Finance, HR, Revenue Cycle,
and Tax. Delivered as
Outcomes. Not Headcount.
Elixir manages back-office operations across five service lines through purpose-built workflows. The outcome is the product. Agents handle the volume. Specialists handle the exceptions. Performance tied to contract.
60 to 70%
Productivity Gains
Productivity gains across core finance functions through automation
40 to 60%
Cost Reduction
Reduction in operational costs through agent-based delivery
25 Yrs
Delivery Credibility
Years of active Finance, HR, and Tax delivery across MENA, APAC, and India
10%
Fee at Risk
Of the base fee placed at risk against agreed performance targets per service line
The delivery model
Service as Software. The Outcome is the Product, Not the Tool.
For over two decades, the standard outsourcing model worked like this: you hired people, procured the ERP, bought the tools, and budgeted for the infrastructure. The vendor supplied headcount. Performance was reviewed quarterly. The contract rarely changed and neither did the outcomes.
Elixir's model inverts this entirely. Purpose-built workflows handle S2P, O2C, R2R, payroll processing, claim submission, and supplier onboarding at the transaction layer. When an invoice does not match a purchase order, a specialist resolves it. When a claim is denied, a specialist works the appeal. When a payroll filing has a compliance edge case, a compliance expert handles it. Agents cover the volume. People cover the exceptions.
This is Service as Software. The shared service center is now agent-based. The result is outcome-driven, globally scalable, and delivered at a fraction of the cost of the traditional BPO model.
"No more buying a tool. It is buying the result itself. The outcome is the product."
Anand Kakarla, Head of Agentic AI Operations, Elixir Global
The Autonomous Finance Market is forecast to reach USD 112.8 billion by 2031 from USD 33.2 billion in 2026, growing at a 27.7% CAGR.
Source: Mordor Intelligence, Autonomous Finance Market Report, 2026
What we deliver
Five Service Lines. One Delivery Model.
Each service line runs on the same framework: purpose-built workflows for transaction volume, specialists for exceptions, and outcome-based pricing that ties Elixir's fee to your results.
- Finance and Accounting Operations
- Revenue Cycle Management
- HR Operations: Hire to Retire
- Tax Agentic Operations
- Supply Chain Management (Specialized)
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See how healthcare organizations have restructured their operations before choosing a vendor.
Finance and Accounting Operations
S2P, O2C, R2R, and FP&A. Automated workflows handle invoice processing, payment execution, AR collections, GL journal entries, auto-reconciliation, and book close. Specialists handle exceptions, audit-sensitive decisions, and complex reconciliations. Outcomes include faster book close, reduction in close-cycle time, and audit-ready documentation produced throughout the engagement.
Revenue Cycle Management
Medical billing, coding, denial management, and AR recovery for US healthcare providers. Purpose-built workflows handle claim submission at volume. Specialists handle payer escalations, complex appeals, and authorization disputes. We support organizations ranging from independent practices to multi-site and large enterprise healthcare organizations, with particular depth in urgent care, primary care, multi-specialty groups, behavioral health, & DME.
HR Operations: Hire to Retire
End-to-end HR operations covering the full employee lifecycle. Elixir delivers hire-to-retire services across multiple platforms including Oracle, Workday, SAP, and our proprietary HROpal product, based on the client's environment and geography. For MENA, HROpal delivers statutory payroll compliance across 40+ countries with payroll accuracy tied to contract.
Tax Agentic Operations
Transfer pricing documentation, indirect tax compliance, and corporate tax process management for organizations with complex cross-border structures. Process execution and compliance support only. Tax advice and strategy remain with your appointed advisors. Filing accuracy tied to contract.
Supply Chain Management (Specialized)
Supplier identification, onboarding, credit risk analysis, contract management, and catalog management. Covers the full supplier lifecycle from qualification through ongoing performance management. Kite, Elixir's proprietary supplier validation tool, automates bank verification and compliance checks across the supplier network.
Industry depth
Built for How Your Industry Actually Runs
Healthcare Organizations We Work With
Urgent Care and
Primary Care
MSOs, independents, and regional and national groups.
Ambulatory
Services
Provider groups specialising in Radiology, Ortho and Spine, Pain Management, Ophthalmology, and Labs.
Hospitals and
Health Systems
IDNs, hospitals, Rural Health Centers, and FQHCs.
Behavioural
Health
Outpatient, IOPs, PHPs, and Addiction Treatment centers.
