Kaweah Health’s billing operation carried a significant backlog of aged claims. Throughput was not keeping pace with the volume of work, and denials were being managed after they arrived rather than through a more proactive operating model. The organization needed more than added capacity. It needed clearer workflows, stronger visibility and a team that could help execute across the revenue cycle with consistency.

VitalCX took on operational ownership across eligibility, portal operations, claims, denials, appeals and reporting. The team introduced more consistent workflows, stronger reporting and an enhanced claim-comment structure that became a best-practice reference across departments. This helped Kaweah Health move from reactive claims management to a more disciplined, measurable revenue cycle operation. As the work matured, the team scaled from 20 to 58 while performance continued to improve.

Kaweah Health reduced aged inventory by more than 80% in four months. Claims-per-hour throughput doubled from 25 to 50, with top performers reaching 200 claims per day. The team scaled significantly while maintaining quality and improving financial performance. Monthly collections also rose approximately 20.8% from June to July 2025. With VitalCX, Kaweah Health created a stronger operating model for billing performance, throughput and revenue visibility.