Open to opportunities

Pranali Wankhade

@pranaliwankhade

Message

I streamline healthcare authorization, billing, and revenue cycle workflows to reduce claim denials.

India

Message

What I'm looking for

I'm looking for healthcare operations or revenue cycle roles where I can improve authorization, eligibility, billing, compliance, and denial-management workflows while supporting team performance and service quality.

At Intelligentdx, I manage end-to-end patient authorization workflows, from demographics verification and EVBV to prior authorization processing, ICD-10/CPT coding, and HIPAA-compliant quality audits.

Previously at First Insight Software Solution, I handled authorization and billing workflows across Medicare, Medicaid, and private insurers, collaborating with clinical and billing teams to prevent rejections and improve first-pass claim acceptance. I also mentor new hires, support capacity planning, and use EHR/EMR systems and Jira to keep healthcare operations accurate and efficient.

Experience

Work history, roles, and key accomplishments

Current

Medical Authorization Associate

Current

Intelligentdx Pvt Ltd

Apr 2024 - Present (2 years 4 months)

Managed end-to-end patient authorization workflows including demographics verification, EVBV, and prior authorization processing with high accuracy. Executed regular audits of healthcare processes to ensure compliance with industry standards and internal quality benchmarks.

Jira ICD 10 CPT Coding HIPAA Prior Authorizations Audit

Operations Associate

First Insight Software Solution Pvt. Ltd

May 2020 - Mar 2024 (3 years 10 months)

Managed authorization and billing workflows across Medicare, Medicaid, and private insurance platforms with strong attention to payer-specific guidelines. Performed comprehensive EVBV, confirming coverage details, co-pays, deductibles, and authorization requirements prior to service initiation.

Medicare Medicaid Eligibility Verification RCM Claims Processing Denial Management