Shaik Raheem
@shaikraheem
Experienced prior-authorization specialist with strong billing knowledge and client-focused execution.
IndiaWhat I'm looking for
I am an experienced prior-authorization specialist with a consistent track record supporting healthcare payers and providers. I have worked across multiple healthcare services firms, handling authorization requests and communicating effectively with insurance carriers.
Throughout my career I have initiated authorization requests, tracked turnaround times on appointment-based cases, verified approvals on carrier websites, and coordinated with clients to obtain required patient demographics and clinical information.
I have held a trainee team coach role and was recognized as a star performer; I also proposed process improvements that enhanced operations. I bring radiology billing knowledge, quick learning, and a positive, self-motivated attitude to my work.
I am committed to delivering timely, accurate authorizations, improving team workflows, and supporting client satisfaction in a challenging healthcare operations environment.
Experience
Work history, roles, and key accomplishments
Prior-Auth Specialist
Premier Billing and Medical Consulting Services
Apr 2024 - Present (1 year 7 months)
Currently managing prior-authorization requests, coordinating with insurance carriers and clients, and ensuring timely confirmation of approvals and collection of required clinical information.
Prior-Auth Specialist
Comercio Health Services
Apr 2022 - Apr 2024 (2 years)
Handled prior-authorizations by liaising with carriers, confirming approvals via carrier portals, and notifying clients of required additional patient or clinical information to complete authorizations.
Prior-Auth Specialist
Ascent Business Solutions
Feb 2021 - Apr 2022 (1 year 2 months)
Executed prior-authorization workflows, coordinated with insurance carriers and clients to collect clinical and demographic information, and responded to client inquiries within SLA timelines.
Prior-Auth Specialist
Infinx Services Pvt Ltd
Apr 2017 - Jan 2021 (3 years 9 months)
Managed insurance prior-authorization requests and carrier communications, meeting appointment-based TATs and assisting with radiology billing; served as Trainee Team Coach for one year and earned multiple 'Star Performer' recognitions.
Education
Degrees, certifications, and relevant coursework
OUOsmania University
Attended Cat Degree and PG College affiliated with Osmania University in Hyderabad.
Nava Chaitanya Junior College
Intermediate
Completed intermediate (Board of Intermediate, Andhra Pradesh) at Nava Chaitanya Junior College, Hyderabad.
St Mary’s High School
Secondary School Certificate
Completed secondary education (Board of Secondary School, Andhra Pradesh) at St Mary’s High School, Secunderabad.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Job categories
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