Tillbrook Financial Systems designs and builds the recurring processes of a small finance function: reconciliations, month-end reporting, management analysis, and benchmarking. Each system runs on schedule, and every material step clears human review before it posts.
Our deepest expertise is with intellectual and developmental disability providers funded through Pennsylvania's Medicaid HCBS waivers. We work fluently in that environment: PROMISe claim submission, ODP fee schedules, and cost structures in which direct support wages absorb the majority of every reimbursed dollar.
When rates are set by the payer, margin is determined by the efficiency of the back office. That is the problem Tillbrook is built to solve, and the same discipline carries to any organization with fixed or slow-moving revenue and a labor-intensive cost structure.
A fixed-scope diagnostic documents your month-end process: each recurring task, its owner, its sequence, and the hours it consumes. The written assessment is yours regardless of whether an engagement follows.
Systems are built around the software you already operate. Every automated step carries a defined control point at which a person reviews the output before it posts, sends, or files with the payer.
The new system runs alongside the existing process for at least one complete monthly cycle. Adoption follows agreement between the two outputs, not our assurances.
Clients may take full ownership with complete documentation, or retain us for maintenance and ongoing analysis. In either case, the documentation is written so the system outlives the engagement.
Founding-client terms are available for our first three engagements.
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