Sumit Lokare

Detail-oriented and motivated Bachelor of Pharmacy graduate with over 1 year of experience in U.S. Healthcare, specializing in Prior Authorization, Eligibility Verification, Medical Billing, and Revenue Cycle Management (RCM). Experienced in managing insurance authorizations, verifying patient benefits, coordinating with providers and payers, and reducing claim denials through accurate documentation and process optimization.

Medical Billing Specialist at Meditab Software (India) Pvt. Ltd. (2025-04 – Present)

• Manage end-to-end Prior Authorization processes to ensure seamless revenue flow and minimal delays.
• Perform Eligibility Verification for Commercial, Medicare, and Medicaid plans.
• Verify patient demographics, coverage limits, copays, deductibles, and authorization guidelines.
• Coordinate actively with healthcare providers and insurance payers to proactively minimize claim denials.
• Document all eligibility and authorization information with exceptional precision and compliance.

Bachelor of Pharmacy in Pharmacy – Dattakala College of Pharmacy

Higher Secondary Certificate – S.M.P. English School & Jr. College

Secondary School Certificate – S.N.R. School & Jr. College