Resume - Keshav Gadiraju
Keshav Gadiraju
2 Pamrapo Court West, Glen Rock, NJ
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SUMMARY
Professional Summary:
Hands-on experience through internships within the healthcare setting. Highly motivated individual with experience in EMRs, and a thorough understanding of healthcare policies: HIPAA (Health Information Portability and Accountability Act of 1996), PPACA (Patient Protection and Affordable Care Act), and various policies regarding Medicare and Medicaid. Skilled in healthcare data analytics using Microsoft Excel and Tableau. Currently pursuing a master’s degree in healthcare administration. Seeking an entry-level position within the field of healthcare administration in any organization.
Skills:
Electronic Medical Records, PowerBI, Athenahealth, Vitas Xchange Interface, NextGen, ATB, Collections Management Software, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Tableau
RELATED EXPERIENCE
nThrive Solutions LLC, Saddle River, NJ 3/2/2020 – 4/3/2020
• Using ATB’s collections management software, ensured that medical appeal letters were processed and sent to insurance companies, for physician’s reimbursements. My client was CHLA (Children’s Hospital of Los Angeles) in Los Angeles, California. On occasion, I worked on medical appeals for Guam Regional Medical Center in Guam.
o As a result, helped physicians receive their payments in a timely manner and efficiently.
o I have also helped notify the status of medical appeals or claims.
o Helped reduce the burden on medical billers by lessening the number of bills, appeals, and claims processed efficiently.
• Packaged mail (certified and regular) to be sent to the appropriate addresses. As a result, helped reduce workload of mail couriers and other coworkers.
• Reported to managers in Plano, Texas and Phoenix, Arizona regarding performance status, on a daily basis.
o Helped ease tensions involved in ensuring the quality of my temporary assistance.
Oasis Medical Center, Glen Rock, NJ 11/4/2019-11/25/2019
• Used NextGen and sent patient precertifications electronically to insurance companies.
• Followed up with insurance companies regarding approval for medical treatments and bills received.
• Updated healthcare provider fee schedules into Excel spreadsheet.
• Clerical tasks:
o Filed documents such as insurance claims and approvals for treatments.
Saint Joseph’s Regional Medical Center, Paterson, NJ 05/2019-07/2019
Intern in Medical Records Department
? Analyzed trends in physician usage of Nuance, the medical transcription software currently in use by the hospital.
? Involved working extensively with the clinical documentation improvement team.
? Performed analysis of the trends graphically with color codes depicting the total number of queries generated by the system as well as the responses to the system. The analysis (which was used during meetings) was useful for the clinical documentation team, as they knew which physicians from which area of specialty needed to use the software more frequently.
? Analyzed hospital revenues for the Saint Joseph’s Regional Medical Center practices in both Paterson and Wayne.
? Analyzed and calculated the differences in revenues for each specialty (charity care, Medicare/Medicaid, managed care, self pay) from both practices.
? Maintained a meeting minutes sheet, for the hospital to keep on record.
Saint Joseph’s Regional Medical Center, Paterson, NJ 01/2018-02/2018
Intern in Physician Finances Department
? Analyzed patient bills and ensured “dropping” of paid bills from EMR to provide clarity on account status for patients.
? Verified status of patient medical bills and put into effect timely payment of bills.
? Verified eligibility of patients for Medicaid.
? Followed up on their eligibility for Medicaid. This was based on an electronically generated list of patient names on the EMR, as well as an ID number which determined patient’s eligibility for Medicaid.
? Audited contracts for newly employed physicians regarding compliance with healthcare policies such as HIPAA.
VITAS Healthcare, Livingston, NJ 05/2017-08/2017
Office Volunteer
? Determined and verified accuracy of patient medical records for caregiver use related to future treatments for the terminally ill.
? Administered physician payroll information and ensured timely payment of bills.
