Muhammad Muddasar

Lead 13 Prior Authorization Specialists, directing daily workload distribution, productivity, quality, and on-time processing of complex Pain Management authorizations. Onboarded and trained 4 new specialists on payer guidelines, authorization workflows, clinical documentation requirements, and compliance procedures.

Processed 300+ prior authorizations per month for Pain Management procedures at a 97% approval rate, the highest in the department. Verified eligibility, benefits, coverage criteria, and injection frequency limits before submission to prevent avoidable denials and delays.

Managed end-to-end prior and retrospective authorizations for interventional cardiovascular procedures and diagnostic imaging. Coordinated peer-to-peer consultations and built appeal and reconsideration packages to contest denials.

Analyzed end-to-end Revenue Cycle Management workflows including claim scrubbing, charge entry, and denial management, and learned how authorization drives claims processing and reimbursement.

Completed the English for Business & Entrepreneurship MOOC through the OPEN Program, focusing on business communication and entrepreneurial skills.

Completed the English Works Program sponsored by the U.S. Consulate, enhancing professional English communication skills.

Pursued a Bachelor of Science in Botany, gaining a strong foundation in biological sciences and research methodology.