Open to opportunities

Nazir Ulhaq

@nazirulhaq

Message

Results-driven revenue cycle leader specializing in prior authorizations.

Pakistan

Message

What I'm looking for

I seek a challenging RCM role where I can lead authorization and eligibility operations, reduce denials, improve cash flow, mentor teams, and collaborate with providers in a compliance-focused, patient-centered organization.

I am a results-driven healthcare revenue cycle professional with extensive experience in insurance eligibility verification, benefits analysis, and end-to-end prior authorization management across commercial and government payers. I have led teams and operational workflows for cardiology, advanced diagnostic imaging, sleep studies, physical therapy, and behavioral health, optimizing turnaround times and minimizing authorization-related denials.

I excel at payer policy interpretation, appeals coordination, peer-to-peer reviews, and stakeholder communication, delivering structured reporting and metrics to improve cash flow and compliance. As a mentor and team lead, I drive process improvements, quality assurance, and training initiatives to sustain high performance and timely patient care.

Experience

Work history, roles, and key accomplishments

Current

Team Lead – Authorization

Current

Pyramids Global LLC

Jul 2023 - Present (2 years 9 months)

Spearheaded a cross-functional team overseeing eligibility verification and end-to-end prior authorization workflows for diagnostic and specialty services, reducing denials and improving turnaround times while ensuring payer compliance and audit readiness.

Prior Authorizations Eligibility Verification Utilization Management Denial Management Team Leadership Reporting Clinical Documentation

Senior Prior Authorization Exec

Mbcure

Jul 2023 - May 2024 (10 months)

Performed comprehensive eligibility verification and managed prior authorizations for advanced imaging and specialty services, coordinating appeals and peer-to-peer reviews to reduce turnaround times and mitigate denials.

Prior Authorizations Appeals

Prior Authorization Executive

New Age Medical Solutions

Aug 2020 - Jul 2023 (2 years 11 months)

Verified eligibility and obtained prior authorizations for cardiology, sleep studies, physical therapy, and mental health services, maintaining 100% documentation compliance and streamlining scheduling and billing readiness.

Eligibility Verification Prior Authorizations Patient Scheduling Provider Liaison Claims Readiness

Accounts Receivable Specialist

Vibrant Practice Solutions

Aug 2017 - Apr 2020 (2 years 8 months)

Monitored AR, managed claim denials and payer follow-ups to secure timely reimbursements and reduced outstanding receivables through persistent denial management and client support.

Accounts Receivable Denial Management Revenue Cycle Dispute Resolution AR Aging

Billing Executive

MTBC

Aug 2010 - Jul 2012 (1 year 11 months)

Processed medical billing and claims for multi-specialty providers, ensuring accurate charge entry, coding compliance, and proactive follow-up to improve claim acceptance rates.

Medical Billing Revenue Cycle

Education

Degrees, certifications, and relevant coursework

Florida Institute of Technology

Master of Science, Science Education

Completed a Master of Science in Science Education in May 2017, comparable to UK master's degree standards (UK NARIC).

Allama Iqbal Open University

Bachelor of Education, Science Education

Completed a Bachelor of Education in Science Education in January 2014, qualifying to teach at secondary levels in Pakistan and comparable to CertHE standards (UK NARIC).