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 Executive - SIS RCM India Private Limited - Noida

(2026-02 - 2026-06)

• Proficient in healthcare billing systems; configures payer systems for claim submissions and payment posting through medical clearinghouses and manual posting.
• Verified patient insurance coverage including eligibility and pre-authorization requirements, ensuring compliance and reducing claim rejections.
• Analyzed denied and rejected claims to determine root causes, taking necessary corrective action for timely resolution.
• Post ERA and Check payment in PMS with the help of EOB and Missing payment with the help of EOB portal and call to Insurance company and get accurate informations.

Senior Analyst - R1 RCM Global Private Limited - Noida

(2022-07 - 2026-02)

• Analyzed escalated issues, developed actionable solutions, and contributed to continuous process improvement initiatives.
• Assisted in coordinating internal resources for successful product implementations across multiple client accounts.
• Connected with US insurance companies on behalf of healthcare providers and physicians, following up on outstanding claims and ensuring timely reimbursements.
• Posted Cash deposits, Recoupment and Offset accurately and reconcile the batch and maintain auditable financial records.

Senior Analyst - EMDS Aria Health Private Limited - Noida

(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. - Sociology - Magadh University

XII - Intermediate - BSEB, Patna

X - Matriculation - BSEB, Patna