Sr. Authorization Specialist
Pain Clinic
01.2024 - 05.2026
Open To Work
Husnain Ahmad
Prior Authorization Specialist
Beverly,massachusets
Timeline
Sr. Authorization Specialist
Texas Pain Physicians
09.2023 - 10.2024
Authorization Specialist
Pain Management Centers of New England
10.2022 - 08.2023
Pharmacy
University of Sargodha (SU)
01.2017 - 01.2022
Work Preference
Work Type
Full TimePart TimeContract WorkGig WorkLocation Preference
RemoteOn-SiteHybridImportant To Me
Flexible work hoursCompany CultureWork-life balanceWork from home optionWork History
Sr. Authorization Specialist
Pain Clinic
01.2024 - 05.2026
Prior Authorization for pain procedures.
-MBB/FJI
-ESI/TFESI
-RFA
-Nerve Blocks
-SIJ Injections
-IA/GTB Injections
-TPI
“Prior Authorization for Worker compensation”
Prior Auth for Physical Therapy as well Verification of Benefits.
Sr. Authorization Specialist
Texas Pain Physicians
09.2023 - 10.2024
- Interviewed applicants and explained scope of different available benefits.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Communicated with people from various cultures and backgrounds on application process.
Authorization Specialist
Pain Management Centers of New England
10.2022 - 08.2023
- VOB and Prior Authorization for pain procedures and Medication.
Mastered guidelines of following portals for spine procedures.
- Cohere
- Evolent/NIA
- Carelon
- Evicore/Carecore/Med-Solution/Care-North
- United Healthcare
- Covermymeds(Prior Authorization for Meds)
Overview
4
4
years of professional experience
5
5
years of post-secondary education
Education
Pharmacy
University of Sargodha (SU)
01.2017 - 01.2022
Skills
- Claims management
- Prior authorization processing
- Medical coding
- Medical terminology expertise
- HIPAA compliance
- Insurance verification
- Effective communication skills
- Documentation and paperwork
- Microsoft office
- Eligibility procedures
Summary
I am a Medical Graduate (Pharmacy Degree Holder) with years of professional experience in US Healthcare Prior Authorizations, Insurance Verification of Benefits (VOB), and PCP Referral Processing.
I help medical practices increase approval rates, reduce claim denials, and speed up patient scheduling while protecting and growing revenue.
I consistently maintain a 95%+ authorization approval rate by ensuring payer-specific compliance, strong medical necessity documentation, and accurate submission.
🔑 Core Expertise
• Prior Authorization Specialist (Medical & Procedure)
• Insurance Verification & Benefits (VOB)
• PCP Referral Processing
• Medicare, Medicaid & Commercial Insurance
• Buy & Bill & Specialty Pharmacy Authorizations
• Office, Outpatient & Surgery Center Authorizations
💼 Specialties I Serve
• Interventional Pain Management
• Orthopedics
• Neurology
• Sleep Medicine
• Internal Medicine
• Radiology
• Medication Prior Authorizations (3+ Years)
• Physical Therapy
• Occupational Therapy
• Cardiology
💉 Medication & Botox Expertise
• Botox Prior Authorization (Buy & Bill)
• Botox Acquisition via Specialty Pharmacy
• Migraine & Neurology Medications
• GLP-1 & Anti-Diabetic Medications
• Cardiovascular Medications
• Pain Management Medications (including Opioids)
📈 Denial Prevention & Compliance
I proactively help clinics reduce claim denials by guiding providers on Medicare and payer frequency limitations, including:
• 3 Trigger Point Injection (TPI) sessions
• 2 Radiofrequency Ablation (RFA) sessions
• Other policy-restricted interventional pain procedures
This ensures faster approvals and higher clean claim rates.
🏛 Insurance & Facility Experience
• Medicare
• Medicaid
• Commercial Insurance Plans
• Multi-state payer experience
• Office-based, Outpatient Hospital & Ambulatory Surgery Center Authorizations
🌟 Why Clinics Choose Me
• 95%+ Approval Rate
• Faster Turnaround Time
• Reduced Denials
• Improved Scheduling & Revenue Flow
• Clear Communication with Providers & Payers
Let’s streamline your workflow, boost approvals, and protect your revenue. Message me to get started