Ensource employee with a headset on completing early out services for a client

Early Out Services

For more than 35 years, Ensource has partnered with healthcare organizations nationwide to manage patient responsibility accounts, including both self pay and balance after insurance, early in the revenue cycle.

Our early out services reduce bad debt, increase patient satisfaction, and ensure faster payments, all while acting as an extension of your team. Connect with us today to see how our proven early out solutions can strengthen your revenue cycle and improve the patient financial experience.

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Full-Services Early Out Solutions That Put Patients First

Our approach is straightforward: we help you maximize cash recovery, enhance patient experience, and streamline operations as a trusted partner in your revenue cycle. From self-pay outreach and insurance follow-up to flexible payment plans, we bring the people, tools, and expertise to lighten your workload, increase collections, and deliver stronger results for hospitals and health systems.

  • First Party Outreach Icon for Early Out Services

    First-Party Outreach

    Ensource delivers first-party communication that aligns with your internal policies and standards of service.

    Our team acts as a seamless extension of your organization, managing inbound and outbound outreach.

    We help patients understand their financial responsibility early and clearly. This improves engagement, reduces confusion, and increases the likelihood of on-time payments.

  • Digital Patient Engagement Icon for Early Out Services

    Digital Patient Engagement

    Today’s patients expect simple, secure, mobile-first options, and Ensource delivers.

    We use text messaging, email, patient portals, and direct-drop voicemail to reach patients in ways that feel familiar and convenient.

    These digital outreach tools are part of our comprehensive platform that streamlines the self-pay experience and increases resolution rates without straining your internal team.

  • Payment Plan Management Icon for Early Out Services

    Payment Plan Management

    Many patients can’t pay their balance in full, but they will if given flexibility. Ensource creates and monitors extended payment plans that match your organization’s financial policies and your patients’ ability to pay.

    By managing these accounts proactively, we help reduce bad debt while preserving patient satisfaction and financial dignity.


  • Insurance Verification and Follow-Up Icon for Early Out Services

    Insurance Verification and Follow-Up

    Unpaid claims can stall your cash flow. Our insurance follow-up team reviews outstanding self-pay accounts to identify missing or secondary coverage and resubmits claims as needed.

    We also contact commercial and government payers directly to resolve delays to accelerate reimbursement and lift administrative pressure from your staff.

  • Legacy A/R and Overflow support Icon for Early Out Services

    Legacy A/R and Overflow support

    Whether you’re transitioning to a new Electronic Health Record (EHR) or simply facing staffing gaps, Ensource can take on your legacy receivables or overflow call volume.

    This keeps revenue flowing and ensures patients receive timely support, even during organizational changes. Our teams are trained on a wide range of systems and maintain meticulous documentation.

  • Probate & Estate Follow-up Icon for Early Out Services

    Probate and Estate Follow-Up

    When a patient passes away with an unpaid balance, the collection process becomes more complex. Ensource helps resolve these accounts with compassion and care. Our team quickly identifies estate opportunities, verifies probate status, and files claims, helping ensure your organization is properly compensated while minimizing stress for grieving families.

  • Insurance Rebilling Services Icon for Early Out Services

    Insurance Rebilling Services

    Ensource supports your team by handling the time-consuming task of rebilling payers when claims are delayed or adjusted. Our team ensures accurate, timely resubmission and consistent follow-through to improve cash flow while reducing administrative strain.

  • Lockbox Payments Processing Icon For Early Out Services

    Lockbox Payments Processing

    Lockbox payment processing relieves your internal teams from the time-consuming task of managing incoming patient payments. All payments are directed to a secure facility, where our team opens mail, posts payments, processes refunds, and completes reconciliation. The result is a faster cash flow, reduced administrative burden, and complete visibility through detailed remittance files and audit-ready reporting.

Recover Revenue Sooner with Early Out Services

Recover more revenue by resolving accounts earlier in the billing cycle. Ensource’s Early Out Services use first-party outreach and digital engagement to connect with patients and consumers before balances age out—boosting collections while protecting satisfaction and trust.

Ensource's client tools portal being used by an early out services client

The Benefits of Using Ensource Early Out Services

Implementing early out services offers clear financial and patient experience advantages:

    • We meet patients with empathy and clarity, offering flexible payment plans, self-service tools and clear communication. We make it easier for patients to manage their healthcare payments and feel good about the process, improving satisfaction and trust. 

    • The numbers speak for themselves

    • Ensource helps you meet those expectations by blending patient-friendly communication with modern digital engagement so you can improve collections without sacrificing the patient relationship.

  • You get full visibility into your revenue recovery through detailed reports, call audits, and a 24/7 client portal that gives you the insights your healthcare team needs to stay in control. No surprises. No guesswork.

  • By outsourcing early out services to our trained professionals, you can accelerate self-pay collections and reduce days in A/R, leaving your team to focus on high-value tasks.Description text goes here

  • Our proven workflows, digital outreach tools, and patient-first engagement help resolve balances early, preventing more accounts from aging into bad debt.

  • While you’re switching EHRs, scaling your operations, or navigating staffing changes or shortages, we provide seamless support for legacy A/R, overflow calls, and account management. Our early out services plug in where you need them most.Item description

  • Our HFMA CRCR-certified team understands the complexities of healthcare revenue cycle management and works as an extension of your staff to help you meet internal goals while supporting a smoother financial experience for your patients.

