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Healthcare executive with demonstrated success delivering results and fiscal oversight to operations, project management, revenue cycle, patient throughput, process improvement, and software implementation teams at commercial and government hospitals, not-for-profit healthcare organizations, research programs, insurance companies and the federal government. Cross-functional leader, mentor and coach.Expertise:Process ImprovementRevenue Cycle OptimizationHospital OperationsPhysician Practice ManagementManagement ConsultingProject ManagementSoftware ImplementationRevenue Cycle front end: Patient access and financial counseling processes redesign and implementation; consolidation of multiple departments into a centralized scheduling/pre-processing center (scheduling, insurance verification, pre-registration, pre-authorization/pre-certification and collections). Services provided included:Process, policies and procedures redesign, implementation and monitoringStandardization of processes in alignment with payer standards and billing requirementsKey performance indicators (departmental and staff) implementation and monitoringTraining materials developmentVendor managementPhysician office and hospital department relationship buildingLeadership development and coachingStaffingRevenue Cycle back end:Process redesign; revenue cycle software design and implementation; performance evaluation program development and implementation; key performance indicators and quality metrics monitoringCare Management and Patient Throughput: Process redesign and implementation; staffing analysis; and labor and productivity benchmarking analysisSoftware: project management; customization and implementation; Artiva Healthcare; Meditech 6.1; and McKessonDatabase: Truven Health Analytics Action O-IMicrosoft Office: Microsoft (MS) Excel, MS Word, MS Visio, MS PowerPoint and MS ProjectLanguages: Fluent in both English and Spanish
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Independent Management Consultant - HealthcareAhp & Associates, Llc Nov 2023 - PresentProvide management consulting services focusing on project management, revenue cycle, operations, and software implementation to healthcare entities and providers in the United States mainland and Puerto Rico. -
Vp Of Medicaid Services And TechnologyIngenia Health Jun 2022 - Nov 2023 -
Healthcare Management ConsultantAhp & Associates, Llc Jul 2019 - May 2022San Juan, Puerto RicoProvide management consulting services focusing on project management, revenue cycle, operations, physician office set up and optimization, and software implementation to healthcare entities and providers in the United States mainland, Puerto Rico and Latin America. -
Director Of Healthcare ReformAafaf May 2017 - Jun 2019Puerto RicoHealthcare’s Government Lead and Liaison to Financial Oversight and Management Board (FOMB)Authored Healthcare Right – Sizing section of Commonwealth Fiscal Plan with expected savings of $589M thru FY2023. Served as government liaison with FOMB on healthcare matters.Healthcare Fiscal Plan and Transformation LeaderOversaw compliance with certified budget and Fiscal Plan, advised Governor on transformation efforts, directed and identified multiple projects. Managed communications and relations across entities, contractors and leadership.Projects:Medicinal Cannabis Program reengineering; 106% productivity increase and 3x revenue increaseSARAFS reengineering; 149% productivity increase and potential additional revenue of $815KHospital Consolidation Law Proposal presented to and approved by Governor. Revenue cycle and supply chain optimization potential savings of $21MHuman Resources capacity plan for Department of Health; potential savings of $15MHospitals nurse staffing needs assessment resulting in FOMB granting $104MASSMCA hospitals needs assessment and funds request resulting in FOMB granting $12MASSMCA – identification of 17 savings opportunities; potential savings of $15MLed focus groups with Industry Leaders during inception of ASES' Medicaid Vital ProgramFacilitated initial communications and collaboration among NYC’s Medicaid Fraud Control Unit (MFCU), DC’s Health and Human Services Office of the Inspector General and PR’s Department of Justice for creation of local MFCUGovernor’s Healthcare and New Government Task ForcesPresented status update on fiscal plan and transformation efforts to Governor and his cabinetPartnered with CIO to lead Governor’s Healthcare Dashboard initiativeLed analysis for an uniform healthcare plan across government entities resulting in up to $50M in potential savingsPensions Reform Leader and Chairman of the BoardDirected Pensions Reform in alignment with implementation of Law 106 and led Board as Chairman -
Healthcare Management ConsultantAhp & Associates, Llc Nov 2015 - May 2017United StatesProvide management consulting services focusing on project management, revenue cycle, operations, physician office set up and optimization, and software implementation to healthcare entities and providers in the United States mainland, Puerto Rico and Latin America. -
