Open to opportunities

Sumit Kumar

@sumitkumar19

Message

Experienced medical billing specialist skilled in DME billing, AR management, and claims resolution.

India

Message

What I'm looking for

I seek a medical billing or AR role where I can apply Brightree/Vericle expertise to reduce AR, manage DME claims, ensure compliance, collaborate with clinical teams, and grow into advanced RCM responsibilities.

I am an experienced and detail-oriented Medical Billing Specialist specializing in DME billing, accounts receivable management and claims resolution using Brightree and Vericle. I ensure compliance with HIPAA, Medicare and Medicaid billing guidelines while collaborating with providers, patients and payers. I am proficient in claim submissions, payment posting, denial management and financial reconciliation.

At Knack RCM, Unify Healthcare and Clinic Mind I managed high-volume billing, performed insurance verifications and prior authorizations, and reduced aging AR by [X]% through persistent follow-up and appeals.

Experience

Work history, roles, and key accomplishments

Current

Accounts Receivable Representative

Current

Clinic Mind

Jan 2025 - Present (7 months)

Manage physician-division AR remotely using Vericle, prepare and submit claims accurately, resolve denials through appeals and documentation, and support patient billing inquiries to expedite collections.

Accounts Receivable Management Denial Management Appeals Insurance Verification Microsoft Excel

Accounts Receivable Representative

Unify Healthcare

Aug 2024 - Nov 2024 (3 months)

Managed AR for the DME division, prepared and submitted accurate claims via Brightree, initiated appeals for denied claims, and collaborated with collections to recover outstanding payments.

Brightree Accounts Receivable Management Denial Management Appeals Insurance Follow Up

Medical Billing Specialist

Knack RCM

Dec 2019 - Jul 2024 (4 years 7 months)

Managed DME billing across Medicare, Medicaid, and private payers using Brightree; submitted and followed up on claims, resolved denials, and maintained accurate AR records to improve collections and reduce aging.

Brightree Accounts Receivable Management Denial Management Insurance Verification Payment Posting