PROFESSIONAL EXPERIENCE

💼 Data Scientist @ 4D Global Inc., June 2025 – Present.

         As a Data Scientist at 4D Global Inc., I am actively contributing to the digital transformation of healthcare Revenue Cycle Management (RCM) through AI and machine learning. My current role focuses on developing intelligent systems using open-source LLMs deployed on Google Cloud Platform (GCP), incorporating Retrieval-Augmented Generation (RAG), vector databases, and embedding techniques tailored to healthcare data.

With a strong foundation in Python, TensorFlow, Hugging Face Transformers, and BigQuery, I work on structuring historical claims data, SOPs, and payer interactions to train predictive and NLP-driven models. These models are designed to enhance denial management, automate workflows, and generate actionable insights, ensuring compliance with HIPAA and SOC 2 standards.

💼 Senior Executive @ Medrona Inc., March 2023 – May 2025.

• • Analyzed claim denial trends using Excel pivot tables and Python (Pandas), identifying top denial codes and payer-specific patterns that helped reduce denials by 15% within a quarter. 

  • Dashboarding (using Power BI) for real-time denial classification, and performance tracking, leading to a 20% improvement in resolution turnaround. 

  • Extracting and preprocessing the structured data from EHR, EMS, PMS for data visualization and predictive modelling.

  • Extracting structured information from unstructured clinical or administrative text in EHR systems 

  • Used SQL, Python to clean and preprocess datasets from payer portals and billing systems.

  • Applied Named Entity Recognition (NER) to extract structured insights from unstructured clinical or administrative text within EHRs to support coding and billing accuracy. 

  • Conducted root cause analysis on high-value unpaid claims using statistical methods (mean denial age, frequency distribution), helping stakeholders address systemic issues.

  • Led a process improvement initiative that reduced claim denial rates by 15% over 3 months through root-cause analysis and proactive provider communication.

  • Worked closely with cross-functional teams (billing, coding, and compliance) to ensure timely and accurate claim resolution .

  • Automated tasks using UiPath bots to enhance scalability in data entry tasks by reducing manual efforts which may leads to errors.

💼 Senior Executive @ CuroMS Inc., Feb 2021 – Sept 2021.

• • Revenue management and data analysis using Excel.

  • Created Excel dashboards for reporting.

💼 Client Partner @ Access Healthcare Services, July 2019 – Jan 2021.

• • Data analysis on claim processing and RCM cycle.

  • Reporting and insights for clients.

EDUCATION

• Post-Graduation in Machine Learning & Artificial Intelligence.
  Imarticus Learning, 2024.

• B.E. Electrical and Electronics Engineering
  IFET College of Engineering, Anna University, 2017.

• Mathematics with Computer Science
  St. Paul Matriculation HR Sec School, 2013.