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Muhammad AhmadMA
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Muhammad Ahmad

@muhammadahmad33

Healthcare revenue cycle specialist focused on authorizations and dental billing.

Pakistan
Message

What I'm looking for

I am seeking a role focused on authorizations and revenue cycle management where I can reduce denials, improve collections, and advance in healthcare billing operations while working in a collaborative, compliance-focused team.

I am a detail-oriented healthcare revenue cycle specialist with 3+ years of experience in medical and dental billing, prior authorizations, and insurance verification. I have a proven track record reducing claim denials, accelerating reimbursements, and ensuring payer compliance across Medicare, Medicaid, and commercial plans.

In my current role I process prior authorizations, verify eligibility and benefits using insurance portals, act as a primary client contact, and collaborate with internal teams to resolve billing discrepancies. I routinely use RCM software and payer portals to track authorizations, correct rejections, and resubmit claims while maintaining HIPAA compliance.

I have experience preparing and submitting electronic and paper dental claims, ensuring correct CDT coding, following up on unpaid or denied claims, and preparing accounts receivable reports. I have been recognized as Employee of the Month and serve as a trainer and HIPAA compliance champion, demonstrating strong communication, organization, and problem-solving skills.

Experience

Work history, roles, and key accomplishments

PE
Current

Prior-Authorization & Billing Specialist

Prima Systems Pak LHR Enterprise

Jan 2024 - Present (2 years 1 month)

Processed prior authorizations and verified patient eligibility and benefits across payer portals, reducing authorization delays and ensuring HIPAA-compliant documentation. Acted as primary client contact to resolve authorization and billing discrepancies and resubmitted corrected claims to accelerate approvals.

PR

Assistant Billing Executive

PRG

Nov 2022 - Dec 2023 (1 year 1 month)

Prepared and submitted dental claims (electronic and paper), verified eligibility and CDT coding, and followed up on denied or unpaid claims to improve reimbursement timeliness. Monitored filing deadlines and assisted with monthly AR and collections reporting to reduce revenue loss.

Education

Degrees, certifications, and relevant coursework

The Islamia University of Bahawalpur logoTB

The Islamia University of Bahawalpur

Bachelor of Science, Mathematics & Physics

2012 - 2016

Completed a Bachelor of Science with majors in Mathematics and Physics at The Islamia University of Bahawalpur.

GK

Government College Rahim Yar Khan

Intermediate, Pre-Engineering (Mathematics & Computer)

2012 - 2014

Completed Intermediate in Faculty of Science (Pre-Engineering) with major subjects including Mathematics and Computer studies.

Tech stack

Software and tools used professionally

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Muhammad Ahmad - Prior-Authorization & Billing Specialist - Prima Systems Pak LHR Enterprise | Himalayas