Owais Ansari

About Owais Ansari

As a seasoned healthcare professional, I\'ve spent the last five years navigating the intricate world of medical billing, denial management, and prior authorization. From managing complex claims to optimizing revenue cycles, I\'ve honed my skills to ensure healthcare providers receive the reimbursement they deserve.Currently leading a team as a Subject Matter Expert, I\'m passionate about guiding others through the complexities of prior authorization, particularly for radiology procedures. My focus is on ensuring compliance, timely approvals, and ultimately, improved patient care.Beyond my technical expertise, I\'ve cultivated strong communication and problem-solving skills. I believe in building positive relationships with clients and fostering a collaborative work environment.Whether I\'m tackling a challenging denial or designing a clear visual presentation, I bring a meticulous approach and a commitment to excellence. I\'m always seeking opportunities to learn, grow, and contribute to the success of the healthcare industry.

Experience

1. Sr Pre-authorization Analyst & Sme

   Infinx

   Nov 2019 — Present · Andheri, IN

   Initially hired as a Senior Pre-Authorization Analyst, responsible for managing prior authorization requests for radiology services, ensuring compliance with payer guidelines and securing timely approvals from insurance companies.•Promoted to Subject Matter Expert (SME) after two years, taking on a leadership role in guiding and mentoring a team in handling complex pre-authorization processes.•Streamlined workflows by implementing process improvements that increased efficiency and reduced turnaround times, leading to enhanced team performance and client satisfaction.•Collaborated with cross-functional teams to address escalations, resolve claim discrepancies, and ensure seamless communication between clients and payers.•Played a key role in enhancing the team’s knowledge base, providing regular training sessions, and ensuring adherence to evolving industry standards and regulations.•Excelled in client-facing roles, maintaining strong relationships with healthcare providers and insurance companies to ensure smooth operations and a high level of service delivery.

Education

• Mumbai University Mumbai

  Bachelor of Arts - BA, English Language and Literature, General

• SKP English Medium High School

  High school

• N.G. Acharya & D.K. marathe College

  HSC, arts