Shaikh Jamil
Healthcare Data Analyst
About
Healthcare Data Analyst with 2+ years of hands-on experience in US healthcare Revenue Cycle Management (RCM) across accounts receivable, denial follow-up, eligibility verification and prior authorization. Turns claims data into predictive and Generative AI solutions: deployed a claim-denial classification model (Scikit-learn) into a live claims workflow and delivered XGBoost, FastAPI, RAG and MLOps (MLflow, ZenML, Docker) projects end to end. Strong in root-cause analysis, denial-pattern analytics, HIPAA-aware data handling and stakeholder communication. Seeking Data Analyst, Healthcare Analyst or Junior Data Scientist roles.
Skills & Expertise (39)
Work Experience
Process Associate โ RCM
Eclat Health Solutions (India) Pvt. Ltd.
May 2025 - Feb 2026
Analyzed end-to-end RCM workflow and claims data using EDA to uncover delays and recurring denial patterns in high-volume claim queues. Engineered features from claim data and deployed a Scikit-learn classification model into the claims workflow to flag claim-denial likelihood, while maintaining HIPAA compliance. Enabled proactive intervention and better prioritization of work queues, improving claim accuracy, quality control and turnaround time across operations.
AR Associate
GeBBS Healthcare Solutions Pvt. Ltd.
Aug 2024 - Mar 2025
Analyzed denied-claims data using statistical analysis to pinpoint root causes, recurring coding errors and documentation gaps. Categorized denial patterns (CARC/RARC-based) and set up MLflow experiment tracking to log denial-pattern analyses for reproducible reporting. Improved process transparency and resolution prioritization, enabling iterative process improvements.
Accounts Receivable Associate
Infinx Services Pvt. Ltd.
Jul 2023 - Jul 2024
Evaluated eligibility and prior-authorization records using structured hypothesis testing, cross-referencing payer guidelines and coverage data. Streamlined authorization workflows through structured data reviews, improving clarity and speed of communication with insurers and healthcare providers.
Education
B.Sc. in Computer Science - SIES College of Arts, Science & Commerce, Sion (W), Mumbai
- 2025 ยท Afghanistan
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Skills (39)
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