Sathish Kumar

Senior Rcm Analyst @Red Road Healthcare Business Solutions

Bengaluru, IN

Analyzed large-scale healthcare claims, coding, and denial data using SQL and Python to generate insights for reducing rework and improving SLA compliance.Designed and delivered interactive dashboards in Power BI and Tableau, enabling leadership to monitor claim volumes, turnaround times (TAT), audit results, and associate performance.Developed and optimized SQL queries, views, and stored procedures to extract and transform data from multiple sources for operational and client reporting.Built forecasting models in Python and Excel to predict claim workloads and resource requirements, improving planning efficiency.Conducted root cause analysis (RCA) on denials and process gaps, providing actionable insights that improved first-pass resolution rates.Created data marts in Snowflake for structured storage of claim and provider data, supporting faster reporting and trend analysis.Collaborated with stakeholders to deliver data-driven recommendations, enhancing compliance, productivity, and audit outcomes.

St. Joseph's College (Autonomous), Tiruchirappalli

MS Information Technology

Madras University

Bachelor of Computer Application