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shashank ingole

@shashankingole

I’m a US Healthcare RCM prior authorization specialist improving approvals, denials resolution, and turnaround time.

India
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What I'm looking for

I’m looking for a US Healthcare RCM role where I can own prior authorization and eligibility workflows end-to-end—driving faster turnaround times and higher approval rates while staying strict with HIPAA and documentation accuracy.

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

Education

Degrees, certifications, and relevant coursework

MP

MIT Pune

Bachelor of Engineering, Polymer Engineering

Earned a B.E. in Polymer Engineering from MIT Pune.

GA

Govt Polytechnic Amravati

Diploma

Completed a Diploma program at Govt Polytechnic Amravati.

Tech stack

Software and tools used professionally

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