Co-Sourcing & Staff Support

Optimize the process and structure of the billing department

Co-Sourced RCM Services

There are many reasons that a Community Health Center may consider outsourcing their revenue cycle management. One may be the loss of key staff members and difficulty recruiting. It's challenging to find qualified staff when there is no national certification in billing for FQHCs. This position requires meticulous attention to data and trends. Your leadership team may not know what metrics they should use to measure the success of RCM in your health center. According to the Vice President of Revenue Cycle at Cone Health, "It now takes more than six months to fill revenue cycle leadership positions." These challenges contribute to a growing sense of dismay among CHC leaders.

What Is Co-Sourcing?

Synergy recognizes that not all health centers have the same problems. Outsourcing all of your revenue cycle operations may not be the best solution. Co-sourcing allows your health center to make the highest and best use of the billing staff you do have.

When you co-source with Synergy, our team becomes an essential part of your team. We become one billing team focused on the financial performance of your health center.

The process begins with a skill assessment of the existing billing department. Together, we optimize the business process and structure of the billing department. Regular communication, feedback, and performance monitoring leads to great outcomes for your health center.

Do I Have To Eliminate My Staff?

No. There is no need to displace your current employees. You may find it useful to reassign them to other positions in your center. Or, we can arrange a co-sourcing agreement. Your employees can continue to perform some steps of the revenue cycle while Synergy Billing absorbs the rest. We can even bring them to our Holly Hill, Florida campus for training!

The Synergy Billing Advantage

Our clients have the advantage of our entire team working on their behalf: Account leadership, specialists in all areas of the revenue cycle, along with business research, analysis, and technology. Our team is composed entirely of highly experienced and knowledgeable specialists who perform revenue cycle management for CHCs. We invest heavily in training through our Synergy Academy. Our amazing work environment, progressive human relations policies, and competitive pay assure that we are the "employer of choice" for health care billing professionals.

The Industry's Leading Full RCM Service

With Proven Methods, Its Clear Why Synergy Billing Remains The Industry’s Leading FULL RCM Service Dedicated TO Maximizing Your FQHC’s Per Visit Revenue.

95%+ Collection

Synergy Billing recovers over 95% of viable claims

20-40% ROI

Clients gain 20-40% net return after all fees

30-Day Resolution

90% of claim issues resolved within thirty days

$27.37M Gained

Clients earned $27.37M more net revenue in 2023

25M+ Claims Paid

Over 25M claims successfully paid since 2006

Strategies & Methods

We deliver over 10M in net ROI annually

News & Insights

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A Positive Bottom Line Can Hide an Operating Loss
Chapter 1 of The FQHC Benchmark Report series: why one margin is never the whole story. When a health center finishes the year in the black, it is natural to treat that as good news. The board sees a positive number. The audit closes. The organization moves on. But a positive bottom line answers...
What 1,139 Health Centers Reveal About FQHC Financial Sustainability
No margin. No mission. A national look at the financial reality behind community health. Every FQHC leader knows the mission depends on the margin. Fewer have been able to see how their organization's financial position compares with health centers across the country. That is the question behind...
FQHC Financial Benchmarks: How Does Your FQHC Compare
In Synergy Billing's analysis of 1,139 health centers with a verified Form 990, the median operating margin was 0.6%. Nearly half—523 centers, or 45.9%—reported an operating loss. Those findings raise a practical question for FQHC leaders: how much room does your health center have to respond when...
CMS Fraud Crackdown: What FQHC Leaders Need to Know
The bigger story is not just fraud. It is the growing importance of verification, data, and prevention. CMS just sent another clear signal about the direction of healthcare program integrity. On September 22, 2026, the Centers for Medicare & Medicaid Services announced that it is canceling...

Recruiting FQHC Billers Is Like Looking For Unicorns In The Dessert

Is your billing department understaffed? You should have an avg of 1 FTE per 10,000 annual claims.

Contact A Synergist Today!