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rapid_auths

Husnain Ahmad

@rapid_auths

Certified Prior Authorization Specialist 5 Years Experience

Paquistão
Inglês, Urdu
Algumas informações são exibidas no idioma inglês.
Sobre mim
Why work with a Pharmacy Medical Graduate? I understand the clinical language behind the codes and ensure payer-specific compliance—so you focus on patients while I handle admin. 🔹 Prior Authorizations (medical, procedures, meds) 🔹 Insurance Verification (VOB) & PCP Referrals 🔹 Medicare, Medicaid & Commercial plans 🔹 Buy & Bill & Specialty Pharmacy (Botox, GLP-1, Neuro, Pain) 📈 95%+ approval rate • Faster turnaround • Fewer denials I guide providers on payer limits (TPI, RFA, etc.) to protect revenue and keep schedules moving. 🚀 Let’s streamline approvals and cash flow.... Saiba mais

Habilidades

r
rapid_auths
Husnain Ahmad
offline • 
Tempo médio de resposta: 1 hora

Conheça meus serviços

Assistência geral
I will handle end to end medical prior authorizations
A partir deUS$ 10 /projetoMais detalhes
Assistência geral
I will do glp1, cgrp, botox, and other meds authorization
A partir deUS$ 5 /projetoMais detalhes

Experiência profissional

Medical Prior Authorization Specialist

Orthopedic Center of Florida | Commonwealth Pain and Spine • Freelance

Jan 2025 - Present • 1 yr 4 mos

🏆 Achieved 95%+ prior authorization approval rate**, supporting **efficient revenue cycle management 🏆 Maintained HIPAA compliance 📝 Prepared medical necessity documentation * Prior Authorization Specialist ✅ * Pain Management Prior Authorization ✅ * Orthopedic Prior Authorization ✅ * Insurance Verification of Benefits (VOB) ✅ * CPT / ICD-10 Coding ✅ * Medical Necessity Documentation ✅ * Referral Coordination ✅ * Multi-Payer Portal ✅ * HIPAA Compliance ✅ * Revenue Cycle Management ✅ * Patient Scheduling ✅

Prior Authorization Specialist

GARDEN STATE CARDIOVASCULAR

Feb 2023 - Present • 3 yrs 3 mos

📋 Key Responsibilities & Expertise • 💊 Medication Prior-Auth: Streamlined approvals for medications via CoverMyMeds, ProAct portal, fax, and direct phone consultations. • 🧘 Specialized Procedures: Managed end-to-end authorizations for Physical Therapy, Cardiovascular exams, and Sleep Management procedures. • 💻 Platform Mastery: Expert-level navigation of industry-leading portals: • Systems: eCW (eClinicalWorks) 🖥️ • Portals: Evicore 🧬, Carelon 💙, Availity ☁️, Co-Here 🤝, NIA 🧠, Magnacare 🏥, and Navinet 🌐 • 📞 Multi-Channel Coordination: Highly skilled in managing high-volume on-call, fax-based, and digital portal authorization workflows.

Sr. Prior Authorization Specialist Specialist

Taxes pain physician

Feb 2024 - Feb 2025 • 1 yr

Payer Portals: Evicore, Carelon (AIM), Availity, NIA (Magellan), Navinet, Co-Here, Magnacare, ProAct. • EHR/EMR Systems: eClinicalWorks (eCW), Epic, Athenahealth. • Medical Coding (CPT/ICD-10): * Pain Management: 62321/62323 (ESI), 64483 (TFESI), 64493 (MBB), 64635 (RFA), 27096 (SIJ). • Neurology: 95819 (EEG), 95911 (EMG), 20552 (Trigger Point), 64615 (Botox). • Neurology Pharma: CGRP Inhibitors (Aimovig, Emgality), MS DMTs (Ocrevus, Gilenya), Antiepileptics. • Regulatory Knowledge: HIPAA Compliance, LCD (Local Coverage Determinations), Medical Necessity Criteria. • Communication: Peer-to-Peer (P2P) Coordination, Clinical Appeals, Specialty Pharmacy Liaison.