Open to opportunities

Mashaheer Jaffry

@mashaheerjaffry

Message

I streamline prior authorizations, benefits verification, and appeals to accelerate patient reimbursement.

Pakistan

Message

What I'm looking for

I’m looking for a revenue-cycle role where I can manage end-to-end prior/retro/GAP authorizations, verify benefits, and own denials/appeals—using payer portal expertise and Excel tracking to reduce rejections and speed reimbursement.

I’m an Eligibility, Benefits & Prior Authorization Specialist with over two years of experience managing end-to-end prior, retro, and GAP authorizations across physical therapy, behavioral health, mental health, and cardiac health specialties. I handle insurance verification, coordination of benefits (COB), and CPT/ICD-10 order validation to reduce turnaround time and avoid claim rejections.

I navigate payer portals and clearinghouses for multiple commercial and government payers, researching shifting payer policies and documenting processes for consistency. I investigate authorization-related denials, prepare and submit appeals, and collaborate with AR teams to resolve root causes and support timely, accurate reimbursement—while maintaining HIPAA-compliant handling of PHI.

Experience

Work history, roles, and key accomplishments

Current

Eligibility & Prior Auth Specialist

Current

Physician Revenue Group

Jul 2024 - Present (2 years)

Managed end-to-end prior, retro, and GAP authorizations for physical therapy, behavioral/mental health, and cardiac health specialties, including eligibility/benefits verification and CPT/ICD-10 order validation. Resolved authorization denials through appeals and collaborated with AR teams, using payer portals/clearinghouses while maintaining HIPAA-compliant PHI handling.