Kategorien durchsuchen
Entdecken
Fiverr Pro
Deutsch
$
USD
Muhammad Salman
@solomon_din
RCM Medical Billing Specialist Team Lead
Pakistan
Englisch, Urdu, Punjabi
Über mich
Medical billing specialist for US practices since 2019, strongest on the front end of the revenue cycle: insurance verification, prior authorization, payer follow-up, appeals and denial management. I lead an authorization team for pain management, orthopedic and interventional radiology providers, working 20 to 30 cases a day at a 90 to 95 percent approval rate. Viscosupplement, Zilretta and knee brace (DME) cases are my daily work. Portals: Availity, UHC, Aetna, Cigna, Humana. Systems: CareCloud, CureMD, RXNT... US Eastern hours. Message me your specialty and payer mix.
Kompetenzen
Muhammad Salman
offline •
Durchschnittliche Antwortzeit: 1 Stunde
Meine Dienstleistungen
Allgemeine Unterstützung
I will do medical billing, prior authorization and insurance verification
Allgemeine Unterstützung
I will obtain prior authorizations for orthopedic, pain management and dme
Portfolio
Arbeitserfahrung
Team Lead, Prior Authorization
TBC Solutions • Vollzeit
Dec 2022 - Present • 3 yrs 10 mos
Lead the prior authorization team for a US knee pain and interventional radiology group, working US Eastern hours. - Own prior authorizations for Genicular Artery Embolization, pain management procedures, viscosupplements (Euflexxa, Durolane, Gelsyn, Supartz FX, Hyalgan), Zilretta, cortisone and knee braces - Verify eligibility and benefits before each authorization, by portal and by phone - Work 20 to 30 authorization cases a day at a 90 to 95 percent approval rate, with most requests submitted within 24 to 36 hours - Take denials through first and second level appeal, and obtain out-of-network approvals through Single Case Agreements - Handle referral authorizations with PCP offices, and Medicaid plan cases - Built the team's authorization tracker (status, expirations, follow-up dates), code reference sheet, templates and SOPs - Portals: Availity, UHC/Optum, Aetna, Cigna, Humana, NovoLogix, CoverMyMeds, CareAffiliate Before leading the team I worked as PA Specialist and Team Coordinator on viscosupplement, Zilretta and cortisone authorizations across multiple practices.
Prior Authorization Specialist
Activekey Solutions • Vollzeit
Mar 2019 - Dec 2022 • 3 yrs 9 mos
Prior authorization work for specialty knee osteoarthritis medications, supporting US practices. - Obtained prior authorizations for knee osteoarthritis injectable medications - Specialty pharmacy support: ran test claims on the pharmacy benefit to confirm patient copay before dispatch - Tracked specialty medications until they were delivered to the provider's office
