Bijender Pal

Compliance and due diligence professional with 3 years of experience in regulated US healthcare operations, spanning accounts receivable, denial resolution, and provider credentialing. Skilled in verifying documentation against regulatory and payer standards, investigating discrepancies, and maintaining accurate, audit-ready records. Adapting a strong due diligence, verification, and compliance skill set to financial services KYC and client due diligence processes.

AR / Collections Representative at Optum Global Solutions (India) Pvt. Ltd. (2025-08 – Present)

• Drive AR follow-up and collections activity across assigned accounts, applying structured investigation to accelerate resolution and recover outstanding balances.
• Communicate directly with insurance payers to resolve claim discrepancies and expedite reimbursement, in line with payer compliance requirements.
• Investigate denied and underpaid claims, identifying root causes and coordinating corrective action — a case-review process closely aligned with due diligence investigation.
• Maintain accurate, up-to-date account records to support audit readiness and reporting integrity.

AR Executive at Pacific BPO (2024-09 – 2025-08)

• Managed end-to-end AR follow-up and collections workflow, ensuring timely, compliant payment processing across client accounts.
• Partnered with clients and payers to resolve claim issues and shorten reimbursement cycles.
• Verified and maintained payment records with consistent accuracy across multiple systems.
• Contributed to team initiatives that reduced AR aging and denial rates through improved review processes.

AR and Credentialing Specialist at CGM Aria Health Services (2023-06 – 2024-09)

• Conducted due diligence and documentation verification on provider credentialing files, ensuring accuracy and compliance with payer and regulatory requirements.
• Investigated and resolved claim denials and payment discrepancies to support smoother, faster payment cycles.
• Coordinated with cross-functional teams to identify and resolve credentialing issues efficiently.
• Organized and maintained documentation in audit-ready condition for compliance reviews.

B.Sc. – Jamia Hamdard University (2023)

Higher Secondary – C.B.S.E. Board (2018)

Secondary – C.B.S.E. Board (2016)