About
Healthcare professional with 5+ years of experience in healthcare operations and claims management, now specializing in data analytics and business intelligence. Skilled in transforming healthcare and business data into actionable insights using Power BI, Tableau, Python, and SQL. Strong ability to identify trends, optimize processes and support data-driven decision-making. Combines deep healthcare domain knowledge with analytical expertise to drive operational efficiency and improve outcomes.
Skills & Expertise (20)
Work Experience
Process Executive
Cognizant Technology Solutions
Sep 2019 - Sep 2022
Processed and validated complex inpatient and outpatient medical claims across U.S. states, ensuring accuracy and compliance with industry standards. Performed audits and identified billing errors, documentation mismatches, and process inefficiencies to reduce denials and improve claim outcomes. Led team training sessions and knowledge-sharing initiatives to strengthen claim handling practices and enhance operational efficiency.
Health Service Admin Associate
Accenture Solutions Pvt Ltd
Oct 2022 - May 2025
Investigated and resolved formal healthcare appeals and complaints, ensuring compliance with legal and regulatory guidelines while maintaining high customer satisfaction. Conducted audits and data evaluations on eligibility, authorization, and pricing to ensure accuracy, quality, and compliance in claims decisions. Prepared quality reports and facilitated team discussions to recommend corrective actions and drive continual performance improvement.
Education
Bachelor of Science in Bio Computing - Vels University
2016 - 2019 · Afghanistan
