Saad S.
Mid-Level RCM Operations Manager
Open to offersNew to PlatformAbout
Saad S. is a seasoned professional in the healthcare industry with expertise in Revenue Cycle Management (RCM), medical billing, auditing, and reporting. With a Bachelor's degree in Computer Science from the University of AJK, he brings a technical edge to his roles. His career commenced as a Medical Biller with MTBC, where he honed his skills in claim submissions and insurance compliance. Progressing to a Senior Auditor and team lead at PMTAC, he conducted thorough audits, reducing billing discrepancies and enhancing reimbursement accuracy. At Globill Medical Resources, Saad furthered his expertise in auditing denial patterns, streamlining processes, and automating reporting tasks using Python. Currently, as a Manager of Operations RCM at BellMedex, he oversees RCM operations for numerous medical practices, ensuring billing efficiency and compliance across multi-state locations. He effectively uses data analysis and cross-functional team leadership to drive financial outcomes and enhance service delivery. Saad's proficiency in EHR systems like eClinical Works and MD Land complements his technical skills in SQL and advanced Excel, making him a pivotal player in optimizing healthcare operations.
Experience
SENIOR AUDITOR & BTL AUDIT
PMTAC Private limited · 2023 — 2025Performed detailed audits of medical billing records to ensure compliance with federal, state, and payer-specific regulations. Corrected discrepancies related to coding, billing practices, and insurance claims, enhancing reimbursement accuracy. Worked alongside medical providers and billing staff to clarify coding and documentation requirements. Analyzed payment trends to detect potential billing risks and suggested corrective actions.AUDIT & REPORTING SPECIALIST
Globill Medical Resources · 2025 — 2025Conducted thorough audits of medical billing and coding transactions to ensure claims are prepared, coded, and submitted in accordance with payer rules and internal policies. Reviewed charge entry and payment postings to identify errors and non-compliance. Analyzed denial patterns for root cause determination and collaborated with billing teams to implement solutions.MANAGER OPERATION RCM
BellMedex · 2025 — PresentOversees comprehensive Revenue Cycle Management (RCM) operations for over 100 medical practices, focusing on billing efficiency and compliance. Supervises cross-functional teams involved in billing, coding, and denial management to enhance performance. Develops standardized RCM workflows to improve clean claim rates and expedite cash flow. Monitors key performance indicators, initiating corrective actions as needed. Collaborates with providers and credentialing teams to ensure payer compliance.MEDICAL BILLER
Carecloud(MTBC) · 2021 — 2023Prepared and submitted precise medical claims to insurance providers, adhering to payer guidelines to reduce claim denials. Monitored unpaid claims and coordinated with insurance companies to address outstanding payment issues. Managed the full billing cycle by verifying patient insurance details and generating claims for multiple payers.
Skills & Expertise
Education
- Bachelor's Degree in Computer ScienceUniversity of AJK · 2017 — 2021
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