Mohammad Khaleel

Strategic, results-driven US Revenue Cycle Management (RCM) & Billing Manager with 8+ years of dedicated experience optimizing healthcare billing operations, accounts receivable, and denial resolution across institutional and professional healthcare settings. Proven track record in leading cross-functional teams, managing complex PIP/No-Fault claims, pre-certifications, and implementing data-driven KPI dashboards that eliminate revenue leakage. Trusted strategic partner adept at managing high-stakes client relationships, conducting operational performance reviews, and translating complex billing metrics into actionable revenue growth strategies.

RCM and Billing Manager at North Jersey Medical Imaging LLC (2026-01 – Present)

Direct end-to-end revenue cycle management operations for a high-volume diagnostic imaging center (MRI/CT), specializing in complex New Jersey PIP and No-Fault claim adjudication.

• Architected real-time operational reporting systems to track team performance, clean claim submission rates, and front-desk authorization compliance, significantly optimizing operational visibility.
• Oversee pre-certifications, insurance verification of benefits (VOB), medical coding, and payment reconciliation while directly negotiating reimbursement rates with insurance adjusters and TPAs.
• Lead provider-side arbitration and appeals processing with legal counsel, conducting denial root-cause analysis to recover aged accounts receivable (>90 days).

AR & Denial Management Specialist (Team Lead) at HRMD Management LLC (2023-02 – 2025-12)

Led day-to-day accounts receivable operations and denial analysis for multi-specialty provider groups and institutional pain management facilities (including Insight Pain Management, MI).

• Served as primary client liaison and team lead, conducting regular operational reviews with practice managers to address billing bottlenecks, denial trends, and financial KPIs.
• Executed systematic root-cause analyses on recurring payor denials, developing data-driven workflow solutions that improved net collection rates and overall client practice revenue.

Senior Healthcare Accounts Manager & Billing Supervisor at Cedar Financial & HDH Operations (2021-01 – 2023-01)

Supervised billing support operations, customer inquiry management, and account reconciliation processes to maintain high service-level standards and client retention.

• Managed delinquent healthcare account portfolios and structured custom payment plans, conducting systematic account reviews and maintaining strict case documentation standards.

RCM Lead Assistant & Senior Billing Specialist at Transcure LLC & PRG MD (2018-08 – 2020-12)

Managed full-cycle professional billing, charge entry, claims submission, and aged A/R follow-up for optometry, ophthalmology, and institutional hospital accounts.

• Served as second-in-command for a 7-member RCM team; trained billing staff on coding standards, eligibility verification, quality assurance, and payor follow-up protocols.
• Reviewed charge accuracy against superbills and medical charts, significantly accelerating reimbursement velocity across emergency room and hospital billing portfolios.

FSc in Higher Secondary School Certificate - Pre-Medical / Science – Govt. College Township