From 15 to 70, Driving AR Growth Through Strategic Scaling

Overview

A multi-specialty provider group in the United States was facing severe AR challenges. Their AR backlog grew, denials increased, and leaders struggled to see how teams performed. They needed help to stabilize cash flow and create a reliable operating model. Within just twelve months, the partnership with AnnexMed expanded from 15 to over 70 AR specialists, setting a new benchmark for operational efficiency and scalable growth.

The Challenge: Tackling Growth and Visibility

Unchecked AR backlogs strained operations and threatened to stall business growth. Denials became more frequent, making it difficult to keep revenue steady. Reporting tools lacked depth, leaving executives with little insight. The organization needed a solution that could turn risk into an opportunity. They wanted a scalable, managed model for AR operations.

Mounting AR Backlog

Accounts receivable days were steadily increasing, creating cash flow pressure and operational strain.

Rising Denials

Denials were climbing, slowing revenue recovery and straining internal resources.

Lack of Operational Visibility

Leadership lacked clear insight into productivity, quality, and overall AR performance, making it difficult to make informed decisions.

Need for Scalable Model

The organization required a partner who could rapidly scale operations without compromising accuracy or efficiency.

AnnexMed’s 3-Phase Approach to AR Stability

Laying the Groundwork: Rapid Stand-Up

During the first month, AnnexMed onboarded 15 AR specialists. Each specialist followed a payer-specific strategy that fit the client’s needs. Daily productivity targets provided focus for the team. The Automated processes took care of routine status checks. This had resulted in AR experts dedicating more time to critical tasks.

Building Operational Excellence

Over the next four months, the team standardized workflows across all functions. Custom KPI dashboards gave leadership full-time visibility. Weekly reviews allowed for fast, informed decisions. Oversight stayed data-driven, with small daily improvements. The result: tighter control and fewer surprises.

Scaling Up: Quality and Growth

By the twelfth month, the AR team had expanded to above 70 full-time staff. They handled follow-up, denials, and eligibility overflow. Automation continued to minimize repetitive tasks. Our Center of Excellence team handled training and audits. Onboarding new resources was quick and smooth, without loss of accuracy.

A Governance Model That Works

Governance relied on regular scorecards and review cycles for both weekly and monthly check-ins. This balanced volume with consistent quality. The team maintained an accuracy rate above 98 percent. Automation reduced manual account work. Training scaled easily, letting the team onboard new staff as growth demanded.

Proven Results

Real-World Impact

Leaders noticed steady cash flow & had confidence in operations.
Quick onboarding helped to scale teams without a dip in quality.
Faster denial resolutions led to improved payer relationships
Communication became more transparent for all stakeholders.

How AnnexMed Made It Work

Governance with regular reviews ensured early problem-solving.
Daily focus on output and quality kept the operation efficient.
Training programs allowed fast and effective onboarding.
Smart automation removed unnecessary manual work.

Solution Impact

52 to 36

Decrease in AR Days

40%

Improvement in Denials

25%

Revenue Boost

98%

Accuracy across all members

Ready to Get Started?

Whether you need full-scale support or help with just one part of the revenue cycle, AnnexMed offers modular services tailored to your most pressing needs.

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