Seeking a remote role to optimize authorization workflows and leverage strategic clinical appeals, aiming to reduce medical necessity denials by 20% and improve overall revenue cycle efficiency.
Open to opportunities
Nasir Irshaad
@nasirirshaad
Authorization specialist and team lead specializing in VOB, medical authorizations, denials/appeals, and EHR accuracy.
PakistanWhat I'm looking for
I’m a Medical Authorization & VOB Specialist and Team Lead with over 4 years of leadership experience and a strong background in Sociology. I focus on securing authorizations for high-acuity interventional pain management and surgical procedures, including ESI, MBB, RFA, SCS, and PNS.
I’m highly proficient in eClinicalWorks (eCW), NextGen, and PEHR, delivering 100% accuracy in patient records, authorization status, and HIPAA compliance. I also complete comprehensive Verification of Benefits (VOB) and eligibility checks for DME and Urine Toxicology (Utox) to reduce front-end denials by identifying patient financial responsibility and coverage limits.
As a Team Lead, I optimize authorization workflows, manage high-volume data entry, and lead denial resolution by submitting clinical appeals and coordinating with insurance providers to overturn rejections. I’m committed to remote operational excellence, with strong communication across healthcare providers and payers, and consistent QA through chart reviews aligned with HIPAA and CMS regulatory standards.
Experience
Work history, roles, and key accomplishments
AS
Current
Senior Authorization Specialist
Advanced IT & Healthcare Solutions
Mar 2024 - Present (2 years 3 months)
Secured prior authorizations for 95%+ of high‑acuity interventional pain and surgical procedures, achieving a 96% first‑pass approval rate. Reduced peer‑to‑peer reviews by 25% and cut insurance denials by 30% through proactive payer communication and meticulous documentation audits, while maintaining 100% accuracy in eClinicalWorks, NextGen, and PEHR under HIPAA/CMS compliance
AB
Team Lead - Authorizations
Ascend BPO
Apr 2022 - Feb 2024 (1 year 10 months)
Led and mentored authorization specialists to consistently meet KPIs by optimizing authorization workflows and improving documentation for medical necessity. Coordinated with physicians and payers to obtain missing clinical documentation and secure authorizations via calls, fax, portals, and direct office communication.
AP
Sales Representative
Alsanafir Herbal Pharmacy
Jan 2019 - Jan 2020 (1 year)
Managed remote sales operations, supported team performance, and supervised production workflows to meet organizational targets and drive consistent growth. Coordinated day-to-day sales activities with a focus on meeting KPIs.
Education
Degrees, certifications, and relevant coursework
University of Agriculture, Faisalabad
Master of Philosophy (M.Phil) in Sociology, Sociology
2025 -
M.Phil in Sociology with a specialization in advanced data analytics and research methodology. Currently in the research/thesis phase.
GF
GGCSF, Faisalabad
Bachelor of Science (BS) in Sociology, Sociology
2019 - 2023
Activities and societies: Professional workshops on socio-economic and psychological causes of addiction (one-day certification).
BS in Sociology focused on quantitative and qualitative research, statistical analysis, and data management using SPSS and R.
Tech stack
Software and tools used professionally
Availability
Open to opportunities
Location
PakistanAuthorized to work in
United StatesSocial media
Job categories
Interested in hiring Nasir?
You can contact Nasir and 90k+ other talented remote workers on Himalayas.
Message NasirFind your dream job
Sign up now and join over 250,000+ remote workers who receive personalized job alerts, curated job matches, and more for free!