At Ensource, we understand the challenges of early patient collections and offer tailored early out solutions designed to fit seamlessly into your revenue cycle. Our experienced team helps healthcare providers increase recoveries, reduce bad debt, and improve the financial experience—so your staff can stay focused on delivering exceptional patient care.

Real Client Testimonials

What makes ensource different?

Ensource offers focused, reliable support for healthcare organizations navigating the challenges of self-pay and early out account management. With deep experience in healthcare payments, patient engagement, and revenue recovery, we provide solutions that are thoughtful, efficient, and built to align with your internal goals. Our services are designed to support hospitals, physician groups, and health systems with scalable workflows, clear communication, and consistent results.

Every patient interaction is built on empathy, trust, and evidence-based communication strategies.
By applying behavioral science to our outreach approach, we improve revenue recovery outcomes while maintaining the dignity of the patient, even when navigating sensitive conversations around self-pay balances, financial assistance, or insurance payments.

Behavioral Science-Driven Engagement

Your revenue cycle goals shape the way we work. We customize early out solutions, communication cadences, and reporting dashboards around your KPIs to ensure our services support your internal workflows, not disrupt them.
This approach ensures consistent support for initiatives like reducing days in A/R, minimizing bad debt, and improving self-pay recovery built around your priorities

Custom Workflows for Every Client

Our HFMA CRCR-certified agents combine industry expertise with clear, compassionate communication, ensuring every patient interaction supports both resolution and trust.

Fully Certified, U.S.-Based Staff

Ensource’s digital platform includes secure patient portals, Text-to-Pay links, live chat, direct-drop voicemail, and virtual assistants — all powered by real-time data and reporting visibility. These tools empower patients to take action on their accounts and give your team complete transparency on recovery activity, agent performance, and financial results.
The stakes are high: 41% of patients switch providers because of a poor digital experience, and nearly 90% of patients who switched cited poor “doing business” experiences including outdated or clunky digital tools as a primary reason. With Ensource early out services, you’re not just offering better tools, you’re building a financial experience that supports stronger relationships, better outcomes, and long-term organizational success. 

Technology That Delivers Results

Our platform is HIPAA and TCPA compliant and built for scale. Whether you're a community hospital or a multi-location system, we maintain full transparency with 24/7 reporting access, QA-reviewed call recordings, and data dashboards that show what’s working and where we can optimize further.

Transparent, Compliant, and Scalable

Ensource is more than an early out provider—we offer full-spectrum support across the revenue cycle.
From medical coding and denial management to insurance follow-up and patient engagement, we can scale our services to meet your needs at any phase of the financial journey.

Explore how Ensource can support your entire revenue cycle.

Support Beyond Early Out—A Partner for Your Entire Revenue Cycle

Ensource offers focused, reliable support for healthcare organizations navigating the challenges of self-pay and early out account management. With deep experience in healthcare payments, patient engagement, and revenue recovery, we provide solutions that are thoughtful, efficient, and built to align with your internal goals. Our services are designed to support hospitals, physician groups, and health systems with scalable workflows, clear communication, and consistent results.

Why choose Ensource?

Boost Recovery and Patient Satisfaction with Early Out Services. Contact us to learn more.

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Frequently Asked Questions (FAQs) About Denial MANAGEMENT Services

  • Early out services refer to the initial phase of patient account follow-up in the healthcare revenue cycle — before an account is considered delinquent or sent to collections. Instead of transferring accounts directly to third-party collections, providers work with a partner like Ensource to conduct first-party outreach on patient responsibility balances, including both self-pay and balance-after-insurance accounts.

    Ensource operates as a seamless extension of the health system’s team, reaching out to patients on the provider’s behalf using the organization’s policies, and tone of voice. This preserves the patient satisfaction while improving payments and reducing bad debt. 

  •   “Early out” refers to outsourcing patient billing or collections activity before an account becomes delinquent. This approach allows healthcare organizations to resolve accounts faster, maintain patient goodwill, and keep their revenue cycle healthy, especially as more payment responsibility shifts to patients.

  • The cost of early out services varies based on the scope of the services provided. At Ensource, we tailor our pricing to match the complexity of your self-pay collections strategy, volume, and technology needs. Our goal is to improve collections and reduce bad debt without increasing operational strain, making it a cost-effective solution for hospitals and health systems.

  •  Unlike third-party collections, Ensource operates as a seamless extension of your team. We engage earlier in the revenue cycle using patient-friendly communication and your brand voice, helping you avoid bad debt in the first place.

  • Healthcare payments generally fall into three categories:

    • Private insurance payments

    •  Government program payments (like Medicare and Medicaid)

    • Patient self-pay payments

      • Early out services play a vital role in helping healthcare providers manage self-pay accounts efficiently and with empathy, reducing debt and improving access to care.

  • Our communication channels are always evolving to meet patients through their preferred method. Currently we use a full suite of multichannel tools, including phone, text, email, direct-drop voicemail, secure chat, patient portals, and our AI-driven virtual assistant.

  • Yes. Our processes and systems are fully compliant with HIPAA, TCPA, and all applicable regulations. We also prioritize consent and secure data handling.

  • Absolutely. Our team can manage your legacy A/R workdown so your internal team can focus on learning and launching your new system without compromising cash flow.

  • Click here to connect with our team. We’ll schedule a discovery meeting to learn about your needs and recommend a tailored approach.

  • Yes. In addition to early out services, we offer a full suite of healthcare revenue cycle solutions, including medical coding, denial management, insurance rebilling, and more. Explore all Ensource Services