Burnout Is Contagious: Why Workforce Well-Being Matters to the Revenue Cycle

Jul 21, 2026

Healthcare leaders have spent years discussing burnout through the lens of clinicians, nurses, and providers. While that conversation remains critically important, there is another side of burnout that deserves equal attention—one that quietly influences patient satisfaction, revenue cycle performance, and financial outcomes every day. 

Burnout doesn’t stop at the bedside. It travels. 

It moves from overwhelmed registration teams to delayed eligibility verification. From exhausted financial counselors to difficult patient conversations. From stressed contact center representatives to frustrated patients trying to understand a medical bill. 

Every interaction throughout the revenue cycle is a human interaction first. 

And when the people responsible for those interactions are thriving, patients notice. 

 

Burnout Doesn’t Stay in One Department 

The revenue cycle is often viewed as a series of operational workflows—scheduling, registration, insurance verification, billing, statements, payment plans, collections. 

In reality, it’s a chain of human conversations. When one link in that chain experiences chronic stress, the effects ripple across the patient’s journey. 

A rushed pre-registration can create downstream billing errors. 

An overwhelmed financial counselor may have less time to educate patients about available payment options. 

Longer call wait times increase patient frustration before a conversation even begins. 

Delayed follow-up communications allow balances to age and become more difficult to resolve. 

These aren’t simply operational issues—they’re human ones. 

As healthcare organizations continue navigating staffing shortages, reimbursement pressures, and increasing consumer expectations, workforce resilience is becoming just as important as workflow efficiency. 

 

Burnout Creates Operational Friction 

Revenue cycle leaders track key performance indicators such as Days in Accounts Receivable (A/R), call abandonment, first-call resolution, cash acceleration, and patient satisfaction. 

What often goes unseen is the human factor influencing each of those metrics. 

Burnout can contribute to: 

  • Longer call wait times 
  • Higher employee turnover 
  • Increased training and onboarding costs 
  • More operational rework 
  • Inconsistent patient communication 
  • Delayed follow-up on outstanding balances 

 

According to the American Hospital Association, hospitals continue to face significant workforce shortages across both clinical and non-clinical roles, placing additional strain on existing teams and operational performance.  

The result is operational friction—small inefficiencies that compound over time and affect both the patient experience and financial performance. 

 

Patients Experience the Symptoms of Burnout 

Patients rarely know how many vacancies exist within a revenue cycle department. They don’t know staffing ratios or turnover rates. What they experience are the symptoms. 

A longer hold time. 

Multiple transfers before reaching the right person. 

Confusing financial information. 

Delayed responses. 

Repeated requests for the same documentation. 

Each interaction shapes a patient’s perception of the organization long after clinical care has been delivered. 

Research from Press Ganey continues to demonstrate that patient experience is influenced by every touchpoint throughout the healthcare journey—including financial interactions after care has been received. 

When financial conversations feel rushed or confusing, trust begins to erode. 

When they’re clear, compassionate, and timely, patients are more likely to engage, ask questions, and resolve balances sooner. 

 

Resilience Is More Than Self-Care 

Conversations around burnout often focus on self-care. While personal well-being is important, organizational resilience requires something more. It requires reducing unnecessary stress before it reaches employees. 

During a recent HFMA Region 10 webinar on The Science of Self-Care: Burnout Prevention Strategies that Actually Work, one message resonated strongly; resilience isn’t something organizations build during a crisis—it is strengthened through everyday operational decisions. 

Burnout Coach, Natalia Samman, LCSW shared her three “R” principles in her Science of Self-Care Webinar that apply just as much to healthcare finance teams as they do to individual well-being: 

 

Reduce Incoming Stress 

Operational complexity is one of the greatest contributors to burnout. 

Clear workflows, effective training, proactive patient communication, and intuitive technology reduce unnecessary friction for both employees and patients. 

 

Recover More Quickly 

Periods of high patient volume, staffing transitions, and regulatory change are inevitable. 

Organizations that leverage scalable staffing models, Extended Business Office (EBO) partnerships, automation, and cross-functional collaboration are better equipped to recover without compromising service quality. 

 

Increase Resilience 

Resilient organizations continuously invest in their people. 

They provide coaching, celebrate progress, encourage collaboration, and equip teams with the tools needed to navigate change confidently. 

These aren’t simply workforce initiatives. 

They’re operational strategies. 

According to Natalia Samman:  

 

Burnout’s contagion is spread both through culture and workload. Burnt out employees are 63% more likely to take a sick day* and 2.6 times as likely to be job-searching. Research across industries shows that burnt out employees are anywhere from 13% to 50%* more likely to cause a significant performance or medical error. Mistakes and staffing issues only further burden overstretched teams. 

 

Burnout impacts mood, creativity, engagement, and energy levels. Working in close proximity with a cynical, anxious, or irritable burnt-out colleague, can be wearing. Culture and engagement suffer.  

 

Simply put, think of a time you worked with a burnt-out team. People are grumpy and checked-out, complaining “by the water cooler”. Morale is low. Quality of work is poor and you are watching deadlines loom as everyone struggles. Your already-full plate is piled up with more work as mistakes and messes are made. Who wants to work that way? Of course, burnout spreads!  

 

Targeting burnout as early as possible in yourself, or for your team in your role as a leader, is one of the most impactful protectors of patients, profits, and your people. 

 

If you are interested in finding out more about if you are burned out or just stressed, Natalia offers a quick quiz Is it Burnout or Stress? Self-Assessment”. 

 

Technology Should Reduce Friction, Not Replace People 

Artificial intelligence and automation continue transforming healthcare revenue cycle operations. 

Routine administrative work can increasingly be automated. 

Analytics can identify patient behaviors more quickly. 