Elixir provides professional billing, coding, and revenue cycle support across each of these care settings. Facility-level billing for hospitals and ambulatory surgery centers is on our roadmap and not yet part of current scope.
Revenue Cycle
Management
- Eligibility & verification of benefits
- Patient demographic & charge entry
- Payment posting and claim submission
- Accounts receivable & denial management
- A/R follow-up with insurance and patient
Coding
Services
- ED Coding
- E/M Coding
- Radiology and IVR
- Surgery coding (professional)
- IP and DRG
Accounts
Receivable Services
- Rolling AR management
- Legacy AR recovery
- Payment posting
- Insurance appeals
Credentialing
Services
- CAQH management
- Provider & group enrollments
- Roster management
Technology Partnerships Built Into Delivery: Elixir partners with AI-native coding platforms built for urgent and primary care, HCC coding infrastructure purpose-built for risk adjustment, and integrated coding and RCM platforms for primary care and medical specialty providers. These are part of the delivery model, not optional add-ons.
Outcome: Clean claim rate and denial rate tied to contract. Up to 10% of fee at risk against agreed performance targets.
Finance and Accounting Operations, Configured for Banking and Financial Services
FAO for BFSI organizations is structured around what S2P, O2C, R2R, and FP&A actually mean in a financial services environment. R2R covers regulatory reporting across Basel, IFRS 9, and CECL frameworks alongside standard GL close. FP&A covers management reporting for banking divisions, insurance cost centers, and asset management entities. For asset managers, fund accounting, NAV calculation, and securities operations sit within the R2R and O2C scope.
Retail Banking
- Day-to-day transaction monitoring
- Payments and exceptions processing
- Reconciliations
- Account maintenance
- Claims
Mortgage
- Application processing
- Underwriting support
- Credit review
- New loan setup and admin
- Foreclosure support
- Post-closing reviews
- Reconciliations
Cards and
Payments
- Application processing
- Exception management
- Compliance review
- Chargeback management
- Payments processing
- Fraud investigation
AML & KYC
- Customer onboarding and periodic reviews
- KYC and AML remediation
- Transaction monitoring
- Watchlist filtering
- Sanctions screening
Investment
Banking
- Research and analysis
- Data management
- Trade processing and settlement
- Reconciliations, cash and stocks
- Clearing and settlement
- Financial reporting
Outcome: Reconciliation accuracy and close-cycle time tied to contract. Up to 10% of fee at risk per service line.
Manufacturing back-office operations carry specific revenue leakage points that standard finance outsourcing does not address. Warranty management, supplier billing, plant cost accounting, and multi-entity finance consolidation require operations expertise that understands how manufacturing businesses run.
Warranty Service
Management
When a product is returned under warranty, someone must determine coverage, recover costs from the authorized service provider, and track parts, labor, and transportation correctly. Unrecovered warranty costs represent revenue earned but never collected.
- Warranty claims processing and coverage determination
- Authorized service provider billing and cost recovery
- In-warranty vs out-of-warranty dispute resolution
- Parts and labor cost tracking and settlement
- Transportation cost management
Supply Chain and
Procurement Operations
Procurement costs leak when supplier management runs outside controlled workflows. Elixir closes the gap between contracted spend and actual spend.
- Supplier onboarding and credit risk assessment
- Purchase order management
- Three-way invoice matching and payment execution
- Supplier performance monitoring
- Supplier performance monitoring
Warranty Service
Management
- Standard cost variance analysis
- Overhead absorption and allocation reporting
- Work-in-progress accounting
- Multi-plant inventory reconciliation
- Capex and fixed asset management across plants
Warranty Service
Management
- OEM dealer and distributor billing
- Multi-tier pricing structure management
- Volume rebate tracking and settlement
- Field service billing and spare parts management
- Service contract administration
Outcome: Close-cycle time and reconciliation accuracy tied to contract. Up to 10% of fee at risk per service line.
Why Elixir
What Sets Elixir Apart
Service as Software, Not Software as a Service
Procurement that bypasses the approved process. Happens most often when the approved process is slower or harder than a direct supplier call. Technology alone does not fix this — the intake experience must be designed to be the path of least resistance.
Outcome-Based Pricing Across Every Service Line
Up to 10% of the base fee is placed at risk against a performance target in every engagement. Close-cycle time for FAO. Clean claim rate for RCM. Payroll accuracy for HR. Filing accuracy for Tax. Miss the target, the at-risk portion is not billed. The accountability is written into the contract, not communicated in a quarterly review.
