Hybrid Insourcing to Improve AR Performance and Gain Control

The Challenge

A $3B integrated rural health system struggled with persistent AR performance issues and high outsourcing costs that delivered limited results and minimal process improvement opportunities. Traditional outsourcing model with high contingency fees created misaligned incentives, and little visibility into process improvement opportunities.

The Solution

Emcore deployed a hybrid insourcing model—dedicated global resources working as a direct extension of the client’s business office. This approach delivered:

Dedicated Resources

Experienced revenue cycle professionals working directly under client oversight, ensuring accountability and knowledge retention.

Aligned Execution

Flexible deployment maintaining ongoing alignment with organizational goals and collaborative problem-solving.

Process Improvement

Beyond standard AR and denials work, the team identified and built a pipeline of upstream and downstream improvements.

Cross-Functional Support

Direct engagement with Authorization, Coding, and Cash Posting teams to address root causes.

The Impact

During 12 months, the team delivered significant AR improvements and accelerated cash recovery. As priorities evolved, resources were redeployed to upstream authorization processes, further improving unbilled AR and preventing downstream issues.

AR recovery success isn’t just about working harder—it’s about working smarter, with the right team, on the right priorities. That’s the hybrid insourcing advantage.

Case Studies

Multi-Project Deployment: Tackling Complex Patient Access Challenges

Flexible Coding Deployment: From Backlog to Revenue Recovery

Authorization Process Optimization: Exceeding Industry Benchmarks

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