Phaxis

How RCM Staffing Shortages Are Costing Healthcare Facilities Millions

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Hospitals don’t run on good intentions. They run on cash flow.

But what happens when your revenue cycle is broken—not from bad systems, but because you don’t have the people to run them? Suddenly, it’s not just a staffing issue. It’s a reimbursement delay. A denied claim. A revenue leak.

Every day you’re short a qualified revenue cycle management (RCM) pro, you’re burning money.

If you’re a facility administrator, you feel it from all sides: revenue’s down, complaints are up, and somehow you’re still expected to protect margins, meet compliance targets, and keep operations humming with half a team.

Spoiler: You can’t. Not without backup.

 

No time to read? Take these takeaways with you.

If you’re responsible for staffing and financial outcomes, unfilled RCM roles are your silent budget killer. Here’s how to fight back:

  • Vacant billing, coding, or collections roles = slow payments, denials, and budget misses.
  • Overburdened teams lead to more errors and higher turnover.
  • Contract RCM pros help you recover lost revenue—without inflating headcount.
  • The cost of delay almost always outweighs the cost of help.
  • You don’t need a full rebuild. You need support that fits your ops strategy.

 

The Real Cost of an Empty Chair

When your claims specialist calls out or your coder quits, it doesn’t show up on your patient schedule—but it absolutely shows up in your collections reports.

Missed deadlines. Denied claims. Angry calls from patients who “already paid.” And a line item in your AR report that won’t stop growing.

Multiply that by a week. A month. A quarter. Now you’re not just short-staffed. You’re in the red.

The average denial costs $118 to rework. And reworking takes time your team doesn’t have.

Overworked Isn’t a Strategy

Most in-house billing teams are already stretched thin. Add vacancies, and they’re duct-taping your revenue cycle together with caffeine and crossed fingers.

Productivity drops. Morale tanks. Errors go up. Turnover follows.

Your best medical biller starts job hunting. The rest are too burned out to notice another $4,000 denial just rolled in.

This isn’t sustainable. It’s not even neutral. It’s expensive.

If RCM burnout is bleeding you dry, talk to us about short-term RCM staffing fixes—fast relief, no long-term commitment. Fix My Staffing Gap.

Why Revenue Leakage Loves a Skeleton Crew

You already track headcount and productivity. But revenue leakage doesn’t show up as a red flag until it’s already a problem. It hides inside:

  • Denials that never got appealed
  • Charges missed due to under-documentation
  • Payments that never got posted correctly
  • Delayed collections because one person’s managing four job descriptions

When your payment poster is covering two desks and your denials specialist is MIA, things slip through. That’s money you’ll never see again.

 

Contract RCM Staff = Immediate Relief, Measurable ROI

You don’t need to rebuild your revenue cycle. You just need people who know what they’re doing, right now.

That’s where contract RCM professionals come in.

They’re not learning on the job. They’ve already worked your systems, know the codes, and understand what’s at stake.

You get:

  • Immediate productivity—no training required.
  • Higher clean claim rates from experienced coders and charge entry specialists.
  • Fewer denials because someone is actually following up.
  • Faster collections from a properly staffed AR team.
  • Happier in-house staff (because someone finally has their back).

They aren’t a luxury. They’re a fix.

 

Is It Really Worth the Cost?

Yes. Here’s the math.

Let’s say you delay $500,000 in claims this month because you’re short two people. Your average reimbursement time doubles.

That delay could cost you:

  • Interest on borrowed capital to cover operating expenses.
  • Penalties for late vendor payments.
  • Lost revenue from denied or underpaid claims.

Hiring two contract pros might cost you $15,000–$20,000/month.

You don’t need a finance degree to see the better deal.

 

But What About Compliance?

Glad you asked. That’s the beauty of experienced RCM professionals—they understand payer rules and compliance standards.

The good ones don’t just speed things up. They do it right.

If you’re worried about bringing in outside help, look for specialists with:

  • Experience in your EHR and clearinghouse.
  • HIPAA training and NDAs baked in.
  • References from facilities like yours.

Bonus points if they’ve worked with a documentation specialist or revenue integrity analyst—because billing fast means nothing if it’s not also accurate.

 

Stop the Leak Before It Becomes a Flood

Most facilities wait too long to fill the gaps. By the time help arrives, it’s cleanup mode.

Don’t wait for collections to crater or your team to burn out.

If your AR days are creeping up and denials are multiplying, you already know what’s wrong.

This isn’t a systems problem. It’s a staffing one. And it’s fixable.

Need billing and collections support? Let’s get your RCM team back on track—reach out today. Get RCM Help Now.

Drew Anson

Chief Delivery Officer

Drew Anson is Chief Delivery Officer at Phaxis, a Workforce Solutions Company based in New York.

In this role, Drew leads the delivery and recruiting working closely with the leadership team to define a model that is efficient at supporting the firm’s current needs and is scalable for future growth.

Drew is a seasoned executive with more than 13 years of Services & Recruitment experience. In that time, he has supported numerous Fortune 100/500/1000 organizations across industries by providing global workforce solutions, namely resources and thought leadership for large-scale projects, implementations, and managed services.

Prior to joining Phaxis predecessor firm Park Hudson in 2021, Drew spent three years at engineering technology and talent solutions firm, Collabera, as Director of Sales in North Carolina. Earlier in his career, he spent nearly eight years at Insight Global, most recently as Sales Manager of the Columbus, OH office.

He holds a degree from Central Michigan University in Sales & Marketing.

Favorite Book:   Extreme Ownership – Jocko Willink & Leif Babin
Favorite Team:   Michigan Wolverines
Inspirational Quote:  “There is no substitute for hard work.”  – Thomas A. Edison