Pooja Mutha
Results-driven Senior Executive with 4+ years of experience in US Healthcare Voice, Prior Authorization, Claims Management, and US Mortgage Processing
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About
Results-driven Senior Executive with 4+ years of experience in US Healthcare Voice, Prior Authorization, Claims Management, and US Mortgage Processing. Proven ability to manage authorization workflows, reduce denials, improve operational efficiency, and collaborate with cross-functional teams.
Experience
Prior Authorization Associate - Credence Resource Management
(2024-07 - 2025-12)
- Processed prior authorization requests in compliance with payer and regulatory requirements.
- Coordinated with healthcare providers and insurance carriers to expedite approvals.
- Maintained accurate documentation for authorization workflows and case updates.
- Analyzed denial patterns and recommended corrective actions to reduce future denials.
- Provided mentorship and training to new team members on PA guidelines and best practices.
Sr. Executive (US Healthcare Domain) - WNS Global Services
(2022-04 - 2024-07)
- Identified complex customer challenges and implemented effective solutions.
- Analyzed customer data to forecast trends and enhance process efficiency.
- Ensured accurate resolution of customer queries and cases.
- Mentored and supported new associates to improve process understanding and performance.
Sr. Executive (US Residential Mortgage) - SLK Global Solutions
(2019-10 - 2022-03)
- Verified customer documents and facilitated payment release.
- Coordinated with banks for document authenticity and compliance checks.
- Delivered accurate and timely customer service to address queries and requirements.
- Trained new team members on loan processing workflows.
Education
B.Com - Pune University (2018)
12th - Pune (2015)
10th - Pune (2013)
