Sumit Banerjee
Senior Analyst Revenue Services - USA Medical Billing
Kolkata
Summary
. To work in a reputed organization and wants to be asset. . Knows for high productivity . Team Handling Capacity . Problem Solving and Team Work to enhance project outcomes and workplace dynamics. . Productivity with efficiency in task completion without error . Excel, Word and Power Point handling to carry out regular task.
Rational Senior Analyst with six years of experience enhancing operations for organizations through information systems solutions. Proven track record of transforming specific business goals related to growth and efficiency improvements into new system designs. Knowledgeable innovator known for recommending new technologies to enhance existing systems and introduce new systems.
Overview
11
11
years of professional experience
3
3
Languages
Work History
Senior Analyst and Acting Team Lead
Trubridge Healthcare
10.2025 - Current
- Work as acting Team Lead
- Responsible for managing team member of size 15
- Responsible for conducting daily huddles with fellow teammates to understand and escalate same to client for proper resolution
- Assign inventory to team mates on priority basis for example claim with high dollar value, claim near to TFL, claim with zero pays, claim that required appeals
- Review claims worked by team to check if work is towards solution oriented or not.
- Review AR Days and try to improve days within favorable bucket of up to 30-35 days
- Physician Billing CMS 1500
- Provider Specialty is Dermatology
- Software- NextGen, ECW, Real med, Health Logic
- Responsible for reviewing submitted claims and check status in portal like Availity, UHC, CIGNA , PAYSPAN, ZELUS, NOVITAS, TMPH
- Follow up with insurance to check claim status on a timely manner, if claim denied collect date of denial, reason of denial, what action should be taken to resolve it
- Prepare appeal to submit dispute to payer
SENIOR ANALYST REVENUE SERVICE 1 (ACTING SME & TL)
Greenway Health India
07.2022 - 10.2025
- Work as acting Team Lead
- Responsible for managing team member of size 15
- Responsible for conducting daily huddles with fellow teammates to understand and escalate same to client for proper resolution
- Assign inventory to team mates on priority basis for example claim with high dollar value, claim near to TFL, claim with zero pays, claim that required appeals
- Review claims worked by team to check if work is towards solution oriented or not.
- Review AR Days and try to improve days within favorable bucket of up to 30-35 days
- Responsible for maintaining escalation tracker
- Work as acting quality analyst
- Responsible for maintaining team production dashboard and quality audit report on monthly basis
- Weekly connect with clients on process updates, improvement ideas with action plan
- Maintain monthly leave tracker for team members
- Daily connect with operation manger to showcase AR DAYS, ageing report, SLA.
- Weekly Connect with team members to understand challenges with solutions
- Connect with team member one to one who were in bottom quartile to understand challenges and provide resolution with motivation
Senior Process Associate
Sunknowledge
10.2020 - 05.2022
- Works in professional Claims CMS 1500
- Software- Brightree, Athena, ECW, Adapt Health Portal
- Review status of submitted claims through various payer portal
- Connect with payer to understand reason of denial and further action to resolve
- Work on denials and try to resolve by adding/removing modifier, placing dx code in correct position as per LCD/NCD guidelines
Associates
Wipro
09.2019 - 10.2020
- Works in claim adjudication process
- Responsible to review medical records and medical necessity letter to understand claims necessity
- Review and approve amount as per provider fee schedule
- Responsible to check patient responsibility left before making payment
- Check recommended allowed amount as per provider fee schedule.
Process Associate
Genpact India PVT LTD
10.2015 - 06.2018
- Work in USA BANKING PROFILE in Wells Fargo
- Responsible for ordering debit card, check books
- It is a Wells Fargo brokerage account
- Process name is Command Ops
Education
B.COM (H) -
01-2015
12th - undefined
01-2010
10th - undefined
01-2008
Skills
Advanced Excel Proficiency
Power Point Proficiency
Power BI Data Visualization
Billing and Collection procedure
Claims review and submission
Medical Record and coding analysis
Team Handling
MS OFFICE
USA BANKING KNOWLEDGE
USA HEALTHCARE RCM complete End to End Knowledge
Team Leadership
Escalation Handling
PERSONAL DETAILS
Fathers Name – Sadhan Kumar Banerjee Mother Tongue- Bengali I hereby declare that all information provided above is correct and true from my knowledge Sumit Banerjee Place: Kolkata
Timeline
Senior Analyst and Acting Team Lead - Trubridge Healthcare
10.2025 - Current
SENIOR ANALYST REVENUE SERVICE 1 (ACTING SME & TL) - Greenway Health India
07.2022 - 10.2025
Senior Process Associate - Sunknowledge
10.2020 - 05.2022
Associates - Wipro
09.2019 - 10.2020
Process Associate - Genpact India PVT LTD
10.2015 - 06.2018
Central Model School CBSE - 12th,
Scottish Public School CBSE - 10th,
School of open learning, Delhi University - B.COM (H),