shashank ingole
@shashankingole
I’m a US Healthcare RCM prior authorization specialist improving approvals, denials resolution, and turnaround time.
What I'm looking for
I’m a Prior Authorization and Eligibility Verification Specialist with 2+ years of experience in US Healthcare Revenue Cycle Management (RCM). I focus on insurance verification, prior authorization processing, and navigating denials and appeals with accuracy.
In my current role at Omega Healthcare (Apr 2024 – Present), I process 40+ eligibility & benefits verifications daily with ~95% accuracy. I submit, track, and follow up on prior authorization requests while performing detailed verification of copay, deductible, coinsurance, and OOP.
I’ve built a strong track record in improving turnaround time and approval outcomes—reducing authorization turnaround time by ~20%. I handle prior authorization denials and appeals effectively and ensure HIPAA compliance with accurate documentation across payer workflows.
I’m also comfortable working across payer portals and tools such as UHC, Aetna, BCBS, Cigna, and systems like Availity, AdvancedMD, TCN, PVerify, and CRM systems. I’m looking to bring my payer communication skills and RCM execution to a team that values speed, quality, and measurable performance.
Experience
Work history, roles, and key accomplishments
Prior Authorization Specialist
Omega Healthcare
Apr 2024 - Present (2 years 2 months)
Processed 40+ daily eligibility and benefits verifications with ~95% accuracy and managed prior authorization requests across UHC, Aetna, BCBS, and Cigna. Reduced authorization turnaround time by ~20% by handling denials and appeals and maintaining HIPAA-compliant documentation.
Business Development Associate
Byju’s
Jun 2021 - Oct 2021 (4 months)
Drove lead generation and outbound calling, scheduling product demos and client sessions while maintaining CRM records and tracking pipeline. Consistently achieved monthly targets through structured outreach and follow-ups.
Education
Degrees, certifications, and relevant coursework
MIT Pune
Bachelor of Engineering, Polymer Engineering
Earned a B.E. in Polymer Engineering from MIT Pune.
Govt Polytechnic Amravati
Diploma
Completed a Diploma program at Govt Polytechnic Amravati.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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