Football, Artificial Inteligence
Dibyendu Sen
RCM Specialist
Kolkata
Summary
Detail-oriented Billing and Reimbursement Specialist with expertise in process optimization and quality assurance. Proven track record in resolving discrepancies and enhancing revenue collections, driving improved cash flow management. Skilled Claim Specialist focused on maximizing core success through effective use of RCM Tools. Top-notch communicator with excellent time management, administrative and customer service skills.
Overview
3
3
Languages
1
1
Certification
1
1
year of professional experience
Work History
Billing and Reimbursment Specialist
IMerit Technology Services
11.2025 - Current
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Reviewed outstanding patient balances and initiated collection actions, enhancing account recovery efforts.
- Communicated with insurance providers to resolve denied claims and resubmit.
- Improved revenue collections for medical practice through diligent follow-ups on unpaid claims.
Claim Specialist
Sunknowledge Services Inc.
12.2024 - 10.2025
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
- Identified fraudulent claims through diligent investigation and collaboration with law enforcement agencies when necessary.
- Identified fraudulent claims through diligent investigation and collaboration with law enforcement agencies.
- Reviewed insurance and claims documents to verify information and secure missing data for timely settlements.
- Managed diverse claim types, including property damage, bodily injury, and liability disputes, demonstrating adaptability and thorough knowledge.
- Streamlined documentation workflow, facilitating quicker claim resolution and improving customer satisfaction.
Education
BCOM - Financial Accounting
Calcutta University
Kolkata 04.2001 -
High School Diploma -
West Bengal Board of Higher Secoundary Education
Kolkata, India 04.2001 -
Skills
Claims processing
Billing regulations
Proficient in CPR, Availity, Infinitus
Quality assurance
Process optimization
Analytical thinking
Stakeholder engagement
Team performance improvement
Certification
Pharmacy Billing, Infinitus, Jan 2026
Interests
Timeline
Pharmacy Billing, Infinitus, Jan 2026
01-2026
Billing and Reimbursment Specialist
IMerit Technology Services
11.2025 - Current
Claim Specialist
Sunknowledge Services Inc.
12.2024 - 10.2025
BCOM - Financial Accounting
Calcutta University
04.2001 -
High School Diploma -
West Bengal Board of Higher Secoundary Education
04.2001 -