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solomon_din

Muhammad Salman

@solomon_din

RCM Medical Billing Specialist Team Lead

Paquistão
Inglês, Urdu, Panjabi
Algumas informações são exibidas no idioma inglês.
Sobre mim
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.... Saiba mais

Habilidades

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solomon_din
Muhammad Salman
offline • 
Tempo médio de resposta: 1 hora

Conheça meus serviços

Assistência geral
I will do medical billing, prior authorization and insurance verification
A partir deUS$ 30 /projetoMais detalhes
Assistência geral
I will obtain prior authorizations for orthopedic, pain management and dme
A partir deUS$ 20 /projetoMais detalhes

Portfólio

Experiência profissional

TBC_Solutions

Team Lead, Prior Authorization

TBC Solutions • Período integral

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.

Activekey_Solutions

Prior Authorization Specialist

Activekey Solutions • Período integral

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