Health Industries Advisory Management ConsultantPwc Sep 2011 - Nov 2015Washington D.C. Metro AreaLed operations and revenue cycle engagements at healthcare institutions supervising redesign and optimization of day to day operations, leadership development, data analysis, vendor management, physician/hospital relationship building, staffing, performance evaluation, training, reporting, implementation, and monitoring key performance indicators. On time and on budget achievement result rates surpassing 100%. Key engagements:Developed Central Scheduling departments at 400 to 600 bed facilities resulting in minimum cost savings of $150K per year, call wait time reduction from 2:12 to 00:02 (mm:ss) (goal: 01:00), abandonment rate reductions from 14% to 6% (goal 6%) within a month of implementation, and standardization of processes in alignment with payer standards and billing requirements to reduce insurance denials. Department services included: scheduling, pre-registration, insurance verification, pre-authorization/certification, registration and collections.Led cash acceleration strategy, monitored A/R, billing and collections, trained staff, coached leadership, managed hospital/payor relations and worked in alignment with C-level executives at health system in Santiago, Chile.Conducted assessment of Patient Centered Medical Home (PCMH) model implementation status at Northern Regional Medical Command (NRMC) Army Medical Centers (AMC).Drafted winning proposals and collaborated in business and practice development. Revenue FY15: $1.5M -
Revenue Performance Optimization Project Manager/Senior ConsultantOntario Systems Jun 2009 - Aug 2011Washington D.C. Metro AreaLed project management and revenue cycle software design and implementations at hospitals and collection agencies. Managed teams, workplans, resources, risk mitigation, issue resolution and client relations within timeframe and budget.Led practice development strategy resulting in increased client satisfaction, re-engagement and sales. Designed and implemented new methodology, training materials, and thought leadership guidelines for Artiva Healthcare. -
Health Industries Advisory - Senior AssociatePricewaterhousecoopers Feb 2005 - May 2009Greater Atlanta AreaConducted assessment, redesign and implementation of operations and revenue cycle process optimization and cost containment initiatives at healthcare institutions executing as project manager and/or subject matter expert.Key engagements:Managed central scheduling, financial counseling and patient access optimization in a 900 bed teaching hospital.Assessed and redesigned billing and collections processes for a Veterans Integrated Service Network (VISN).Assessed patient throughput, care management and patient experience, established KPIs and conducted labor productivity/industry benchmarking analyses with a savings opportunity of $2M+ for 400+ bed hospitals. Led development of an electronic medical record (EMR) vendor selection analysis at an 877 bed teaching hospital. Led project management for teams ranging from 20-25 people developing proposals and client deliverables by leading meetings, data analysis, logistics, databases, budgets and billing for $500K+ projects.Led supply chain initiative assessment and implementation with a savings opportunity of $4M in a 400 bed hospital. -
Administrative InternVeterans Affairs Medical Center (Vamc) Oct 2004 - Dec 2004Greater Atlanta AreaWorked in direct contact with the Director of the Atlanta Medical center assessing the overall efficiency of the different departments in the Atlanta Medical Center as compared to the other Medical Centers comprised in the VISN 7.
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Greater New York Hospital Association’S Summer Enrichment Program - InternBellevue Hospital Center Jun 2004 - Aug 2004Greater New York City AreaDrafted a letter of intent co-wrote a proposal for the Commonwealth Fund to decrease the number of unnecessary emergency room visits by establishing a link between the Emergency Department and the Adult Primary Care Clinic, which resulted in the hospital being chosen as a finalist for a $125K grant.Collaborated with the Stop Smoking Program and the Commissioner’s of Health in liaison with the Health and Hospitals Corporation’s Nicotine Patch Initiative by evaluating, providing recommendations and creating a tracking tool to increase the overall effectiveness of the program, organizing meetings and reporting to executives on new advances, facilitating the marketing strategy along with the PR Department and training and supervising staff to ensure effective program implementation in the different departments.Researched and developed trend reports for angioplasty and stress tests for the Diabetes Collaborative.
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Research InternAmerican Cancer Society Oct 2003 - Jun 2004Greater Atlanta AreaDeveloped and delivered training content on cancer types, cancer studies and cultural diversity.Compiled and analyzed data for the National Caregivers Survey that was administered through mail to caregivers of cancer patients across the United States.
Adriana Hernandez Skills
Adriana Hernandez Education Details
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Health Policy And Management -
Doctorate In Medicine -
General Sciences
Frequently Asked Questions about Adriana Hernandez
What company does Adriana Hernandez work for?
Adriana Hernandez works for Ahp & Associates, Llc
What is Adriana Hernandez's role at the current company?
Adriana Hernandez's current role is Healthcare Executive.
What is Adriana Hernandez's email address?
Adriana Hernandez's email address is ad****@****ail.com
What schools did Adriana Hernandez attend?
Adriana Hernandez attended Emory University, Ponce School Of Medicine, Universidad De Puerto Rico.
What skills is Adriana Hernandez known for?
Adriana Hernandez has skills like Process Improvement, Healthcare, Management Consulting, Change Management, Management, Business Process Improvement, Strategic Planning, Project Management, Crm, Training, Hospitals, Revenue Cycle.
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Adriana Hernandez
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Adriana Brockman
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Adriana Hernandez
Miami, Fl -
Adriana Hernandez
Juris Doctor Candidate At Elon School Of Law | Dean'S Scholar | Elon Law Mentor | Academic Fellow | Moot Court BoardElon, Nc
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