Adrian Parra Email & Phone Number

Remote

• Orchestrate the future ship project report, and collaborate with departments to implement strategies that optimize Accredo’s payment processes and mitigate bad debt risks.• Act as a significant contributor to bad debt reduction initiatives by organizing successful claim issue resolutions to block patient balance escalations.• Effectively prioritize and resolve escalations, using data-backed recommendations to resolve queries from multiple company teams; facilitate a unified inter-departmental communications channel.• Operate as key liaison with BCBS AL to bolster Accept Assignments (AOBs) accounts security, guaranteeing patient balances are accurate and resolved in a timely fashion.• Monitor and maintain the accuracy of CPA (co-pay assistance) billings and proactively identify and repair discrepancies by conveying corrective actions to key parties.• Perform comprehensive investigations into missing payments, collecting crucial data to support the Cash Department in attaining financial integrity goals.• Track and maintain the deficiency of WQ lists utilized to collect missing documents from internal or external entities; conduct proactive follow-up with payers and other entities to secure account payment.

New Hyde Park, New York, United States

• Completed extensive A/R analyses on 700+ patient accounts, highlighting variances and assessing outstanding balances to uphold account integrity; decreased Medicaid expenses by $300K for patients over 18 years old and $200K for those under 18.• Generated $380K+ in revenue with direct oversight of weekly New York State Medicaid billing for the Home Care program via the Allscripts system.• Created $200K in revenue by supervising bi-weekly commercial billing for the Home Care program, uniting with commercial collectors to settle unpaid claims and undertake rejected claims; processed manual claims with UB04 forms for insurances without digital claim capabilities.• Discovered 50+ billing discrepancies monthly after close scrutinization of unbilled services against clinician work sessions to repair time discrepancies.• Produced $60K+ in surplus revenue after incorporating MIT billing system to tackle New York State Medicaid billing for the Care At Home program.• Assisted Medicaid balance billing for the CSP program via E-Paces, bolstering the investigation and repair of billing discrepancies to maintain effective claim resubmission within Medicaid deadlines.• Enlisted the efforts of management and other related teams to accelerate billing and collection processes

New Hyde Park, New York, United States

• Advised weekly and monthly New York State Medicaid billing for Home Care and Care at Home programs, producing $380K and $60K revenue respectively via MIT and Allscripts billing systems and streamlining processes.• Pioneered campaigns to retrieve $100K+ in past accounts receivable balances, as well as drive billing return rates 20% with comprehensive assessments and swift billing error resolution.• Spearheaded weekly audits of 250+ pages of Medicaid remittances and 300+ per-diem nursing visits; investigated and settled denials and discrepancies to mitigate inaccurate documentation processing.• Partnered with nursing management and patient service coordinators in the Rehab & Homecare Departments to eliminate 35+ weekly billing discrepancies, fostering strict compliance with insurance billing deadlines and elevating processing productivity.• Garnered supervisory role to improve team leadership and accelerate project management efforts; cooperated with Program Directors to amplify accordance to billing and compliance standards• Devised and updated comprehensive spreadsheets to log and monitor all corrections; maintained highest billing processes and documentation standards compliance across every department.

New Hyde Park, New York, United States

Bachelor Of Applied Science (B.A.Sc.), Accounting

Master Of Science - Ms, Accounting Concentration In Taxation, 3.979

Completion of the Capstone Project: Accounting Portfolio: its objective is to assess my ability to integrate and apply the knowledge.