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End-to-End RCM Outsourcing and Consulting Services

Healthcare RCM Services & Revenue Cycle Outsourcing

Stop fighting staffing shortages, climbing denial rates, and aging A/R alone. Partnering with Infinx gives you scalable support across coding, billing, payment posting, and A/R recovery; operating as one accountable revenue cycle team in your systems or ours.

One accountable
team

Coding, billing, 
posting, A/R; unified

Onsite, onshore,
offshore

Experienced FTE specialists wherever you need them

Outcomes you
can audit

Recurring reporting cadence, not quarterly surprises

Solution capabilities

What revenue cycle management outsourcing includes

RCM outsourcing gives a healthcare provider external technology, processes, and specialists to manage defined revenue cycle workflows. The scope may include patient access, coding, billing, payment posting, denials, underpayments, collections, and A/R recovery.

Infinx tailors the operating model to the provider’s needs, from targeted workflow support to broader revenue cycle management. AI agents and automation handle defined tasks, while RCM experts manage exceptions and judgment-intensive work.

Choose technology-enabled services across patient access, coding, billing, collections, denials, and underpayment recovery. Scope can be tailored by workflow, operating model, and provider need.

Coding

  • 800 CPC-certified coders across all modalities and specialties
  • Scalable FTE allocation to eliminate backlogs and maintain timely claim submission
  • Cross-trained workforce, flexible across specialty types and complexity levels
  • Analytics-enabled root-cause analysis for coding-related denials

Billing & Payment Posting

  • Operational continuity maintained through layered support including auditors, leadership, and client success managers
  • 10M+ transactions posted with 100% accuracy in cash reconciliation
  • Cross-trained posters resolve exceptions via payer phone calls and portal navigation
  • >98% accuracy finalizing refunds and handling exception cases

A/R & Denials

  • Full visibility dashboards showing current state, historical trends, and root-cause insights
  • Predictive analytics forecast recoverability and prioritize highest-ROI claims
  • Automated claim status checks and payer integrations reduce manual touchpoints
  • Faster collections, reduced days in A/R, and fewer write-offs

15–20%

A/R over 90+

Target ceiling for aged receivables as a share of total A/R

5–8%

Initial denial rate

Industry-leading denial rate achieved through upstream quality controls

90%

Clean claim rate

First-pass claim acceptance across payer and specialty types

2–5%

Cost to collect

Efficient cost structure relative to net collections, benchmarked to top performers

Full service coverage

Every function, one partner

Plug into specific revenue cycle services or hand off the whole engagement. Either way, the same accountable team runs the work end to end — reducing denials, capturing every billable charge, and recovering the dollars you’ve already earned.

Patient Access

Scheduling, eligibility checks, prior authorization approvals, and referral document processing are fully managed via agents and human-in-the-loop experts.

Financial Clearance

Set expectations on patient financial responsibility upfront and provide financial advocacy through the visit.

Coding Management & Education

800 CPC-certified coders driving speed, accuracy, and compliance — with continuous education tied to denial root cause.

HIM Coding Review

Audit patient accounts and claims to validate proper use of CPT, HCPCS, and DRG codes before submission.

Charge Capture & Underpayment Recovery

Ensure every billable service is captured at the point of care and every claim is paid at the full contracted rate.

A/R Recovery

AI-prioritized A/R workflows resolve aged claims, surface root causes, and bring days in A/R back under control.

Denial Management & Prevention

Stop chronic denials upstream with root- cause analysis, then resolve the rest with proactive payer outreach.

Credit Balance Resolution

Resolve overpayments and adjustment errors in 24–48 hours — reducing credit balance volume in A/R and processing required refunds before they become compliance exposure.

A true partner, not a vendor

Outcome-based ownership

When clients need outcome ownership and rapid operational stabilization, Infinx provides end-to-end RCM services deploying experienced FTE specialists inside your systems, or on our RCM Plus platform, to improve throughput, control, and measurement.

Stabilized performance, end to end

One accountable team across patient access, coding, billing, payment posting, A/R, and denials, closing the gaps that disrupt revenue cycle stability when staffing turns over.

Flexible engagement models

Contingency or FTE-based. Inside your EHR/PMS or layered on the Infinx Platform (RCM Plus). Onsite, onshore, or offshore specialists. We’ll co-design the right mix during discovery.

Operational visibility & trust

Recurring reporting cadence with dashboards, root-cause insights, and SLA-backed KPIs. Most coding clients have been with us 5+ years because we tie our outcomes to yours.

Engagement options

Multiple models. One accountable partner.

Commercial and tech-enabled models to match your operational needs and level of desired ownership. Most clients pick a combination during discovery.

Client’s EHR / Workflow Systems

Infinx Platform — RCM Plus

Contigency

Best for clients that:
  • Have established, successful workflows and reporting
  • Need additional capacity and/or RCM expertise
  • Desire to keep everything within their EHR/PMS
  • Seek to reduce cos-to-collect
Best for clients that:
  • Have disconnected processes and outdated systems
  • Seek modernization and automation
  • Lack robust reporting and analytics
  • Seek to reduce cost-to-collect

FTE-based

Best for clients that:
  • Have established, successful workflows and reporting
  • Need additional or flexible capacity and RCM expertise
  • Desire to keep everything within their EHR/PMS
  • Need to clear backlogs and improve ongoing performance
Best for clients that:
  • Have broken processes and outdated systems
  • Seek modernization and automation — want tech-forward RCM partners
  • Lack robust reporting and analytics
  • Need to clear backlogs and improve ongoing performance

