
Vaishnavi Shriwastav
@vaishnavishriwastav
Healthcare authorization professional at Credence Resource Management handling payer approvals and reviewing ICD-10 and CPT codes.
What I'm looking for
At Credence Resource Management, I handle authorization processing, from verification and submission through follow-up and status tracking under payer guidelines. I review patient and insurance information and document cases to support timely, accurate processing.
I coordinate with payers and internal teams on authorization status, pending requests, and required documentation. I also review ICD-10 diagnosis codes and CPT procedure codes to support authorization processing.
I use Salesforce, LIMS, MGML, Gliding, and Infinx for case processing and documentation, along with payer portals including Availity, UHC, Aetna, BCBS, and Evicore.
At Ifedora Services Pvt Ltd, I handled healthcare RCM, EV/BV, and authorization cases across Rheumatology and Oncology. I also worked with Veradigm/Allscript, OncoEMR, and Practice Fusion; I’m seeking an opportunity in Medical Coding and RCM.
Experience
Work history, roles, and key accomplishments
Process Executive (Authorization)
Credence Resource Management
Mar 2025 - Present (1 year 7 months)
Handled authorization processes including verification, submission, follow-up, and status tracking per payer guidelines. Reviewed patient and insurance information, coordinated with payers and internal teams, and maintained accurate documentation.
Process Associate (Authorization)
Ifedora Services Pvt Ltd
Aug 2024 - Mar 2025 (7 months)
Performed Eligibility & Benefits Verification (EV/BV) and handled end-to-end insurance authorization processes across Rheumatology & Oncology. Reviewed ICD-10 and CPT codes and used payer portals for verification and tracking.
Clinical Pharmacist
Ashirwaad Multi-speciality Hospital
Jun 2024 - Aug 2024 (2 months)
Worked as a Clinical Pharmacist at Ashirwaad Multi-speciality Hospital, providing pharmaceutical care and supporting clinical services.
Education
Degrees, certifications, and relevant coursework
Karmayogi Tatyasaheb Bondre Institute of Pharmacy
Bachelor of Pharmacy, Pharmacy
Grade: 80.39%
Completed Bachelor of Pharmacy with 80.39%.
Sahakar Vidya Mandir and Jr Science College
Higher Secondary Certificate, Science
Grade: 72%
Completed Higher Secondary Certificate (HSC) with 72%.
Sharda Convent
Secondary School Certificate, General
Grade: 80%
Completed Secondary School Certificate (SSC) with 80%.
Pacifix Research Pune
Professional Diploma in Clinical Research, Clinical Research
Certified and trained in Professional Diploma course in Clinical Research.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Social media
Job categories
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