India Mcnary

• Aged Accounts Receivable Management & Sponsor Outreach
• Managed portfolio of aged clinical trial A/R, prioritized overdue invoices and payment-term compliance; initiated proactive follow-up and escalation with sponsors/CROs.
• Produce and interpret A/R aging outputs (e.g., Invoice Aging Report) to support prioritization, outreach targeting, and leadership reporting.
• Identify and maintain accurate sponsor billing contacts (Sponsor/CRO/AP portals, study contacts, contract details) to support timely collections activity.
• Documented outreach activity, sponsor responses, and expected payment timing; coordinated with internal stakeholders for timely escalations.
• Investigated clearing account items to identify unapplied cash, ensuring accuracy of financial records.
• Investigate unapplied or unidentified sponsor payments (e.g., clearing account items in various Accounting logs) by obtaining remittance details, verifying whether they should be allocated to Finance.

• With respect to assigned clinical trial portfolios or special requests, regularly review contracts/budgets, create/maintain study calendars and gather data from study teams.
• Ensure timely clinical trial account invoicing to sponsors by matching protocol driven procedures with patient accruals/data entry which yields expected reimbursements to Avenna Healthcare.
• With respect to assigned clinical trial portfolios or special requests, ensure timely deposit, correct allocation, payment reconciliation, and distribution of revenue (via internal recharges / fund flow).
• Work with Accounts Payable to process and ensure timely payments are made to various internal groups, external vendors, patients, and sub-sites based on contractual obligations.
• Monitor individual clinical trial cost center activities revenue and expense on an ongoing basis and reconcile cost center balances and the end of a trial to ensure timely account closure per internal policy.
• Resolve account balance discrepancies between sponsors and/or COH departments.
• Manage internal cash flow disbursements in a timely manner and in accordance with approved internal documentation and clinical trial related.

• Investigated claim denials, payment discrepancies, and reimbursement variances through detailed review of EOBs, payer correspondence, and account histories to support revenue recovery efforts.
• Maintained accurate billing, payment, and account records supporting reconciliation activities, reporting requirements, and operational compliance.
• Collaborated with providers, clinics, and internal departments to obtain documentation and resolve account issues affecting reimbursement outcomes.
• Assisted with account research, collections activities, and reimbursement investigations while maintaining detailed documentation of account status and resolution efforts.
• Prepared and submitted appeals, reconsideration requests, retrospective authorizations, medical records, and supporting documentation required to resolve reimbursement disputes and recover revenue associated with denied or underpaid claims.
• Reconciled account balances through review of insurance payments, patient payments, contractual adjustments, and billing transactions to ensure financial accuracy and proper account resolution while maintaining detailed documentation of all activities.
• Monitored reimbursement trends, denial patterns, and payer-specific challenges while escalating recurring issues and supporting process improvement efforts designed to improve claim outcomes and reduce future reimbursement delays.

Managed third-party accounts receivable follow-up activities involving denied claims, underpayments, payment delays, and reimbursement discrepancies requiring extensive research and payer communication.

• Coordinated appeals and denial recovery efforts by reviewing medical necessity determinations, authorization requirements, coding accuracy, and payer processing errors impacting reimbursement outcomes.

• Interpreted EOBs, ERA transactions, reimbursement reports, and payer correspondence to identify claim issues, determine appropriate corrective actions, and facilitate timely payment resolution.

• Monitored denial inventories, aging accounts, and reimbursement activity while maintaining detailed documentation and reporting information used to support operational decision-making.

• Built and maintained productive working relationships with payer representatives, provider offices, and internal stakeholders to improve communication, accelerate claim resolution, and support revenue recovery initiatives.

Managed full-cycle revenue cycle operations, including collections, reimbursement analysis, account follow-up, payment posting review, denial management, and revenue recovery initiatives to optimize revenue flow.

• Identified recurring reimbursement challenges and collaborated with leadership to improve billing processes, reduce denials, and strengthen revenue cycle outcomes.

• Monitored aging receivables and outstanding account balances while prioritizing collection efforts based on financial impact, account status, and reimbursement opportunity.

• Investigated claim and payment discrepancies through detailed account analysis, payer communication, and documentation review to facilitate timely resolution and reimbursement.

• Assisted with account reconciliation activities, payment research, and financial documentation management to support accurate reporting and collections performance.