Saad Abdullah

Detail-oriented Credentialing & Enrollment Specialist with 1.5+ years of hands-on experience in provider enrollment, credentialing, and demographic management. Proficient in CAQH ProView, NPPES, PECOS, and PEMS, with extensive experience managing state insurance enrollments across multiple states including Texas, New York, Florida, Arizona, Washington, Nevada, Utah, Illinois, and California. Proven ability to manage a portfolio of 100+ providers, streamline enrollment workflows, and reduce turnaround times through proactive follow-up and escalation strategies.

Currently expanding into patient scheduling operations, with hands-on training in Headway, Valant.io, and Stripe. Strong background in customer communication developed through prior call center and sales experience.

Credentialing & Enrollment Specialist at The Physician Billing (2024-01 – Present)

• Manage credentialing and enrollment for a portfolio of 100+ outpatient providers, primarily mental health specialists, across 9 states including TX, NY, FL, AZ, WA, NV, UT, IL, and CA.
• Handle end-to-end provider enrollment with state and commercial insurance companies, including application submission, follow-up, and approval tracking.
• Manage and maintain provider profiles on CAQH ProView as an Authorized Delegate, ensuring timely attestation every 120 days and keeping all credentialing documents current.
• Process NPI applications and updates through NPPES, ensuring accurate taxonomy codes and timely demographic changes within CMS-required 30-day timeframe.
• Enroll providers in Medicare through PECOS, managing new enrollments, reassignments to group practices, and revalidations.
• Handle Medicaid provider enrollments through PEMS and state-specific Medicaid portals, ensuring compliance with state-specific requirements.
• Manage provider demographic updates including address changes, name changes, and specialty updates across all credentialing platforms.
• Developed and maintained comprehensive tracking systems using Airtable and Excel, including individual provider sheets and a master group tracking sheet capturing enrollment status, follow-up dates, insurance IDs, and notes.
• Proactively follow up and escalate pending applications with insurance companies, significantly reducing provider enrollment turnaround times.
• Liaise directly with insurance companies to resolve enrollment issues, check application statuses, and ensure timely approvals.
• Managed credentialing workload for multiple provider groups simultaneously, demonstrating ability to handle high-volume enrollment pipelines independently.
• Currently expanding into patient scheduling operations, with hands-on training in Headway, Valant.io, and Stripe for appointment management and payment processing within a mental health practice setting.

Business Sales Executive at Aims Tech

• Conducted outbound B2B sales for card machines, gas, and electricity services to business clients.
• Consistently met sales targets through effective prospecting, pitching, and closing strategies.
• Built and maintained client relationships, providing post-sale support and resolving customer concerns.

Sales Representative at Eleven Solutions

• Performed outbound sales for a US-based truck dispatch company, convincing owner-operators to partner with the organization.
• Developed strong persuasion and negotiation skills through high-volume outbound calling.
• Maintained detailed records of prospects and follow-ups to maximize conversion rates.

Customer Support Representative at Paralyx Developers

• Handled inbound customer support calls, resolving queries and providing technical assistance.
• Maintained high customer satisfaction through clear communication and timely issue resolution.
• Collaborated with internal teams to escalate and resolve complex customer issues.

Home Tutor at Self-Employed

• Provided academic tutoring to students, developing strong communication and teaching skills.

Bachelor of Computer Science in Computer Science – Shiblee College

Intermediate — FSc Pre-Engineering in Pre-Engineering – KIPS College

Matriculation – The Educators