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Muhammad Raiz

@muhammadraiz

Benefits Verification & Reimbursement Specialist at Emrys Billing Solutions handling specialty therapy authorizations, appeals, and coverage investigations.

United States
Message

At Emrys Billing Solutions, I complete benefit investigations for specialty therapies, verify coverage and cost shares, and obtain prior authorizations and recertifications. I coordinate with pharmacies, providers, and patients so they can understand coverage status.

I also prepare written appeals and reconsiderations, track them through final decisions, and answer patient billing questions by phone and email. I keep account notes audit-ready and follow HIPAA and payer compliance rules.

At HNA Business Group, I monitored insurance and patient accounts receivable, followed up on denied or delayed claims, and resubmitted corrected claims and appeals. I also verified eligibility, posted payments, and generated billing reports using Excel and practice management systems.

Experience

Work history, roles, and key accomplishments

ES
Current

Benefits Verification & Reimbursement Specialist

Emrys Billing Solutions

Feb 2023 - Present (3 years 9 months)

Complete benefit investigations for specialty therapies and summarize coverage, cost share, and authorization rules. Obtain prior authorizations and recertifications, track pending requests, and follow up until a decision is received.

HG

Accounts Receivable Representative

HNA Business Group

Oct 2019 - Jan 2023 (3 years 3 months)

Monitored and managed outstanding accounts receivable from insurance payers and patients, ensuring timely and accurate resolution of balances. Conducted proactive follow-ups on denied, unpaid, and delayed claims, and analyzed root causes of denials.

Education

Degrees, certifications, and relevant coursework

University of the Punjab logoUP

University of the Punjab

Bachelor of Arts, Arts

2010 - 2014

Bachelor of Arts degree from the University of the Punjab, Lahore, completed in 2014.

Tech stack

Software and tools used professionally

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