Sushil Kumar

• Ensured data integrity and security by implementing comprehensive risk assessment procedures and addressing vulnerabilities promptly.
• Established strong working relationships with stakeholders through effective communication strategies, fostering collaboration towards common goals.
• Streamlined processes for increased efficiency by identifying bottlenecks and proposing effective solutions.
• Mentored junior analysts, providing guidance on best practices and fostering their professional growth within organization.

• Demonstrated expertise in statistical analysis techniques, resulting in more accurate predictions and better-informed decisions.
• Analyzed data to identify root causes of problems and recommend corrective actions.
• Collaborated with stakeholders to identify business needs and data sources.
• Created dashboards to monitor and track key performance indicators.
• Utilized data visualization techniques to present and explain complex data sets.
• Deployed predictive analytics models to forecast future trends.

• Reviewing CPT codes and other documents to approve/deny Payment (US Healthcare)

• Well versed with US Healthcare (ICD Codes, HCPCS Codes, and HCFA 1500, Denials and payments).

• Creating and maintaining SOP for all processes.

• Collaborate with onshore and IT teams to plan project sprints.

• Part of Automation Team for creating tool to that enables to create new claim with Set of Rules.

• Conduct audits/share feedback with peers as and when required.

• Responding to any ADHOC requests/urgent client e-mails and escalations.

• Worked varied hours to meet seasonal and business needs.
• Developed strong client relationships through timely and thorough follow-up on inquiries and concerns.
• Prioritized tasks to meet tight deadlines, pitching in to assist others with project duties.
• Established strong relationships with key stakeholders, facilitating effective communication across departments and teams.