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Pratap Namburi

@pratapnamburi

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RCM professional at Access HealthCare Pvt Ltd, reporting offshore KPIs and A/R health to Account Managers.

India

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At Access HealthCare Pvt Ltd, I support RCM Account Managers with client inquiries and process improvements. I also present reports on offshore KPIs and overall A/R health.

I oversee and coach an offshore team, and manage subrogation workflows for Machinify (formerly known as The Rawlings Group).

Previously, at Waterlabs AI Pvt Ltd, I handled complex denial follow-ups, reconsiderations, and appeals. I also researched payer policies and resolved payment and adjustment discrepancies.

Experience

Work history, roles, and key accomplishments

Current

RCM Support Specialist

Current

Access HealthCare Pvt Ltd

Jul 2025 - Present (1 year 3 months)

Support RCM Account Managers with client inquiries and process improvements. Oversee and coach offshore team members, and present KPI and A/R health reports.

RCM Accounts Receivable Denial Management KPI Reporting Team Coaching Subrogation

Denial Management Analyst

Waterlabs AI Pvt Ltd

Feb 2023 - Apr 2025 (2 years 2 months)

Completed high-complexity denial follow-ups, submitted reconsiderations, and executed formal appeals. Researched and resolved payment discrepancies and conducted payer policy research.

Denial Management Appeals Payment Discrepancy and Deduction Resolution Payer Policy Research Medical Necessity Criteria

Accounts Receivable Specialist

Omega HealthCare Services and Management

Jul 2022 - Dec 2022 (5 months)

Identified, investigated, and resolved unpaid or delinquent claims across clearinghouse and carrier platforms. Supported A/R management, statement auditing, and payment posting.

Accounts Receivable Claim Resolution Clearinghouses Payment Posting Audit

Senior Accounts Receivable Analyst

Access HealthCare Pvt Ltd

Nov 2018 - Jun 2022 (3 years 7 months)

Managed high-volume A/R accounts with focus on minimizing outstanding dollars over 60 days. Interacted with insurance companies to reverse denials and secure balances.

Accounts Receivable Denial Reversal Insurance Communications Timely Filing Radiology Ambulatory