Open to opportunities

Nasir Irshaad

@nasirirshaad

Lead Authorization & QA Specialist | 3+ years in DME, Psych & Pain Management | Expert in Pre-cert, Denial Management & Leading Remote RCM Teams.

Pakistan

Message

What I'm looking for

I seek a role where I can apply QA and authorization expertise, data analysis skills, and team leadership to improve processes and outcomes in a collaborative, growth-focused healthcare or research environment.

I am a Lead QA and Pre-certification Specialist with over 3 years of specialized experience in Revenue Cycle Management (RCM) for Durable Medical Equipment (DME), Pain Management, and Psychiatry. My career is defined by a commitment to data accuracy and ensuring that healthcare providers receive maximum reimbursement through seamless authorization processes.

Key Career Achievements:

Leadership & Mentoring: Successfully led remote authorization teams, implementing training protocols that improved KPI attainment and reduced processing turnaround times.
Specialized Expertise: Expert in navigating the high-compliance requirements of Psychiatry medication and DME authorizations, significantly lowering denial rates through proactive chart reviews.
Quality Assurance: Developed and executed QA frameworks to monitor compliance and data quality, ensuring all pre-certifications met stringent US insurance guidelines (Availity, Navinet, and various EHRs).

My Interests & Approach:
With a BS in Sociology, I am deeply interested in the intersection of healthcare operations and organizational behavior. I thrive on process improvement and enjoy using my analytical skills to solve complex billing puzzles. I am looking for a remote challenge where I can apply my leadership experience to help a US-based organization scale its RCM operations with accuracy and integrity.

Experience

Work history, roles, and key accomplishments

Team Lead

Advanced Healthcare Solutions

Mar 2024 - Nov 2025 (1 year 8 months)

Led and mentored a team of authorization specialists to optimize workflows, improve productivity, and maintain KPIs; ensured EHR data quality and drove quality improvement initiatives reducing documentation errors.

Authorization Compliance Monitoring Denial Management Team Leadership Process Improvement

Team Lead (Authorizations Department)

Ascend BPO

Apr 2022 - Feb 2024 (1 year 10 months)

Managed authorizations for a pain medicine practice, led a team to streamline authorization processing and appeals, and ensured timely verification of orders and eligibility.

Insurance Authorization Appeals Management Team Leadership

Assistant Researcher

Social Welfare Institution (D-Ground)

Jan 2020 - Dec 2021 (1 year 11 months)

Conducted data collection, interpretation, and analysis for social research projects and assisted in designing hypotheses to improve data accuracy.

Data Collection Data Analysis Survey Design SPSS Report Writing Qualitative Research

Sales Representative

Alsanafir Herbal Pharmacy

Jan 2019 - Dec 2020 (1 year 11 months)

Managed production and sales activities, led the sales team, and drove revenue through team management and customer engagement.

Sales Management Team Management Customer Engagement Inventory Coordination Product Promotion Communication Reporting

Education

Degrees, certifications, and relevant coursework

Government Graduate College for Women, Satellite Town Faisalabad

Bachelor of Science, Sociology

2019 - 2023

Activities and societies: Research assistant roles; used SPSS and R for data analysis; thesis on socio-economic and psychological causes of infertility.

Completed a Bachelor of Science in Sociology with training in quantitative and qualitative research methods, survey design, data collection, and statistical analysis.