Krishna Kakde patil

RCM Process Associate with 2.6 years of experience in US Healthcare Revenue Cycle Management, specializing in Eligibility Verification, Benefits Verification, Prior Authorization, Escalation Accounts Resolution and E-Fax Management. Experienced in working with laboratory billing and specialties including Women's Health, Oncology, Organ Health, Primary Care and Endocrinology. Strong working knowledge of Salesforce, AdvancedMD, OfficeMD, PracticeFusion and online insurance portals, with a focus on accuracy, SLA, quality, productivity and root-cause resolution.

Process Associate - Credence Resource Management - Pune, Maharashtra

(2025-06)

Natera Inc. – Laboratory Billing

• Handle Eligibility Verification, Escalation Accounts Resolution, Client Projects, Prior Authorization and E-Fax Management.
• Work across major specialties including Women's Health, Oncology and Organ Health.
• Use Salesforce, FRHC and AdvancedMD for core RCM work and account management.
• Work on the Xcure Project, supporting escalation reduction while maintaining quality and productivity.
• Conduct eligibility checks through online portals and coordinate phone verification with insurance companies when required.
• Review PCP referrals and authorization requirements; coordinate with providers to obtain required referrals and submit authorization requests.
• Maintain accurate patient data while following clinic policies, compliance requirements and SLA timelines.

Process Associate – Level 2 - Fedora - Ahmedabad, Gujarat

(2024-05 - 2025-05)

• Managed projects for Primary Care and specialty services including Oncology and Endocrinology.
• Performed Eligibility Verification through online portals and followed up with insurance providers by phone when required.
• Used OfficeMD and PracticeFusion for core process activities and patient/coverage verification.
• Communicated coverage details and self-pay options clearly to patients.
• Supported appointment scheduling and eligibility verification while maintaining process accuracy and productivity.

Junior Process Associate - Zystamtic - Ahmedabad, Gujarat

(2023-11 - 2024-04)

• Performed Eligibility Verification and Benefits Verification using online insurance portals.
• Worked with AdvancedMD and web-based portals to verify active coverage and patient benefits.
• Supported accurate documentation and timely completion of assigned RCM tasks within SLA.

Diploma in Pharmacy - Pharmacy - Sree Goraksha College, Khamgaon, Aurangabad (2020)

MS-CIT Computer Course - Computer Course (2019)

12th Grade (2019)

10th Grade (2016)