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RP Sanjiv Goenka Group

Eligibility and Enrollment Services

Reduce uncompensated care with real time Eligibility and Enrollment services

Maximize reimbursement, increase cash flow and reduce bad debt
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Full-service digitally enabled patient Eligibility and Enrollment solutions

Connect with your underinsured and uninsured patients both – before and at the point of care to – increase front end efficiency and patient cooperation. Tap into our patient Eligibility and Enrollment services on the cloud, powered by intelligent workflow, automation and machine learning, to integrate real-time patient enrollment and eligibility verification into your workflow.

Identify and verify commercial insurance
Confirm and check for Medicaid eligibility
Identify patients with Medicaid qualifiers
Determine patient status in real time
Gather patient eligibility documents via mobile app

Full-service digitally enabled revenue cycle solutions

Connect with your underinsured and uninsured patients both – before and at the point of care to – increase front end efficiency and patient cooperation. Tap into our eligibility and enrolment services on the cloud, powered by intelligent workflow, automation and machine learning, to integrate real-time enrollment and eligibility verification into your workflow.
Identify and verify commercial insurance
Confirm and check for Medicaid eligibility
Identify patients with Medicaid qualifiers
Determine patient status in real time
Gather patient eligibility documents via mobile app

Eligibility & Enrollment solution on Cloud

Firstsource Eligibility and Enrollment services are now cloud enabled to help you across four key steps of engaging with patients when it comes to their insurance coverage. Explore further by clicking the tiles.

Insurance Discovery

Combine innovative technology with the human touch to explore every coverage option and Payer source for patients.

Financial Assistance Screening

Help uninsured and underinsured navigate government and charity programs. Simplify and accelerate the financial assistance process with digitized screening.

Finance Assistance Enrollment

Identify and support patients through digitally enabled financial assistance screening and enrollment processes to achieve higher conversion rates.

Digital Document Submission

Accelerate outreach and electronically gather supporting documentation to fast-track processing.

Digital Document Submission

Accelerate outreach and electronically gather supporting documentation to fast-track processing.

Outcomes delivered

Lower
uncompensated
care costs

Reduced
self – pay

Reduced
bad debt

Increased
net return

Mt. Carmel health achieves significant ROI within 3 years of deploying digitally enabled Eligibility & Enrollment Services

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MFocusSM

Patient cooperation can drop by 33% once they leave your facility*. Our automated screening tool MFocussm helps you collect and validate eligibility information in real time – regardless of whether they are inpatient, outpatient or Emergency – driving higher patient cooperation and revenues.
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Mt. Carmel health achieves significant ROI within 3 years of deploying MFocusSM

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MFocus℠​ is designed with both your patients and you in mind

MFocus℠ ensures your patients are aware of their financial responsibilities in a professional and friendly manner, while simultaneously converting otherwise lost dollars from self pay accounts to revenue.
  • Identify unknown commercial coverage and increase Medicaid Eligibility screenings at the point of care.
  • Proactively transition self pay patients to Medicaid/financial assistance.
  • Consistently capture and complete financial assistance applications electronically.
The solution integrates both internal and external systems with mobile app based patient engagement strategies and skilled personnel. Real-time exchange and visibility of data underpinned by intelligent automation delivers efficiency and accuracy in communication and decision-making.

The impact of patient financial experience on hospital profitability

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whitepaper

“It’s really been a great experience for us. We continue to improve our cash position while better serving our community.”

 
Jeffrey Ellerbrock,
Vice President, Patient Business. Services,
Mount Carmel Health System
 

Explore insights

The impact of patient financial experience on hospital profitability

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How business intelligence can mitigate effects of uncompensated care

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Eddie Monteiro

Eddie is currently Chief Operating Officer at Educational Testing Service (ETS), where he sets and drives the transformation agenda across the company and has responsibility for all technology and operations functions in addition to the College Board, K-12, and teacher licensure businesses. He previously ran business and technology services at Pearson, where he built a global team to enable scalable delivery of enterprise functions. Prior to that, while at IBM, he held several executive leadership roles in the US, Mexico and Brazil across a diverse set of industries and clients.
Geetha Krishnan

Geetha Krishnan

Geetha Krishnan consults with the Indian Institute for Human Settlements in Bangalore as Senior Advisor and Head of Digital Blended Learning, where he spearheads their online learning and continuing education portfolio. Over 25 years, Geetha has played senior roles in diverse sectors such as academia, online learning, and advertising. In his last role as Director – Centre for Executive Education at the Indian School of Business (ISB), Geetha was head of the profit center comprising more than 50 open enrollment and long duration programs and spearheaded ISB’s foray into online learning by enabling their partnership with Coursera.
Susan Aldridge

Susan Aldridge

Dr. Aldridge is an Executive Higher Education Consultant to university presidents and ministers of education regarding business models and technology-enhanced education. She recently retired from Drexel University after serving six years as president of Drexel University Online overseeing more than 125 online programs. During her six-year tenure as President of University of Maryland Global Campus (UMGC), she doubled the university’s enrollment to 97,000 – to become the largest public American university. She also served as Vice Chancellor for Troy University’s Global Campus managing online programs and satellite campuses in 12 countries and 17 states.

Alan Greenberg

Alan Greenberg

Previously Director Apple Education EMEA and APAC, Alan led the team that built Education Podcasting and iTunes U. He has worked on the development of Apple Education mobile strategy, iOS Education APPs, and developed the SEED CSR project in China, a collaboration between Apple, Foxconn, and Pearson. Executive Board of WideCells Group Plc, Group CBDO, and EVP & Founder of Wideacademy; his working contributions include multiple technology engagements providing domain expertise across digital, mobile, brand, scale-up, international business development, and venture capital.

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