Pranay Walke

Previous I worked as a Jr. RCM Associate at Pertinent Healthcare Business Solutions. Detail-oriented support professional with experience in global service operation, customer support, and process-driven environments. Experienced in validating patient information, identifying coverage discrepancies, and supporting claim resolution to ensure timely reimbursement. Committed to accuracy, compliance, and continuous process improvement.

Jr. RCM Associate at Pertinent Business Solutions (2024-10 – 2026-06)

RCM

• Conducted Eligibility Verification and managed Accounts receivable for U.S. Based healthcare clients.
• Handling the VFD (virtual front desk) department.
• Generate bills and invoices for new policies in a timely and accurate manner.
• Basic understanding of US healthcare Dental process.
• Knowledge of medical billing and insurance.
• Improved claim verification efficiency and ensured compliance with U.S. healthcare regulations.
• Communicate with insurance companies for the purpose of collecting and documenting information necessary to financially clear patients eligibility, authorization, benefits, and calculate patient liability.
• Ensure all notifications and authorisations are completed within the required timeframe.
• Gained practical exposure to medical billing processes and financial operations in healthcare.
• Update & Maintain the dental patient record, insurance documents.
• Pulling information from various internal repositories.

MBA in Finance & Business Analytics