---
title: "naveen rathore - “US Healthcare Prior Authorization Specialist | Medical Insurance Process | Backend Operations” in North Delhi | Tal"
description: "Meet naveen rathore, • Handling Prior Authorization requests for US healthcare insurance plans • Reviewing patient eligibility, coverage, and medical necessity • Coordinating with payers and internal teams for approval processes based in North Delhi."
image: "https://tal.club/meet/naveen-rathore/share-image"
---

# naveen rathore on Tal

## Headline

• Handling Prior Authorization requests for US healthcare insurance plans • Reviewing patient eligibility, coverage, and medical necessity • Coordinating with payers and internal teams for approval processes

## About

I am final year student of pharmacy \.I just want to learn new things in pharmacy and I'm searching for internship \.

## Location

North Delhi

## Work experience

“US Healthcare Prior Authorization Specialist \| Medical Insurance Process \| Backend Operations” at Concentrix, Oct 2025 \- Present · 9 mos, Gurugram, Haryana, India, Working as a US Healthcare Prior Authorization Specialist with experience in handling insurance verification and approval processes\. • Reviewing medical records and insurance details for prior authorization • Coordinating with payers and providers for approvals • Ensuring compliance with US healthcare guidelines • Handling denials and follow\-ups efficiently • Maintaining accuracy and timely processing of cases Skilled in healthcare RCM processes, insurance workflows, and backend operations\.

Store Manager at Davaindia Generic Pharmacy, Mar 2024 \- Sep 2025 · 1 yr 7 mos, Delhi, India, As a Store Manager at Davaindia, I oversee daily retail pharmacy operations while ensuring high standards of customer service, compliance, and business performance\. I am responsible for managing store staff, maintaining optimal inventory levels, and ensuring the availability of affordable generic medicines in line with Davaindia’s mission of accessible healthcare\. My role includes supervising dispensing processes, verifying prescriptions, and ensuring adherence to regulatory and safety guidelines\. I actively monitor stock movement, handle procurement, and minimize stock\-outs and expiries through effective inventory planning\. I also analyze sales performance, implement promotional strategies, and drive revenue growth while maintaining cost efficiency\. In addition, I lead and train a team of pharmacists and sales associates, focusing on customer engagement, product knowledge, and operational excellence\. I ensure a clean, organized, and patient\-friendly store environment, enhancing overall customer experience and trust\. I coordinate with suppliers, manage billing systems, and ensure accurate documentation and reporting\. My role also involves resolving customer queries and complaints professionally, ensuring high satisfaction levels\. Through strong leadership, operational control, and a customer\-centric approach, I contribute to the store’s growth while supporting Davaindia’s vision of delivering quality healthcare solutions at affordable prices\.

Store Manager at Netmeds\.com, Sep 2022 \- Mar 2024 · 1 yr 7 mos, Delhi, India, As a Store Manager at Netmeds, I manage both online and offline pharmacy operations, ensuring seamless service delivery and high standards of patient care\. I oversee day\-to\-day store activities, including prescription verification, order processing, and compliance with regulatory guidelines for pharmaceutical dispensing\. In the offline store, I lead a team of pharmacists and sales associates, ensuring accurate dispensing, inventory control, and excellent customer service\. I maintain optimal stock levels, monitor expiry management, and coordinate with suppliers to ensure uninterrupted availability of medicines and healthcare products\. On the online side, I handle order management, coordinate with warehouse and delivery teams, and ensure timely processing and dispatch of customer orders\. I focus on minimizing errors, improving turnaround time, and maintaining customer satisfaction through efficient service and query resolution\. I also analyze sales performance, implement promotional strategies, and drive business growth across both channels\. My role includes staff training, performance monitoring, and ensuring adherence to SOPs and company policies\. By combining operational efficiency with a customer\-centric approach, I ensure a smooth omnichannel pharmacy experience, contributing to Netmeds’ commitment to accessible and reliable healthcare services\.

Executive pharmacist at PARDHAN MANTRI BHARTIYA JANAUSHADHI KENDRA, Jan 2020 \- Sep 2022 · 2 yrs 9 mos, Delhi, India, As an Executive Pharmacist at a Pradhan Mantri Jan Aushadhi Kendra, I am responsible for ensuring the efficient delivery of affordable and quality generic medicines to the public\. I oversee daily pharmacy operations, including prescription review, accurate dispensing, and patient counseling in accordance with regulatory and ethical standards\. My role involves maintaining proper inventory levels, monitoring stock movement, and ensuring timely replenishment to avoid stock\-outs\. I also manage expiry tracking, storage conditions, and documentation to comply with government guidelines and pharmacy regulations\. Ensuring the availability of essential medicines at subsidized rates is a key priority in alignment with the scheme’s objective of accessible healthcare\. I interact directly with patients, providing guidance on dosage, usage, and precautions to promote safe and effective medication use\. Additionally, I handle billing, maintain records, and coordinate with suppliers and authorities for smooth operational flow\. I actively support awareness initiatives to educate the community about the benefits of generic medicines and the cost savings offered under the Pradhan Mantri Jan Aushadhi scheme\. Through strong pharmaceutical knowledge, attention to detail, and a patient\-centric approach, I contribute to improving healthcare accessibility and delivering high\-quality pharmacy services to the community

## Education

Master of Business Administration \- MBA, Marketing/Marketing Management, General, Dr\. D\.Y\. Patil University

Bachelor of Pharmacy \- BPharm, Pharmacy, International Institute of Pharmaceutical Sciences, Jhundpur, Sonipat

[View the original profile](https://tal.club/meet/naveen-rathore)

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