An academic medical center with more than 715 providers operates three hospitals, a trauma center, a children’s and women’s hospital, and a community hospital. As the organization expanded across Alabama, Mississippi, and the Florida Panhandle, its billing complexity grew just as quickly.
“At the full-time employee level, we experienced a 33% increase in work RVUs—and that tells me we were losing revenue before implementing the solution. Connecting with clinicians made all the difference.”
—Natalie Fox, Chief Phys. Enterprise Officer
THE CHALLENGE
In-house RCM strained by expansion
In 2016, the AMC managed revenue cycle operations in-house but struggled with highly manual workflows that lacked scalability and transparency.
Physicians submitted paper-based tickets to the billing department, and the billing team manually entered data into the system. This approach created inefficiencies, delays in charge entry, and limited financial visibility. Leadership realized they needed a partner who could bring both operational and technological expertise to modernize their revenue cycle.
“We employed around 150 to 175 physicians at the time, and as we grew, our existing workflows were not going to be scalable.”
— Natalie Fox, Chief Physician Enterprise Officer
THE SOLUTION
A tailored RCM partnership built for scale
The AMC engaged Infinx. The team worked collaboratively with executives and clinical leaders to design and implement a customized solution across the organization.
Key elements of the solution included:
- Payer enrollment and credentialing
- Charge capture, including coder oversight with some departments receiving 100% coding support
- Electronic data interchange (EDI) for claims, remittance advice, and EFT setup
- Claims follow-up and payment posting with full denial management workflows
EHR Heading
At the time of implementation, the AMC was also transitioning to a new EHR system. The Infinx team’s flexibility and hands-on support were instrumental in navigating this transition.
“They built strong relationships with our staff, provided transparency through daily and monthly reports, and maintained open communication—even when challenges arose.”
— Natalie Fox, Chief Physician Enterprise Officer
THE RESULTS
Measurable gains across revenue and productivity
Partnering with Infinx for RCM services led to substantial improvements across multiple operational and financial KPIs.
More than doubled service revenue
Our team supported a net patient service revenue increase from $59M to $100M by optimizing key areas in the billing and denial management workflows, and working directly with clinical faculty members.
Operational Efficiency
By streamlining workflows, the organization achieved faster reimbursements with stronger cash flow.
IMPACT AT A GLANCE
Sustained growth with confidence
| Metric | 2016 | 2023 |
|---|---|---|
| Net Patient Service Revenue | 59M | 100M |
| Increase in Work RVU | 900K | 1.7M |
| Increase in work RVUs per FT Clinical Faculty Member | None | 33% |
| Increase in Charge Volume | None | 88% |
By partnering with Infinx, the health system transformed its revenue cycle from manual and disjointed processes into a scalable, data-driven operation that supports continued growth.
The organization achieved measurable improvements in efficiency, productivity, and revenue capture, giving leadership the visibility and confidence needed to sustain long-term performance. The collaboration also delivered faster reimbursement and stronger financial outcomes, while improving alignment between clinical and administrative teams.
These results positioned the health system to continue serving its communities with the resources of a high-performing healthcare provider.
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