Prathmesh Shejal

About Prathmesh Shejal

I have hands-on experience in medical billing, prior authorization, with a strong understanding of the revenue cycle management (RCM) process. Skilled in processing insurance claims, verifying patient eligibility, resolving claim denials, and coordinating with providers and payers to ensure accurate and timely reimbursements.Proficient in using billing software and EHR systems, I focus on improving claim accuracy, reducing denials, and streamlining workflows to enhance efficiency. Passionate about delivering high-quality billing support while maintaining compliance with healthcare regulations (HIPAA). Key Skills: Prior Authorization | Insurance verification | RCM Goal: To contribute my expertise to a growing healthcare organization and support seamless billing operations.

Experience

1. Medical Billing Specialist

   Credence Global Solutions

   Jul 2025 — Present · Pune, IN

Education

• Dr.Babasaheb Ambedkar Technological University, Lonere - Raigad

  Bachelor of Pharmacy - BPharm, Pharmacy

• The Ichalkaranji Highschool

  Highschool Certificate

  2018 — 2019