MUSTAFA AL MUSTAFA
Dammam,Saudi Arabia
Summary
Strategic and results-driven Healthcare & Revenue Cycle Management Executive with over 8 years of leadership experience in hospital operations, insurance negotiations, claims management, and business development. Proven track record in improving operational efficiency, optimizing revenue cycles, and fostering strong partnerships with insurance companies and regulatory bodies. Known for transforming departments into high-performing units through innovation, collaboration, and a commitment to excellence.
Overview
8
8
years of professional experience
1
1
Certification
Work history
Corporate RCM Director
Khaled Al-Ruhami Al-Mutari Holding Company
Dammam, Eastern Province
2024.09 - Current
- Spearhead revenue cycle management across hospitals, pharmacies, and medical entities, enhancing profitability and compliance.
- Negotiate and manage insurance contracts covering 500+ employees and 100+ vehicles.
- Serve as Business Center Director with full signing authority on insurance matters.
- Advise board of directors with strategic insights, KPIs, and financial forecasting.
Sr.Claim Management Manager
Nextcare Group
Khobar, Eastern Province
2023.03 - 2024.07
- Directed a large team of supervisors and staff, achieving performance goals across quality, productivity, and accuracy.
- Optimized claim workflows, reducing turnaround time and minimizing rejections.
- Led recruitment, training, and performance development of new and existing employees.
Business Center Director (RCM)
Alnaamy Medical Group
Dammam, Eastern Province
2021.09 - 2023.01
- Managed all RCM operations including billing, coding, NAPHIES, and claims management.
- Strengthened insurance relations and improved approval rates.
- Directed a large team of supervisors and staff, achieving performance goals across quality, productivity, and accuracy.
Billing & Approval Manger
Dr Sulaiman Al Habib Hospital
AlKhobar, Saudi Arabia
2019.12 - 2021.09
- Oversaw billing operations, ensured clean claim ratios, and resolved denials.
- Developed monthly reports and led team initiatives to enhance claim accuracy.
Billing Supervisor
Dr Sulaiman Al Habib Hospital
AlKohbar, Saudi Arabia
2019.03 - 2019.12
- Experienced in overseeing all aspects of medical billing operations, including goal setting, daily workflows, and coordination to ensure accurate and timely claims processing. Skilled in reviewing patient records for billing completeness, verifying medical coding, and resolving disputed or denied claims through effective follow-up and collaboration. Monitors billing staff performance, ensuring compliance with policies and maximizing clean claim ratios. Prepares monthly financial reports, identifies discrepancies, and implements corrective actions. Maintains up-to-date knowledge of billing regulations and serves as a key liaison for continuous improvement across departments. Dedicated to supporting the hospital’s mission and upholding professional and regulatory standards.
Data Management Supervisor
Interserve GCC - Aramco Project
AlKobar, Saudi Arabia
2017.11 - 2019.02
- Processed student eligibility and maintained audit-ready documentation.
- Supported risk management and internal audit processes.
- Prepared daily reports, providing insights into shift operations.
Data Administrator (MIS)
Interserve GCC/ ITQAN College - Aramco Project
Ras Tanoora , Saudi Arabia
2016.12 - 2017.11
Education
Bachelor of Arts - Management And Business Administration
University of Northern Iowa
Cedar Falls, IA05.2016
SOFTWARE SKILLS
- NAPHIES
- Tableau Program
- R-Studio Program
- SAP Software
- Microsoft Office
- Arbor Program
- HMIS
LANGUAGES
- Arabic
- English
Certification
Diploma in Healthcare Management .
Insurance and CCHI Course.
Supply chain Course, USA .
Advanced Project Management Certification Course, Online .
Introduction to Human Resources Functions Certification Course, online.
Timeline
Corporate RCM Director
Khaled Al-Ruhami Al-Mutari Holding Company
2024.09 - Current
Sr.Claim Management Manager
Nextcare Group
2023.03 - 2024.07
Business Center Director (RCM)
Alnaamy Medical Group
2021.09 - 2023.01
Billing & Approval Manger
Dr Sulaiman Al Habib Hospital
2019.12 - 2021.09
Billing Supervisor
Dr Sulaiman Al Habib Hospital
2019.03 - 2019.12
Data Management Supervisor
Interserve GCC - Aramco Project
2017.11 - 2019.02
Data Administrator (MIS)
Interserve GCC/ ITQAN College - Aramco Project
2016.12 - 2017.11
Bachelor of Arts - Management And Business Administration
University of Northern Iowa