EDUCATION
Seton Hall University, Nutley, NJ
Master of Healthcare Administration: Anticipated May 2021
College of Saint Elizabeth, Morristown, NJ
BS, Healthcare Administration, 2018
? Dean’s List - Honors for Outstanding Student in Health Administration
? Currently pursuing certification in medical billing/coding from AAPC (American Association of Professional Coders)
Bergen Community College, Paramus, NJ
Associates Degree in General Science: 2013-2016
Parsippany High School, Parsippany, NJ
Diploma
Keshav Gadiraju
2 Pamrapo Court West, Glen Rock, NJ
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------------
________________________________________
SUMMARY
Professional Summary:
Hands-on experience through internships within the healthcare setting. Highly motivated individual with experience in EMRs, and a thorough understanding of healthcare policies: HIPAA (Health Information Portability and Accountability Act of 1996), PPACA (Patient Protection and Affordable Care Act), and various policies regarding Medicare and Medicaid. Skilled in healthcare data analytics using Microsoft Excel and Tableau. Currently pursuing a master’s degree in healthcare administration. Seeking an entry-level position within the field of healthcare administration in any organization.
Skills:
Electronic Medical Records, PowerBI, Athenahealth, Vitas Xchange Interface, NextGen, ATB, Collections Management Software, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Tableau
RELATED EXPERIENCE
nThrive Solutions LLC, Saddle River, NJ 3/2/2020 – 4/3/2020
• Using ATB’s collections management software, ensured that medical appeal letters were processed and sent to insurance companies, for physician’s reimbursements. My client was CHLA (Children’s Hospital of Los Angeles) in Los Angeles, California. On occasion, I worked on medical appeals for Guam Regional Medical Center in Guam.
o As a result, helped physicians receive their payments in a timely manner and efficiently.
o I have also helped notify the status of medical appeals or claims.
o Helped reduce the burden on medical billers by lessening the number of bills, appeals, and claims processed efficiently.
• Packaged mail (certified and regular) to be sent to the appropriate addresses. As a result, helped reduce workload of mail couriers and other coworkers.
• Reported to managers in Plano, Texas and Phoenix, Arizona regarding performance status, on a daily basis.
o Helped ease tensions involved in ensuring the quality of my temporary assistance.
Oasis Medical Center, Glen Rock, NJ 11/4/2019-11/25/2019
• Used NextGen and sent patient precertifications electronically to insurance companies.
• Followed up with insurance companies regarding approval for medical treatments and bills received.
• Updated healthcare provider fee schedules into Excel spreadsheet.
• Clerical tasks:
o Filed documents such as insurance claims and approvals for treatments.
Saint Joseph’s Regional Medical Center, Paterson, NJ 05/2019-07/2019
Intern in Medical Records Department
? Analyzed trends in physician usage of Nuance, the medical transcription software currently in use by the hospital.
? Involved working extensively with the clinical documentation improvement team.
? Performed analysis of the trends graphically with color codes depicting the total number of queries generated by the system as well as the responses to the system. The analysis (which was used during meetings) was useful for the clinical documentation team, as they knew which physicians from which area of specialty needed to use the software more frequently.
? Analyzed hospital revenues for the Saint Joseph’s Regional Medical Center practices in both Paterson and Wayne.
? Analyzed and calculated the differences in revenues for each specialty (charity care, Medicare/Medicaid, managed care, self pay) from both practices.
? Maintained a meeting minutes sheet, for the hospital to keep on record.
Saint Joseph’s Regional Medical Center, Paterson, NJ 01/2018-02/2018
Intern in Physician Finances Department
? Analyzed patient bills and ensured “dropping” of paid bills from EMR to provide clarity on account status for patients.
? Verified status of patient medical bills and put into effect timely payment of bills.
? Verified eligibility of patients for Medicaid.
? Followed up on their eligibility for Medicaid. This was based on an electronically generated list of patient names on the EMR, as well as an ID number which determined patient’s eligibility for Medicaid.
? Audited contracts for newly employed physicians regarding compliance with healthcare policies such as HIPAA.
VITAS Healthcare, Livingston, NJ 05/2017-08/2017
Office Volunteer
? Determined and verified accuracy of patient medical records for caregiver use related to future treatments for the terminally ill.
? Administered physician payroll information and ensured timely payment of bills.
EDUCATION
Seton Hall University, Nutley, NJ
Master of Healthcare Administration: Anticipated May 2021
College of Saint Elizabeth, Morristown, NJ
BS, Healthcare Administration, 2018
? Dean’s List - Honors for Outstanding Student in Health Administration
? Currently pursuing certification in medical billing/coding from AAPC (American Association of Professional Coders)
Bergen Community College, Paramus, NJ
Associates Degree in General Science: 2013-2016
Parsippany High School, Parsippany, NJ
Diploma