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solomon_din

Muhammad Salman

@solomon_din

RCM Medical Billing Specialist Team Lead

Pakistan
English, Urdu, Punjabi
About me
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.... Read more

Skills

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solomon_din
Muhammad Salman
Offline • 
Average response time: 1 hour

See my services

General Assistance
I will do medical billing, prior authorization and insurance verification
From$30 / projectMore details
General Assistance
I will obtain prior authorizations for orthopedic, pain management and dme
From$20 / projectMore details

Portfolio

Work experience

TBC_Solutions

Team Lead, Prior Authorization

TBC Solutions • Full-time

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 • Full-time

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