Digital communications can improve outreach efficiency. 

Yet technology cannot replace the empathy required to explain a confusing statement, guide a patient through financial assistance options, or provide reassurance during a stressful conversation. 

Technology should enhance human connection—not eliminate it. 

The organizations seeing the greatest success are using technology to remove repetitive work so their teams can focus on the conversations that matter most. 

 

Workforce Well-Being Is Patient Well-Being 

Every patient interaction is an opportunity to reduce confusion, build confidence, and help someone navigate one of the most stressful moments in their healthcare journey. 

When organizations create environments where team members feel supported, equipped, and connected to a shared purpose, that experience naturally extends to patients. Clear communication becomes more consistent. Financial conversations become more compassionate. Trust grows, engagement improves, and patients are more empowered to take the next step in resolving their financial responsibility. 

The result isn’t simply a healthier workplace—it’s a stronger revenue cycle. 

Technology can streamline processes. Analytics can uncover opportunities. Automation can reduce administrative burden. But people remain at the center of every meaningful patient interaction. 

The future of healthcare finance won’t be defined solely by smarter technology or faster automation. It will be defined by organizations that recognize an enduring truth: healthy revenue cycles are built by healthy teams. 

At Revenue Enterprises, we believe operational excellence and workforce well-being are not competing priorities—they’re complementary strategies. By investing in resilient teams, thoughtful communication, and patient-centered engagement, healthcare organizations can strengthen financial performance while delivering the compassionate experience patients deserve. 

Karie Bostwick

VP of People and Compliance

As VP of People and Compliance at Revenue Enterprises, Karie Bostwick oversees People functions including recruiting, training, onboarding, engagement and satisfaction. Additionally, she is responsible for compliance training, oversight and monitoring.

Karie has a long history of working in the revenue cycle support industry. Her skills span leadership, operations start up, policies and procedures development, operations workflow, budgeting and client management.

She is passionate about the experience of our people, patients and the Healthcare clients we serve and believes that a team of diverse, talented and motivated individuals working together toward a common goal can make a difference.

Robert Sterett

VP of Information Technology

As a transformational leader Robert Sterett has leveraged his 20 years of experience to build effective service lines and exceptional teams. In his role as VP of Information Technology at Revenue Enterprises, Robert excels at taking a unique, balanced, and strategic approach to technology leadership with people first for the best possible outcome. Using his experience from engineering, project management and service line management he takes a multi-faceted approach to ensure the right people are in the correct position coupled with the best technology to meet or exceed all expectations from security to compliance and business continuity.

Robert’s leadership style lends itself to building long term relationships and has consistently been a relied upon strength in many organizations. Over Robert’s time as an IT operational and project leader, he has spent significant time in both hands-on technology facing roles and client centric management roles to bring the best solutions that strive to meet the business and client needs.

Focusing heavily on his personal development skills and opportunities, Robert continues to foster coaching and mentorship relationships everywhere in his life, and the lives around him.

Douglas Dunbar

VP of Sales & Marketing

As VP of Sales and Marketing for Revenue Enterprises, Douglas Dunbar leads with a passion for building strategic partnerships, nurturing relationships, and upholding customer service excellence. In his role, Doug focuses on marketing and brand strategy, sales team leadership, and working closely with members of the management team to best serve company goals.

Doug has over 28 years of National sales and marketing call/contact center leadership, with 10 years of service specifically at Revenue Enterprises. Currently, Doug serves as part of Wyoming HFMA Chapter leadership and has held various roles in Colorado HFMA Chapter leadership for over 9 years.

In his spare time, Doug is very family oriented. Additionally, he loves traveling, cycling, golfing, fishing, hunting, and boating.

Kris Brumley, MBA

President & COO

As President & COO of Revenue Enterprises, Kris Brumley is a collaborative partner within the executive team and a leader for operational functions across the organization. Kris productively shares vision, drives innovation, and supports those around her in a way that elevates them and fosters continuous improvement and results. She has helped create a supportive environment for clients resulting in 98% client retention and a 65% NPS score for all clients and 75% for top clients by revenue.

Kris possesses an MBA in data analytics and has twenty-five years of experience in the healthcare industry, with 19 specifically in revenue cycle. She brings a wealth of customer service experience to her role and has worn many hats at Revenue Enterprises including Director of Business Development, EBO Division Director, and VP of Client Experience Management.

In her personal life, Kris is as busy outside of work as inside. She values spending time with her family, and enjoys fishing, hiking, traveling and interior decorating and design.

Timothy (Tim) Brainerd

CEO

As CEO of Revenue Enterprises for almost 20 years, Tim Brainerd leads by example. He promotes a shared vision and stewards a culture of Integrity, Passion, and Respect. He has assembled and empowered high-performing talent and teams to support customers, facilitate strategic planning and manage the capital of the company. Under his leadership, Revenue Enterprises has doubled in size three times over the past fifteen years while maintaining a culture of caring and gratefulness.

Tim has close to four decades of revenue cycle experience, including nineteen years with RSI
Enterprises. He has been a past president of Colorado Chapter of the HFMA and a presenting speaker on the topic of Leadership. He is a fifteen-year member of Vistage International, the world’s largest CEO coaching and peer advisory organization for small and midsize business leaders.

Raised in the Midwest, Tim values humble principles like being respectful, caring, passionate, self-reliant, and most importantly grateful. His most important lesson and the lesson he hopes to pass on in all relationships is living the Golden Rule–do unto others as you would have them do unto you. He is intentional in his choices and believes in making decisions, taking action, being accountable, and loving your neighbors.

Whenever possible, Tim spends his time with his wife of nearly forty years, his adult children, and his grandchildren. His hobbies include fishing, golfing, traveling as well as game nights and sharing great food with his family.