Manish Kumar

Manage end-to-end prior authorization lifecycle for U.S. provider clients across multiple specialties, reducing service delays through proactive follow-ups and ensuring authorization validity to minimize downstream denials.

Conducted insurance eligibility verification and benefits investigation for U.S. services, identified authorization and referral requirements, and reduced rework and authorization-related denials through proactive verification.

Supported U.S. hospitals and large provider groups by managing high-volume prior authorization and verification requests, ensuring compliance with payer submission standards and aligning authorization with coding and billing to reduce denials.

Provided operational support for U.S. healthcare revenue cycle processes including insurance verification, data validation, and documentation review while maintaining accuracy and compliance in a high-volume environment.

Completed a Bachelor of Pharmacy degree with foundational training in pharmaceutical sciences relevant to healthcare operations and clinical workflows.