Raza ali

I’m a detail-oriented Medical Billing and Revenue Cycle professional with 2.5+ years of experience across accounts receivable management and prior authorization. I focus on ERA/EOB denial fixation, aging AR recovery, and insurance verification for Medicare, Medicaid, Tricare/VA, and major commercial payers like Blue Cross and Aetna.

At Snabal Venture, I currently drive prior authorization workflows—conducting insurance verification for pharmacy benefit claims, submitting and managing PA requests with complete clinical documentation, and coordinating with prescribers, pharmacy teams, and insurance representatives to resolve rejections and expedite urgent approvals. I track PA status and maintain organized records, escalating authorization bottlenecks to prevent delays and revenue leakage.

Previously, at Physician Revenue Group, I served as a Senior Accounts Receivable Executive in healthcare revenue management. I managed daily ERA denial fixation (100+ claim discrepancies per week), performed aging report analysis to reduce outstanding AR buckets, and drafted denial appeal letters that consistently overturned incorrectly denied claims—while posting and reconciling EOB/ERA records via Echo and ensuring high-accuracy patient demographics for audit-ready billing.