Prabhu Raj
Data Analyst
#55 Dwarakanagar, Near AF gate IA F post Yelahanka, Bangalore,Karnataka
Summary
Data Analyst with Two years of experience in collecting, analyzing, and interpreting complex datasets. Proficient in statistical modeling, data visualization, and predictive analytics, seeking to leverage data-driven insights for organizational growth.
US HealthCare professional with 5 years of experience in different operational process such as Denial management, Authorization and Benefits, Payment posting, claims billing and adjudication. Hands on experience in mentoring, training and soft leading team. Expertized in reporting dashboards, tracker and collate daily reports.
Overview
8
8
years of professional experience
17
17
years of post-secondary education
Work History
Data Analyst
Speridian Technology
02.2022 - Current
- Gather data from various sources such as databases, spreadsheets, and APIs
- Cleanse and preprocess data to ensure accuracy and consistency
- Identify and solve complex data-related problems using analytical and critical thinking skills
- Troubleshoot data issues and propose solutions to enhance data quality and reliability
- Stay updated on industry trends and best practices in data analysis
- Identify opportunities for process improvement and optimization
- Perform exploratory data analysis (EDA) to uncover insights and trends
- Utilize statistical techniques to analyze datasets and extract meaningful information
- Develop predictive models and algorithms to forecast trends and outcomes
- Create visualizations (charts, graphs, dashboards) to communicate findings effectively
- Use tools such as Excel, Power BI, Pwer Query to visualize data
- Manage multiple projects simultaneously, adhering to deadlines and priorities
- Coordinate with team members to ensure project objectives are met
- Calling Insurance carriers for API Integration
- Calling Carriers to resolve internal broker issues
- Designing website for internal process training
- Creating SOP via Power point and MS word on process related
- Analysing Pro's and Con's about competitor's Business and giving inputs through SOP to the management
- Collaborate with cross-functional teams to understand business requirements
- Communicate effectively with stakeholders to gather feedback and refine analyses
- Generate reports summarizing key findings and recommendations
- Present insights to stakeholders in a clear and concise manner.
Process Associate
Availity India Pvt LTD
12.2020 - 01.2022
- Preparing reports for the management stating trends, patterns, and predictions using relevant data
- Analyze existing tools and databases and provide solution
- Filter Data by reviewing reports and performance indicators to identify and correct problems
- Identify, analyze, and interpret trends or patterns in complex data
- Work with management to prioritize business and information needs
- Expertise in Reprocessing denied authorization cases
- Sending Appeals and Reconsiderations to different carriers.
Revenue cycle specialist
Cerner Healthcare solution
12.2018 - 12.2020
- Training and mentoring new hires
- Providing update to team leaders on Production percentage and quality report on daily bases
- Auditing cases and providing feedbacks to Employees
- Identify and communicate trends directly to client
- Compiling reports on a daily basis and Updating dashboard
- Training end-users on new reports and dashboards.
Accounts Receivable Associate
Omega Healthcare
11.2016 - 12.2018
- Analyzing and processing health insurance claim denials case by case
- Resolving the assigned cases using different process guidelines
- Handling daily inventory assignments and follow-up for completions
- Execute key strategies to drive increased collections and policies for exception handling, appealing and denial management
- Compiling reports on a daily basis and Updating dashboard.
Education
Class 10th -
Air Force School
Bangalore 01.2000 - 04.2011
12th (HEBA) -
Sheshadripuram Pre- University College
Bangalore 01.2011 - 04.2013
Bachelor of Commerce -
Reva Institute of Science And Management
Bangalore 01.2013 - 04.2016
Skills
Data Visualization and Presentations
Personal Information
- Date of Birth: 05/04/95
- Nationality: India
Timeline
Data Analyst
Speridian Technology
02.2022 - Current
Process Associate
Availity India Pvt LTD
12.2020 - 01.2022
Revenue cycle specialist
Cerner Healthcare solution
12.2018 - 12.2020
Accounts Receivable Associate
Omega Healthcare
11.2016 - 12.2018
Bachelor of Commerce -
Reva Institute of Science And Management
01.2013 - 04.2016
12th (HEBA) -
Sheshadripuram Pre- University College
01.2011 - 04.2013
Class 10th -
Air Force School
01.2000 - 04.2011
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