Contigency

Client’s EHR / Workflow Systems

Best for clients that:
  • Have established, successful workflows and reporting
  • Need additional capacity and/or RCM expertise
  • Desire to keep everything within their EHR/PMS
  • Seek to reduce cos-to-collect

FTE-based

Best for clients that:
  • Have established, successful workflows and reporting
  • Need additional or flexible capacity and RCM expertise
  • Desire to keep everything within their EHR/PMS
  • Need to clear backlogs and improve ongoing performance

Contigency

Infinx Platform — RCM Plus

Best for clients that:
  • Have disconnected processes and outdated systems
  • Seek modernization and automation
  • Lack robust reporting and analytics
  • Seek to reduce cost-to-collect

FTE-based

Best for clients that:
  • Have broken processes and outdated systems
  • Seek modernization and automation — want tech-forward RCM partners
  • Lack robust reporting and analytics
  • Need to clear backlogs and improve ongoing performance

Proof, not promises

Results you can expect with our engagement

Outcomes aggregated across recent end-to-end RCM engagements with hospitals, imaging networks, and specialty groups. Individual results vary by EHR, specialty, and starting maturity.

95%

Clean claim rate at first-pass submission across specialties.

30%

Reduction in aging A/R within the first 12 months of partnership.

<10%

Overall denial rate sustained vs. 15–20% industry baseline.

15%

Reduction in cost-to-collect versus prior internal RCM operations.

30–40

Average days in A/R at steady state across multi-specialty clients.

2–5%

Net patient revenue uplift from compounding workflow and denial fixes.

Aggregated outcomes across multi-specialty health systems, imaging networks, and cardiology, orthopedic, and oncology groups. $8B+ collected for clients since 2012 across 1,400+ payer relationships.

Recent engagements

Real systems. Real recoveries.

Three end-to-end RCM partnerships, each with a different starting point and the measurable outcomes that followed.

IMAGING

Radiology network boosts 
A/R recovery & cash flow with RCM Plus

8,600 employees and 334 imaging centers — outdated RCM processes, a 120+ day backlog. We deployed AI-prioritized A/R workflows and continuous-improvement loops.

+28%

Collections lift in 12 months

53.5%

Aged A/R recovered (120+ days)

64%

Fewer write-offs

90%

Denials addressed in 5 days

HOSPITAL

Rural Midwest hospital clears aging A/R, modernizes RCM

The primary medical center for a tri-state region — 28 clinics, 300 providers, 32 specialties. End-to-end RCM transition, including hiring and training 135 staff in 2.5 months.

30%

Collections lift in 12 months

-4 days

Billing time from 16 to 12 days

0.05%

Denial rate maintained

+$95K

Monthly POS revenue (from $0)

CARDIOLOGY

Multi-location cardiology turns around RCM operations

Texas cardiology practice with $50K–$100K monthly backlog of uncollected claims. Full RCM assessment followed by ongoing claims, coding, and collections support.

$160K

Recovered in two quarters

+14%

Collection rate by year-end

+$700K

Revenue boost from new capacity

+12%

Quarterly revenue increase

Infinx has been a game-changer for our hospital. Their end-to-end RCM solution not only streamlined outdated workflows but also significantly reduced our unbilled claims and improved our cash flow. With Infinx, we have seen a remarkable improvement in our revenue and operational efficiency, enabling us to better serve our community

Director of Revenue Cycle

Rural Midwest Hospital · Infinx end-to-end RCM client

Questions revenue leaders ask first.

Outsourcing the full revenue cycle is a serious decision. Here’s what CFOs and Directors of Revenue Cycle ask us most often and what we say back.

Talk to a specialist

You keep ownership of payer contracts, fee schedules, and strategic decisions. Infinx takes operational responsibility for coding, billing, payment posting, A/R recovery, and denials management. Your leadership reviews KPIs and approves escalations; we run the day-to-day.

Most end-to-end transitions are live in 60–90 days. We’ve stood up 135 trained staff inside 10 weeks for a rural Midwest hospital. The pace depends on EHR complexity, payer mix, and how much backlog needs to be cleared in parallel.

Epic, Cerner, Meditech, athenahealth, eClinicalWorks, NextGen, and most specialty PM systems. We integrate via the standard clearinghouse rails (Availity, EviCore, Optum, United Healthcare, and others) and use HIPAA-compliant secure channels for any direct data exchange.

Two typical patterns. Some clients keep a lean internal team focused on strategy and payer relationships; we layer in operational capacity. Others transition the operational team to Infinx under continuity-of-employment arrangements. We’ve done both and we’ll co-design the right one with your HR leadership.

Radiology, cardiology, orthopedics, oncology, anesthesiology, and women’s health are our top specialties. Our 800 CPC coders are credentialed across all major specialty lines, with ICD-10 and CPT specialization documented per coder.

Three common models: percentage of net collections (most common for full RCM), monthly FTE retainer (common for coding-only support), and SLA-tied performance pricing for A/R recovery. We’ll scope the right blend during discovery.

HITRUST, SOC 2 Type II, and HIPAA-aligned controls across our delivery centers. Every workstation is locked-down with no removable media, every workflow is logged, and our compliance team participates in your annual third-party security reviews.

End-to-end RCM. Outcomes you can audit. Revenue realized on time.

Start with an RCM assessment. We’ll look at your last 90 days of claims and denials, return a written diagnosis, and scope the right end-to-end engagement.

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