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Back-Office Support for Post-Acute Care
Ensign Group manages 300+ independent healthcare facilities across 14 states with 40,000 employees.
Your field-driven structure empowers local leaders. Our back-office support strengthens this model.
Pharmbills handles financial operations so your staff can focus on delivering compassionate patient care.
Services
Financial Services for Healthcare
Accounts Receivable Management
Our specialists process health insurance billing, track aging accounts, and manage census data across your 300+ facilities.
Accounts Payable Processing
We handle invoices, review profit & loss reports, and manage vendor communications for your multi-state operations.
Payroll Administration
Employee information management and payroll calculation for your 40,000 staff members using Workday and other systems.
Benefits
Benefits for Ensign Group
Support Your Independent Model
Our services maintain your field-driven structure while providing consistent financial processes across all facilities.
HIPAA-Compliant Operations
All team members follow strict healthcare regulatory compliance protocols to protect patient data.
Transparent Pricing Structure
Flat hourly rate with one-time setup fee. No overhead costs. No hidden fees. Management included with 90-day guarantee.
Measurable Impact on Healthcare Finances
Month after month, results kept coming. So did the same question: “Can you add more people?”
Six months in, the team had grown to 13. Six were sent to the U.S. for on-site training. This was a strong signal: the client trusted us not just to deliver, but to lead. From there, we didn’t just grow teams, we built full-cycle billing operations.
By 2022, they hit their biggest growth milestone with Pharmbills at the core. And today?
• 8 Team Leads run day-to-day ops
• 23 Captains manage, train, and lead
• 207 back-office employees
• Backed by our HR and CSM teams
This is what happens when trust meets execution.
We restructured workloads, launched targeted training, brought in after-hours support, and set daily performance checkpoints.
In under two weeks, the backlog was gone. Accuracy stayed above 99%, turnaround times improved, and cash flows stabilized.
For ABA and pharmacy clients juggling real-time verifications and auths, this proved one thing: with the right team, no backlog is too big.
We flagged it quickly and proposed a solution, a new role: Outpatient Claim Auditor. This role reviewed all claims before they hit the nursing homes.
In just 9 months, this saved the client over $5 million.
Impressed by the results, the client expanded the role into a full department, setting the stage for even greater savings ahead.
Team
Clients Testimonials


A quick conversation.
No pressure.
Partner with Pharmbills
Schedule a consultation to discuss how we can support Ensign Group's financial operations across your 300+ facilities in 14 states.
Our team is ready to integrate with your field-driven structure and help your local leaders focus on patient care.
Ready to Hand Off AR & AP - Without Losing Control?
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