Pooja Mutha

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.

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.

B.Com - Pune University (2018)

12th - Pune (2015)

10th - Pune (2013)