Insurance Specialist
Resume:
Lakshmi Ravindar
**** ******* ***** **** ** Apt *205
Kennesaw, GA 30144
**********@*****.***
EDUCATION
Kennesaw State University (KSU), Kennesaw, GA August 2010 - December 2014
Bachelor of Science in Sociology
Concentration: Organizational and Social Change
Kennesaw State University, Kennesaw, GA August 2018 - May 2019
Master of Arts in Interdisciplinary Studies
WORK EXPERIENCE
Fresenius Medical Care, Kennesaw, GA
Insurance Specialist – Insurance Specialists Department November 2017 – March 2020
- Consulted with the American Kidney Fund and Fresenius Insurance Coordinators to facilitate patient
eligibility for HIPP Grant Program and subsequent grant allocations
- Reviewed insurance election paperwork, provider-to-patient contracts, and other financial documents in
order to determine requestable terms for grants
- Managed agreements across the grant life cycle from preparation through post-execution
- Performed crucial functions related to data management and account management; responsible for
managing several-thousand patient accounts in AKF Grant Management System
- Evaluated proposed grants for accuracy and proactively made amendments prior to submission
- Strategized and implemented process changes to streamline grant submission and review
- Provided reporting and analytical support to key business partners and associates as required
- Maintained recurring semi-monthly payment reports to track future grants for release or cancellation
- Wrote and formatted timely communications on procedural changes, resource updates and upcoming
deadlines related to HIPP grant program to team of Insurance Coordinators
- Planned and led monthly meetings to educate remote team of 25 Insurance Coordinators
- Served as subject matter expert and point of contact for Southeastern IC territory across several states
- Coordinated with team members and leadership on special time-sensitive projects as assigned
- Established and maintained strong working relationships with cross-divisional teams as well as Directors of
Insurance Coordination and Operations, RVPs, and other key business partners
- Ensured applications and subsequent documentation met required terms and conditions, in compliance
with internal legal regulations and external (AKF) procedural requirements
- Assisted leadership with training new members of the Insurance Specialists team
Patient Account Representative – Reverifications Department - CVO January 2016 - October 2017
- Independently researched and audited discrepancies on patient accounts to ensure accurate billing and
reduce negative financial impact due to aging A/R
- Established mechanisms to track, measure, and minimize payor errors
- Managed and completed multiple projects and assignments with aggressive timelines simultaneously
- Optimized work flow in order to complete high volume of insurance verifications, pre-certifications, and pre-
authorizations to meet fiscal deadlines
- Exercised professionalism and maintained compliance when working with PHI, including but not limited
to practitioner information, patient benefits, billing and payroll, insurance plan books and other contractual
agreements in adherence to HIPPA
- Remained knowledgeable of ICD9/ICD10, CPT, HCPC Coding, and various benefits for Commercial,
Medicare, Health Exchange, Medicaid plan types
- Ensured successful implementation of processes and coordination of healthcare revenue cycle
KSU Office of Interdisciplinary Studies, Kennesaw, GA August 2018 – May 2019
Graduate Teaching Assistant, American Studies
- Supported faculty advisor in academic research projects and course-based curriculum development
- Coached students on research methods and standards of academic writing
- Provided feedback and modified instruction methods to meet student-based needs
- Maintained course-specific records including but not limited to class enrollment and attendance
- Proctored and graded in class assignments, quizzes, exams, and papers
KSU Office of Distance Education, Kennesaw, GA January 2015 - July 2015
Student Assistant to the Director of Distance Education
- Assisted faculty members with instructional design and web course development using software programs
such as SoftChalk, Camtasia, Kaltura, Blackboard, Dreamweaver and the Adobe Suite
- Created and edited high quality usability documents for faculty, staff and student reference
- Produced time-sensitive special webpage design projects using Dreamweaver and SoftChalk
- Updated data reports and created corresponding info-graphics using Microsoft Word, Excel and
PowerPoint
- Delivered instructional and technical support to faculty members in the nationally acclaimed “Build a Web
Course” Workshop
- Submitted test files and uploaded instructional material to university learning management system software
- Provided full administrative support at reception desk: answered the phone, prepared memos, filed and
copied documents, greeted and assisted visitors, managed scheduling calendar
KSU CHSS Undergraduate Advising Center, Kennesaw, GA July 2013 - July 2015
Academic Peer Advisor, Sociology
- Promoted major and minor degree programs to prospective and current Sociology students
- Collaborated with co-peer advisors in crafting and implementing marketing campaigns for advising center
- Tracked academic progress of students in Sociology degree program to ensure RPG
- Managed advising appointments and updated student records through scheduling database
- Assisted first-year and transfer students with course registration at New Student Orientation sessions
- Engaged students in campus culture by promoting campus activities, organizations, and events
- Advocated and interpreted university policies and procedures to students
- Maintained close and constant communication with integral university offices: Admission, Registrar, Career
Services, Financial Aid, Graduation and Transfer Evaluation Services
WonderRoot, Atlanta, GA January 2013 - August 2013
Volunteer Management Intern
- Fulfilled leadership role and supervised team of 17 volunteers
- Researched and implemented new volunteer recruitment and retention systems
- Trained new volunteers on organizational and facility operations
- Implemented and enforced task and time management systems to ensure team efficiency
- Planned, promoted, and facilitated original programming such as Alternate Histories and Artist Talks
- Organized bi-monthly volunteer engagement events
- Developed volunteer service tasks and created volunteer schedules
- Inputted and updated online membership forms in the WuFoo and Member Tracker databases
- Created unique promotional materials for events using InDesign, Illustrator, and Photoshop
Contact this candidate