Dileep Kumar

Results-driven healthcare billing professional seeking a goal-oriented organization that enables me to leverage my expertise in medical billing, denial management, and revenue cycle operations. Committed to contributing to organizational growth while continuously enhancing analytical and operational skills in a competitive healthcare environment.

Senior Analyst at SIS RCM India Private Limited (2026-02 – 2026-06)

• Proficient in healthcare billing systems; configures payer systems for claim submissions and payment posting ERA through clearinghouse and EOB manual posting.
• Verified patient insurance coverage including eligibility and pre-authorization requirements, ensuring compliance and reducing claim rejections.
• Posted Cash deposits, Recoupment and Offset accurately and reconcile the batch and maintain auditable financial records.
• Handle patient billing inquiries professionally and update patient account information as required.

Senior Analyst at R1 RCM Global Private Limited (2022-07 – 2026-02)

• Analyzed escalated issues, developed actionable solutions, and contributed to continuous process improvement initiatives.
• Review and prioritize pending claims from the aging report for follow-up.
• Negotiate and secure payment from payers on outstanding and underpaid claims.
• Connected with US insurance companies on behalf of healthcare providers and physicians, following up on outstanding claims and ensuring timely reimbursements.
• Analyzed denied and rejected claims to determine root causes, taking necessary corrective action for timely resolution.
• Maintain detailed and accurate documentation of all interactions and actions taken on claims.

Senior Associate at EMDS Aria Health Private Limited (2018-10 – 2022-07)

• Posted all ERA deposits and scanned lockbox checks within defined Service Level Agreements.
• Utilized payer portals including Availity, Optum, and Tricare to confirm benefits and resolve coverage discrepancies.
• Verified patient demographics, insurance information, and eligibility coverage to ensure billing accuracy.
• Prepared and submitted medical claims using UB-04 (hospital billing) and CMS-1500 (physician billing) forms to insurance carriers.

B.A. in Sociology – Magadh University

XII in Intermediate – BSEB, Patna

X in Matriculation – BSEB, Patna