Saba Nazim

Detail-oriented Medical Billing Specialist with 6 months of experience in full-cycle Revenue Cycle Management, specializing in US healthcare billing systems, including provincial health plans and private insurance. Demonstrated expertise in Medicaid and Medicare and other provincial billing frameworks, with hands-on experience in claims submission, payment reconciliation, accounts receivable follow-up, and denial resolution.

RCM - Healthcare hustlers

(2025-01)

• Performed full-cycle billing adapted to US healthcare systems
• Processed claims via electronic data interchange (EDI) to provincial payers and private insurers
• Achieved high claim acceptance rates by ensuring compliance with province-specific billing codes and schedules of benefits
• Managed eligibility checks using provincial health numbers and insurance portals
• Conducted denial analysis and resubmitted corrected claims
• Entry-level billing, payment posting, and account reconciliation across multiple specialties
• Processed patient and insurance payments with high accuracy, posting to correct accounts and reconciling discrepancies to maintain clean AR records
• Investigated patient account discrepancies, corrected charge capture errors, and coordinated with clinical staff to ensure accurate billing
• Analyzed denied claims and submitted appeals to recover revenue, monitored outstanding balances, and initiated collection activities on overdue accounts
• Generated and reviewed financial reports to identify billing trends, patterns of outstanding denials, and opportunities for process improvement

Medical Billing & Insurance

• Managed billing workflows for public (provincial health plans) and private insurers
• Performed AR follow-up on unpaid claims and reconciled payments using Remittance Advice (RA)

MBA - banking and finance - University of Karachi