Revenue Cycle Accounts Receivable and Financial Clearance Assistance Services
Overview
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SUMMARY
KEY REQUIREMENTS
CONTRACT DURATION
TIMELINE
Bid Open: August 14th, 2026
Q&A Open: August 15th, 2026
Q&A Close: August 19th, 2026
Bid Close: August 31st, 2026
QUESTION DEADLINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
The Metrohealth System
DESCRIPTION
The agency is seeking a strategic partner to provide revenue cycle accounts receivable management and financial clearance assistance. The selected vendor will be expected to accelerate cash collections, reduce accounts receivable, and support financial eligibility activities across applicable service areas.
Services include managing small-balance receivables for technical and professional services beginning on Day 45 or upon receipt of a denial, whichever occurs first; working insurance and self-pay credit accounts; managing Workers’ Compensation receivables beginning on Day 1; and handling self-pay receivables from the first patient statement. Self-pay and bad-debt services must include call center support to receive and resolve incoming calls, with bad-debt management beginning approximately 90 days after self-pay placement.
The vendor will also resolve coding, billing, and registration-related edits in the core billing system and clearinghouse, maintain assigned work queues, and increase successful enrollment in Medicaid, financial assistance, and other applicable government assistance programs. Additional middle- and back-end revenue cycle services for affiliates may include coding, charge edits, claim editing, billing, insurance follow-up, denial management, payment posting, and early-out and bad-debt self-pay collections. Questions must be submitted by August 15, 2026.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due August 31, 2026. Questions must be submitted by August 19, 2026.
- Who issued this RFP?
- It was issued by The Metrohealth System. The work is located in Cleveland, Ohio, United States.
- Who is a good fit for this opportunity?
- Healthcare revenue cycle management company with extensive hospital or health-system experience
- Proven expertise in accounts receivable, denial management, claims processing, payment posting, and self-pay collections
- Experienced provider of financial clearance, Medicaid enrollment, and financial assistance eligibility support
- Ability to operate patient and insurance call centers with strong issue-resolution capabilities
- Familiarity with core billing systems, clearinghouses, coding edits, registration workflows, and revenue cycle work queues
- Demonstrated experience supporting professional, technical, Workers’ Compensation, and affiliate healthcare services
Analysis generated by Settle AI from the source RFP.
RFP Hunter shows what is open. Settle shows what is forming.
Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.