Looking for a job

vishwajeet Jadhav

@vishwajeetjadhav

US Healthcare RCM professional with 1+ year in Prior Authorization, Insurance Verification, and Benefits Verification. B.Pharm graduate with PG Diplom

India

Message

What I'm looking for

I'm seeking remote healthcare operations, RCM, prior authorization, patient access, or payer operations roles with organizations that support India-based hiring. I'm open to direct employment, EOR, contractor models, and collaboration with international teams.

US Healthcare Revenue Cycle Management (RCM) professional with 1+ year of experience in Prior Authorization, Insurance Eligibility Verification, Benefits Verification, and healthcare documentation review. Experienced in supporting oncology and radiology workflows, working with payer portals including UnitedHealthcare (UHC), Carelon, CareCore, and Availity, and handling insurance verification for Aetna, Cigna, UnitedHealthcare, and BCBS. Strong working knowledge of HIPAA, ICD-10, CPT, HCPCS, EMR/EHR, claims support, payer follow-up, and denial prevention. Holds a Bachelor of Pharmacy (B.Pharm) and PG Diploma in Clinical Research, combining healthcare operations expertise with clinical and pharmaceutical knowledge. Seeking opportunities in RCM, Prior Authorization, Patient Access, Insurance Verification, Healthcare Operations, and Payer Services, including remote roles with international organizations hiring talent from India.

Experience

Work history, roles, and key accomplishments

RCM Executive - Prior Authorization

Fedora Services Pvt. Ltd.

Feb 2025 - Apr 2026 (1 year 2 months)

Processed US healthcare prior authorization requests by reviewing clinical documentation and verifying insurance eligibility and benefits. Used payer portals including UHC, Carelon, CareCore, and Availity to support oncology and radiology authorization workflows.