Sriram Raghavan
CEO @ GetMax Healthcare | I deploy AI Agents that recover denied claims, verify eligibility for 25 cents, and credential providers — for US Independent Clinics & Value-Based Care
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Most US independent clinics and value-based care networks are bleeding 5–15% of revenue every month. Not because of bad medicine — because their billing infrastructure runs on phone calls, spreadsheets, and human memory.That model collapses at scale. Especially in value-based care, where every denied claim, late submission, and credentialing gap directly hits your risk-adjusted revenue.I built GetMax Healthcare to fix this with AI Agents — not more headcount.🤖 OUR AGENTS DO THE WORK YOUR BILLERS HATE:▪ Eligibility Agent — verifies patients in real-time. 25¢ per check (vs $5 manual).▪ Claim Scrubbing Agent — runs NCCI edits + payer rules before submission.▪ Denial Recovery Agent — auto-categorizes denials, triggers appeals, owns timelines.▪ Status Agent — pulls X12 276/277 every 24h. No more phone calls to payers.▪ Credentialing Agent — tracks CAQH, license renewals, payer enrollments end-to-end.▪ Prior Auth Agent — submits, tracks, and escalates auths with payer logic built in.🏥 WHO WE
Intro
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Availability
- Open to
- Full-time, Freelance, Contract
- Work mode
- Remote
- Notice
- Immediately
- Languages
- tamil, english
Experience
Founder & CEO
GetMax Healthcare Pvt Ltd.
We launched GetMax Healthcare to solve one of the biggest breakdowns in U.S. healthcare — the misalignment between care delivery and revenue collection. After spending a decade in the U.S. RCM space (EMS billing, coding, denials, and A/R recovery), I realized most providers operate with broken systems: outdated vendor models, siloed teams, and no real data visibility. At GetMax, we’re building a lean but powerful RCM engine backed by automation, analytics, and real operator i
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Education
University of Madras
Bachelor's degree, Criminology & Police Administration
Madras Christian College
Bachelor of Science - BS, Statistics
Guru Nanak College
Bachelor’s Degree, Computer Science