Open to opportunities

pradnyesh kumbhar

@pradnyeshkumbhar

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Experienced accounts receivable specialist skilled in claims review, denial resolution, and revenue recovery.

India

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What I'm looking for

I am seeking a role in a fast-paced healthcare organization where I can apply AR and denial-resolution expertise, collaborate with teams, and drive measurable revenue improvements.

I am an accounts receivable professional with over six years of experience in healthcare revenue cycle management, focusing on claim review, denial resolution, and insurer follow-up. I have worked across multiple organizations handling AR activities and prioritizing unpaid claims to improve collections.

My strengths include strong analytical and problem-solving skills, clear communication with payers and stakeholders, and experience using SAP/RCI/EPIC. I proactively identify trends, communicate findings to reduce recurring errors, and ensure physicians' efforts are accurately reimbursed.

I am a collaborative team player who is passionate about continuous learning and contributing to organizational success. I seek opportunities where I can apply my AR expertise to drive timely claim resolution and revenue improvement.

Experience

Work history, roles, and key accomplishments

Current

Accounts Receivable Specialist

Current

Pacific Access Healthcare

Performed end-to-end accounts receivable functions: reviewed denials, resolved claims via insurer interaction, and prioritized unpaid claims to improve collections efficiency.

Accounts Receivable Prioritization Epic Problem Solving

Accounts Receivable Specialist

Infinx

Managed accounts receivable tasks including denial review and resolution, prioritized unpaid claims, and liaised with insurers to secure payments and status updates.

Denial Management Insurance Follow Up Accounts Receivable Epic Analytical Skills

Senior Accounts Receivable

Gebbs

Led senior accounts receivable activities including analyzing insurance claims, resolving denials, identifying trends, and communicating errors to stakeholders to reduce future claim issues.

Insurance Coordination Accounts Receivable SAP