Our client is a physician-led academic healthcare network serving communities across Louisiana. The system provides specialized and primary care through a broad spectrum of inpatient and outpatient services. As they continued to grow their footprint, including operations across inpatient and outpatient departments, and a range of hospital facilities, the need for scalable and reliable revenue cycle management (RCM) became increasingly urgent.
THE CHALLENGE
Manual processes slowed revenue and growth
Prior to engaging a strategic RCM partner, the AMC managed many front-end and back-office functions in-house. However, increasing billing complexity, a growing provider base, and a highly manual charge capture process led to operational inefficiencies and revenue leakage.
Specific challenges included:
- Inconsistent charge capture across service lines
- Long aging cycles on denied claims and accounts receivable
- Limited transparency into performance metrics and workflow bottlenecks
- Difficulty scaling internal teams to match growth without impacting performance
These challenges were especially pronounced in professional services billing and areas like radiology, anesthesia, and physician consultations—where timely processing and coding accuracy are critical to revenue performance.
“Whether it’s regular check-ins or direct support from leadership and delivery teams, their hands-on approach ensures we’re aligned and supported at every step.”
— Chief Phys. Enterprise Officer
THE SOLUTION
Automated workflows built for RCM scale
The academic healthcare network partnered with Infinx, known for delivering consistent, high-quality service and hands-on support. This team provided:
- Enhanced charge capture methods with improved oversight and automation
- Error reduction through eligibility flagging and front-office support
- Streamlined electronic workflows for payment posting, remittance, and claims submission
- Comprehensive denial management, addressing both clinical and technical rejections
- Scalable operational support, enabling our client to flex resources as volumes shifted
A key differentiator in the partnership has been a strong, in-person account management model with consistent executive engagement.
The Infinx team also helped navigate expansion into new areas such as OFMS surgery, Allied Health, and Student Health, while positioning for continued growth.
THE RESULTS
Faster revenue cycle and stronger performance
The impact of the partnership has been both measurable and strategic, enabling scalable operations while improving financial performance.
Operational Gains
We helped our client improve their first claim pay ratio by 93 percent by reducing common errors made from manual processes and enhancing the office’s electronic billing and denial management workflow. With these streamlined workflows, the network achieved faster reimbursements and claim resolution.
Revenue Impact
There was significant improvement in our client’s charge capture process, which increased charge volume and cash flow.
Strategic Outcomes
By partnering with Infinx, the AMC network transformed its revenue cycle from overly complex and error-prone to a scalable, efficient system that supports continued expansion.
“This team stands out for me with its strong account management and commitment to partnership. They engage with us frequently through a robust on-ground model.”
— Chief Phys. Enterprise Officer
Want to share this with your team?
Download a PDF version or talk to us about how Infinx can help your organization with similar challenges.