Multi-factor denial risk scoring and queue assignment engine for healthcare RCM operations. Routes 1,200+ claims across 5 operational queues using a 7-factor weighted model.
Two-tier Python matching engine parsing raw 837/835 EDI files, auto-classifying payments into 6 categories and surfacing $430K+ revenue at risk across 1,200+ claims.
Blockchain smart contract project developed with Solidity, Ethereum, & Remix, featuring decentralized insurance policy management, automated claims processing, incident reporting, payout calculation based on policy severity levels, and smart contract deployment using MetaMask & Ganache for Distributed Digital Transactions CA2 module at CCT College.
An end-to-end ML system to automate Revenue Cycle Management (RCM) by predicting claim denials, analyzing root causes, and optimizing resolution workflows.
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