unchallenged
We work alongside your current biller and platform, and sign a business associate agreement before touching patient data.
How a sprint compares
There are other ways to clear a backlog. Here is how they usually differ on the things that decide whether it stays cleared.
| Question | PHS cleanup sprint | Contingency recovery firm | Ongoing AR outsourcing | Hiring to catch up |
|---|---|---|---|---|
| How you pay | A fixed fee, agreed in writing. You keep every dollar collected. | Usually a percentage of what they collect | A monthly fee that continues | Salary, benefits, and recruiting time |
| Who does the work | A senior practitioner, inside your own systems | Often a large production team | A service team working your queue | A new hire, after ramp-up |
| What gets worked | Every open item, including the ones worth little | Mostly the balances worth chasing | Whatever arrives next | As much as one person can reach |
| Fixes the cause | Yes: written procedures and a weekly scorecard | Rarely in scope | Runs the process as it is | Depends on the hire |
| When it ends | When every item has an owner and a status | When the recoverable dollars run out | When you cancel | It does not: a permanent cost |
Who you would be dealing with
You are giving someone access to your books. Here is who they are and how you can verify us.
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.
- Prime Healthcare
- Healthcare operations and transformation: denial reduction, EMR rollout, executive dashboards
- Fresenius Medical Care
- Revenue cycle shared services for more than 100 clinics
- Conifer Health Solutions
- Revenue cycle turnaround for a high-risk account
- Tenet Healthcare
- 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.
- 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
- You have unmatched payments or aging balances that keep growing
- You would rather not hire to clear a backlog
- 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
- Open-ended arrangements to run your back office
- Projects where we cannot get access to your systems
Questions buyers ask
If yours is not here, ask it in the form below.
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. For business receivables that is typically NetSuite, Salesforce, HubSpot, or similar. For healthcare, we work alongside your practice management system and your current biller.
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 keep us on retainer.
What happens after the sprint?
You choose: run it yourself with the written procedures, keep us on a monthly retainer, or book another sprint. There is no automatic renewal.
Book a free scoping call
Tell us what is stuck. We will reply with a few times to talk. The call is free, and nothing is billed without your written approval.
What happens next
- We read your note and reply with a few times for the call.
- On the call, we talk through your backlog 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.