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RCM Plus · A/R Recovery & Denials Management

Recover more revenue. Leave behind the manual workflows.

Our expert A/R specialists prioritize and work your most recoverable claims and denials, so your organization collects more, writes off less, and reduces aging A/R.

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

By enhancing our in-house staff to work with Infinx, we were able to make significant improvements. Our mutual goal is to make sure no one has to do the rework. We get the money upfront, we get paid for the services, and everything revolves in a shorter collection cycle.

— Foothill Cardiology Medical Group, CFO
SOC 2 Type II
HITRUST i1
HIPAA compliant

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We start with a discovery call to learn how you currently handle things and where you’re seeing friction, then we’ll dive into solutioning.

Proven to Increase Revenue and Recovery

Full-spectrum A/R support that turns denials into dollars

With our technology-enabled approach, we rework or appeal claims faster and minimize write-offs. Clients realize a 2–5% net patient revenue uplift and 20% net new collections from A/R and denied claims.

2–5%

Net patient revenue improvement

20%

Higher A/R & denials recovery

15%

Reduced cost to collect

30%

Reduced aging A/R

How It Works | 5 Steps

From claim inventory to cash, end-to-end

AI analyzes, predicts, and prioritizes. Automation runs the routine status checks and follow-ups. We work what matters most.

01

Analyze

Integrate revenue cycle data across EHR/billing systems for full A/R inventory visibility by payer, facility, denial, and aging bucket.

02

Predict

AI prediction models score recoverability at the claim and charge level, factoring payer rules, complexity, write- off risk, and historical outcomes.

03

Prioritize

Prioritization algorithms rank work orders by ROI and operational constraints, team skills, availability, throughput, timely filing.

04

Recover

Workforce-automation agents run status checks across payer and clearinghouse portals; RCM experts work denials and follow-up on exceptions.

05

Optimize

Measure productivity, identify denial hotspots, and feed insights back to prevent future denials and improve operational performance.

A/R Optimizer Module

AI predicts and prioritizes the claims most worth working

Real-time data points, based on your organization, power prediction algorithms that accurately score outstanding claim recoverability. Daily work orders go to the team members best suited to clear them.

Claim-level recoverability ranking

AI evaluates claim status, payer guidelines, contractual allowed, denial complexity, and remittances to predict collectability.

100% claim coverage
Collectability Intelligence

Strategic work allocation

Prioritized queues organize work based on predicted recovery and factor in recently worked accounts, team skills, agent availability, and productivity targets.

Expert-owned
Records-level review

Automated status checks & follow-up

Prevent claims from going unworked and aging out, so specialists focus on high-value work.

Claim Status Agent
Task automation

See the whole picture, in minutes

Assess organizational financial performance on demand. Centralize revenue cycle data from siloed systems, identify reimbursement bottlenecks, and respond with corrective action, before write-offs.

Insights by payer, procedure, facility, denial & aging

Drill into which payers and procedures aren’t getting reimbursed, and by how much.

Denial hotspots & rejection patterns

Detect denial trends before they impact performance, and feed prevention back upstream.

Payment, GCR, and shortfall trending

Net collection rate, days in A/R, A/R over 90 days, tracked continuously, with no manual reporting.

“A game-changer for our A/R inventory.”

When we met Infinx, we were having trouble identifying trends. We weren’t doing a great job of analyzing the denial codes. We were doing a lot of reworks and were not working as efficiently as we could, which is why we liked A/R Optimizer’s prediction module . We also struggle with claim volume because of staffing issues due to the pandemic.

Revenue Cycle Manager

Orthopedic Group in Georgia

The AI/ML-based recovery prediction is a game-changer and provides a continuous collection potential of A/R inventory. My team’s reaction time to resolve issues and work on new revenue opportunities has improved tremendously. We are seeing additional dollars flowing in, our net collection rates have improved, we do not have to write-off as much and our inventory aging is in a spectacular spot.”

Senior Vice President, RCO

National Radiology Group

Technology | Plus Partnership

AI agents do the routine follow-up. Our RCM experts close the rest.

Pure software platforms hand you tools and walk away. We pair the platform with experienced RCM specialists and human-in-the-loop workflows, so the work actually gets done, even when payers make it difficult.

TECHNOLOGY

AI & automation agents

AI & automation agents
Prediction, prioritization, automated status checks, and intelligent payer mapping, running daily on your A/R inventory.

Prediction
Status checks
Payer mapping

TEAM

RCM experts, human-in-the- loop

Real, trained AR specialists handle appeals, peer-to-peers, payer escalations, and the edge cases AI can’t resolve. We staff what you no longer need to.

Appeals
Peer-to-peer
Exceptions
Workforce agent

PARTNERSHIP

Accountable to your numbers

Quarterly business reviews, named customer success managers, and KPIs tied to the outcomes that matter: net collection rate, days in A/R, denial rate. Live in 30 days; works alongside your existing EHR.

Epic
Cerner
Athena
eCW
Imagine

FAQ

You asked, we answered.

RCM Plus follows a phased approach that typically completes in 10–12 weeks: Planning & Design and Data Sourcing (weeks 1–2), Development & Configuration (weeks 3–8), Training & UAT (weeks 9–11), and Go-Live (week 12). Each phase builds on the last to ensure smooth data integration, configuration, and rollout — with Infinx handling the technical heavy lifting.

Minimal lift — your team focuses on access and collaboration while we handle the technical work. We ask for four contributions: provide access to the systems you’d like us to integrate with, participate in a few brief discovery sessions to define workflows and configurations, assist with data pulls and validation, and attend training and UAT sessions. Most clients designate an IT contact, a data analyst, and a process owner to keep things on track.

To configure and tune the platform to your environment, we request a core set of data sources: patient demographics, charges, payments, denials, A/R, and adjustments, plus insurance and provider information and user actions and notes. We typically work from the trailing 2 years of data and on an ongoing basis, with our data analysts supporting extraction and validation.

Minimal. We need connectivity between your data source — billing system, EHR, or reporting database — and our platform. If your systems already generate flat-file extracts (.csv, .xls, etc.), we can run on those over secure SFTP, so there’s no rip-and-replace of your existing tooling.

RCM Plus is EHR/billing-system agnostic. Recent implementations include Epic, Cerner, Athena, Allscripts, eClinicalWorks, Imagine, Meditech, Centricity, Zotec, and Telcor, among others.

Trusted infrastructure

HITRUST i1
SOC 2 Type II
HIPAA
ISO 27001
AWS for Health

Shrink aging A/R.
Recover more revenue.

Schedule a call with one of our solution consultants. We’ll assess your needs and where our solutions could drive the most impact for your business.

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