25 Years of Delivery Credibility Across MENA, APAC, and India
Elixir's delivery history is built into every workflow. Country-specific statutory rules, regulatory filing calendars, and labour law requirements are maintained within the delivery model and updated as regulations change. Agents work across SAP, Oracle, Tally, and Workday. Your auditor will sign off.
See how finance, HR, and revenue cycle leaders have evaluated their outsourcing options before making a decision.
Explore how similar organizations have restructured their back-office before choosing a vendor.
How we engage
From Assessment to Delivery in Four Steps
Assessment
Elixir reviews your current operations, performance baselines, and compliance gaps across the service lines in scope. Denial rate, close-cycle time, payroll accuracy, and filing compliance are mapped and benchmarked against your existing performance.
Contract and Performance Targets
Performance targets, at-risk fee percentage, measurement periods, and upside structure are agreed and written into the contract before any work begins. No post-implementation surprises.
Structured Transition
Performance targets, at-risk fee percentage, measurement periods, and upside structure are agreed and written into the contract before any work begins. No post-implementation surprises.
Steady-State Delivery
Agents run the transaction volume and specialists handle the exceptions against the agreed targets. Performance is reported against contract, with the at-risk fee settled on the measured outcome.
Resources
Perspectives and Insights
View All ResourcesWhitepaper
Beyond AgentOps: Engineering Enterprise Infrastructure for Autonomous AI Systems
A CAIO reference architecture for operating non-deterministic AI at enterprise scale.
Download NowArticle
How Autonomous Finance is Transforming the Finance Function Globally
The case for Service as Software and why the outcome is now the product.
Read NowMarket Brief
Global Payroll Compliance Across MENA: What Standard Platforms Miss
A practical overview of statutory compliance gaps multi-country enterprises encounter with standard HR platforms.
Download NowFAQ
Common Questions
In traditional BPO, people handle the transaction volume. Regulatory changes require staff retraining. Audit cycles require manual documentation assembly. Elixir's delivery model inverts this. Purpose-built workflows handle invoice processing, claim submission, payroll runs, GL reconciliation, and supplier onboarding at the transaction layer. When a process hits an exception that requires judgment, a specialist steps in. This is Service as Software. The outcome is what is delivered. Agents cover 60 to 80% of routine operational workflows. Specialists cover the rest.
Each service line carries its own performance target agreed at contract start. FAO is measured against close-cycle time and reconciliation accuracy. RCM against clean claim rate or denial rate. HR against payroll accuracy rate. Tax against filing accuracy and on-time submission. Up to 10% of the base fee is at risk per service line. Miss a target, that at-risk portion is not billed. Exceed a target, Elixir earns a performance upside of up to 10%.
Elixir delivers hire-to-retire HR operations across multiple platforms based on the client's environment, geography, and preference. For organizations already on Oracle, SAP, or Workday, Elixir works within those platforms. For MENA-based organizations requiring statutory payroll compliance across 40+ countries, Elixir delivers via HROpal, its proprietary HR and payroll platform. Elixir is platform-agnostic on HR delivery.
S2P (Source to Pay) sits within Finance and Accounting Operations and covers the purchase requisition, purchase order, goods receipt, invoice, and payment cycle. Supply Chain Management is a separate specialized service covering the upstream supplier layer: supplier identification, onboarding, credit risk analysis, contract management, and catalog management. Both can be delivered independently or together depending on the organization's requirements.
Finance and Accounting Operations and RCM engagements are primarily delivered for North America and India. HR is Elixir's most globally distributed service line, covering 50+ countries, delivered through HROpal, our proprietary platform, or integrated with the client's existing platform, such as Oracle, SAP, or Workday, depending on geography and preference. Tax Agentic Operations covers organizations with cross-border structures across multiple jurisdictions. Supply Chain Management is available across North America, India, and MENA.
Yes. Most organizations begin with the service line carrying the highest immediate performance gap. Additional service lines are added under the same commercial arrangement with their own performance targets. A combined engagement spanning multiple service lines is available under a single contract with unified performance reporting.
Finance, HR, Revenue Cycle, and Tax. One vendor. The outcome is the product.
A 45-minute conversation with our operations team. We will review your current setup and help you understand which service lines are the right fit for your organization.
