Summary
Overview
Work History
Education
Certification
Languages
Timeline
Generic

Namrata Karanje

Analyst Application Support
Thane

Summary

Results-driven Healthcare Data Analyst with over 6 years of experience in the U.S. healthcare domain. Skilled in extracting and analyzing data using SQL to generate operational reports that support decision-making and process improvements. Committed to continuous learning, problem-solving, and collaborating with teams to enhance productivity and meet organizational goals.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Analyst, Application Support

Evolent Health International Private Limited
Pune
6 2022 - Current
  • Access Management: Managed the entire access lifecycle, from creation to termination, ensuring secure and controlled data access.
  • Technical Support (Level 1): Provided Level 1 support by resolving issues related to Standard Operating Procedures (SOPs) through problem replication and triage.
  • Report Development & Process Improvement: Developed reports and improved processes using T-SQL, MS Excel, Word, JIRA, and Confluence.
  • Stakeholder Collaboration: Worked closely with internal teams like Production Operations, Engineering, and Business teams to resolve issues and enhance processes.
  • Jira Dashboards: Created Jira dashboards to track tasks by priority, improving team productivity and work management.
  • Power BI Project: Led a Power BI project focused on data analysis, modeling, report design, and visualization. Extracted data from 6+ sources, including SQL, Excel, CSV, SharePoint, and Power BI Datasets, and transformed it using Power Query. Demonstrated expertise in data preprocessing, cleaning, null value imputation, and modeling large datasets (1 GB). Collaborated with cross-functional teams and clients to solve business problems, ensuring accurate and insightful reporting through DAX-driven calculations.
  • Job Monitoring via App Insight: Monitored system performance using App Insight, ensuring reliability and uptime.

Senior Claim Analyst

Access Healthcare
Pune
12.2021 - 03.2022
  • Claim Submission and Follow-Up: Prepare and submit claims to insurance companies, government programs, and other payers. Follow up on unpaid claims, denials, and underpayments to ensure timely reimbursement.
  • Denial Management: Analyze claim denials, determine the reasons for non-payment, and resubmit claims with necessary corrections. Coordinate with insurance companies to resolve discrepancies and obtain payments.
  • Patient Billing and Collections: Generate and send out patient statements for outstanding balances. Manage patient accounts by following up on unpaid balances and arranging payment plans, as needed.
  • Revenue Cycle Management (RCM): Collaborate with the billing department and other teams to ensure the effective management of the revenue cycle, from patient registration to final payment.

Claim Analyst

Teleperformance Global services Private Limited
Thane
05.2019 - 10.2020
  • Claim Submission and Follow-Up: Prepare and submit claims to insurance companies, government programs, and other payers. Follow up on unpaid claims, denials, and underpayments to ensure timely reimbursement.
  • Denial Management: Analyze claim denials, determine the reasons for non-payment, and resubmit claims with necessary corrections. Coordinate with insurance companies to resolve discrepancies and obtain payments.
  • Patient Billing and Collections: Generate and send out patient statements for outstanding balances. Manage patient accounts by following up on unpaid balances and arranging payment plans, as needed.
  • Revenue Cycle Management (RCM): Collaborate with the billing department and other teams to ensure the effective management of the revenue cycle, from patient registration to final payment.

Senior Technical Associate

Wipro Limited
Airoli
07.2016 - 04.2019

Advanced Troubleshooting: Resolve complex technical issues using advanced problem-solving skills and a deep understanding of systems and components.

Comprehensive Problem Resolution: Fix software, hardware, and network issues that involve multiple systems, ensuring everything works smoothly.

Mentorship: Guide and mentor junior team members, helping them improve their skills and technical knowledge.

Customer-Focused Support: Handle high-priority customer issues quickly and efficiently, providing timely updates and solutions. Address complaints professionally, turning challenges into positive experiences through effective communication and problem-solving.

Education

Graduate(BSC-computer science) -

KMC college Khopoli

HSC -

G.B Vader Highschool Pali

SSC -

Swami Vivekanand Highschool Pali

Certification

  • DP- 900: Microsoft Azure Data Fundamentals
  • PL-300:Microsoft Power BI

Languages

English
Hindi
Marathi

Timeline

Senior Claim Analyst

Access Healthcare
12.2021 - 03.2022

Claim Analyst

Teleperformance Global services Private Limited
05.2019 - 10.2020

Senior Technical Associate

Wipro Limited
07.2016 - 04.2019

Graduate(BSC-computer science) -

KMC college Khopoli

HSC -

G.B Vader Highschool Pali

SSC -

Swami Vivekanand Highschool Pali

Analyst, Application Support

Evolent Health International Private Limited
6 2022 - Current
Namrata KaranjeAnalyst Application Support