Adithya Raji
@adithyaraji
I analyze healthcare claims and operational data to improve accuracy, reimbursement, and process performance.
IndiaWhat I'm looking for
At Guidehouse, I process and verify high-volume insurance claims, resolve denials, monitor AR aging, and maintain audit-ready reimbursement workflows using EPIC, NextGen, and Citrix. I support timely revenue recovery while meeting client SLAs, healthcare regulations, and quality standards.
Previously at Shellsquare Softwares, I monitored real-time operational data, managed ServiceNow incidents, and worked with QA and technical teams to reduce downtime. I also build healthcare analytics reports and visualizations with Python, SQL, Power BI, and Excel, including analysis of 100,000+ CMS records for readmission, denial, and revenue-leakage insights.
Experience
Work history, roles, and key accomplishments
Processed and verified high-volume insurance claims with strong accuracy, consistently meeting client SLAs and daily productivity targets. Performed billing validation, data entry, and documentation updates using EPIC, NextGen, and Citrix platforms, maintaining audit-ready records.
Education
Degrees, certifications, and relevant coursework
Viswabhramana College
Bachelor of Science, Cyber Forensics
2019 - 2022
Pursued a Bachelor of Science in Cyber Forensics, gaining foundational knowledge in cybersecurity and digital investigation.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Salary expectations
Social media
Job categories
Skills
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