Data Analyst
Current• Involved claims analysis project to identify and mitigate fraudulent activities, resulting in a 15% reduction in fraudulent claims and saving approximately $2 million annually.• Utilized data visualization tools such as Tableau to create interactive dashboards, providing real-time insights into claims data trends for better decision-making.• Conducted a comprehensive claims data review, identifying patterns leading to denials and implementing process improvements that contributed to a… Show more • Involved claims analysis project to identify and mitigate fraudulent activities, resulting in a 15% reduction in fraudulent claims and saving approximately $2 million annually.• Utilized data visualization tools such as Tableau to create interactive dashboards, providing real-time insights into claims data trends for better decision-making.• Conducted a comprehensive claims data review, identifying patterns leading to denials and implementing process improvements that contributed to a 10% decrease in claim denials.• Involved in the development of an EHR analysis project to improve patient care workflows, which led to a 15% decrease in patient record mistakes and a 25% improvement in data accessibility.• Developed and maintained SQL queries for extracting and transforming EHR data, facilitating efficient data analysis and reporting.• Defined and tracked KPIs for claims analysis projects, including metrics like claim accuracy rate, fraud detection rate, and reimbursement cycle time. Show less
