Summary
Overview
Work History
Education
Skills
Certification
Baker County AASM Accreditation-2022
Timeline
Generic

Aimee Shine

Jacksonville,FL

Summary

Motivated professional with expertise in financial analysis, budgeting, and healthcare operations. Seeking to leverage strong analytical skills and industry knowledge to support effective decision-making, optimize resources, and drive sustainable growth within a professional organization.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Authorization Specialist

St. Vincent’s Sleep Lab
12.2018 - 05.2020
  • -Processing orders
  • -Obtaining authorizations
  • -Scheduling
  • -Verify insurances
  • -Download home sleep test machines
  • -Processing finalized interpretations
  • -Answering phones
  • -Working closely with other physicians’ offices
  • -Responsible for all QA reports and tracking
  • Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.

Office Manager

Pulmonary & Critical Care Associates/Sleep Wake Disorder Center
04.2011 - 12.2018
  • Company Overview: The Sleep Wake Disorder Center provides clinical care for patients with disorders that affect the sleep wake cycle. It is also where equipment for their sleep apnea machines were dispersed, for example the masks, tubing and filters.
  • -ACHC/AHCA Accreditation
  • -Responsible for tracking all patients who were set up on equipment. Tracking of 31-90 day follow up as well as compliance tracking.
  • -Managing 8 Employees
  • -Making sure that all equipment, for patient sleep apnea machines were being mailed out correctly – depending on the patient's insurance
  • -Organizing in-services for employees
  • -Creating spreadsheets
  • -Working with accreditation lawyers to make sure the office was running smoothly
  • -Ordering of equipment
  • -Responsible for scheduling patients
  • -Create new patient information packets of data entry
  • Obtaining documentations such as prescriptions, referrals, and authorizations from physicians and insurance management
  • -Collecting patient co pays
  • -Answering and directing phone calls for multiple clinics
  • -Responsible for scheduling new and existing patients
  • -Create new patient information packets for data entry
  • -Verify insurance benefits such as PT and OT, for various carriers
  • -Enter daily charges and payments into ‘Turbo’ tracking system
  • -Generate daily financial reports such as charges, payments, and adjustments
  • -Prescreen next day treatments for insurance coverage
  • Obtain medical necessity documentation such as prescriptions, referrals and authorizations from physicians and insurance management
  • -Ability to translate medical progress reports to document and monitor patient status for physicians and insurance management
  • -Effectively resolve patient inquiries regarding bills or insurance benefits
  • -Created quick sheets for Medicare coding reference
  • -In charge of training medical personal for multiple offices
  • -Administrative managing Sleep Wake Disorder center
  • -Creating/updating policy and procedures
  • -Conversions
  • -referrals
  • -Organized Jaysec program
  • Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.

Front Desk

Hillsborough Radiology
05.2006 - 02.2008
  • Company Overview: Radiology, which is the branch or specialty of medicine that deals with the study and application of imaging technology, like x-ray and radiation to diagnosing and treating diseases.
  • -Answering and directing phone calls
  • -Responsible for scheduling new and existing patients
  • -Obtaining documentations such as prescriptions, referrals, and authorizations from physicians and insurance management
  • -Collecting patient co pays
  • -Managing multiple employees
  • Ability to translate medical progress reports to document and monitor patient status for physicians and insurance management
  • -In charge of training medical personnel
  • -Create new patient information packets of data entry
  • Facilitated smooth handovers between shifts by creating comprehensive documentation of completed tasks and pending items for follow-up action.
  • Reduced scheduling conflicts and ensured timely execution of tasks through proactive rescheduling and resource allocation adjustments.
  • Self-motivated, with a strong sense of personal responsibility.

Front Desk Office Manager

Belle Mead Physical Therapy
08.2003 - 04.2006
  • Company Overview: Private outpatient clinic; providing therapeutic services for pediatrics, orthopedics, and geriatrics, with disabilities, injury or illness.
  • -Managing Multiple offices
  • -Managing multiple employees
  • -Answering and directing phone calls for multiple clinics
  • -Responsible for scheduling new and existing patients
  • -Create new patient information packets for data entry
  • -Verify insurance benefits such as PT and OT, for various carriers
  • -Enter daily charges and payments into ‘Turbo’ tracking system
  • -Generate daily financial reports such as charges, payments, and adjustments
  • -Prescreen next day treatments for insurance coverage
  • Obtain medical necessity documentation such as prescriptions, referrals and authorizations from physicians and insurance management
  • -Ability to translate medical progress reports to document and monitor patient status for physicians and insurance management
  • -Effectively resolve patient inquiries regarding bills or insurance benefits
  • -Created quick sheets for Medicare coding reference
  • -In charge of training medical personal for multiple offices

Education

Insurance Medical Billing and Coding

Somerset County Technical Institute
01.2006

Certificate - Certificate-Party Planner

IAP
Online
08-2020

Certificate - DME

DME ACHC
South Carolina
09-2025

Skills

    - Budgeting & Cost Control

    - Incredible Organizational Skills

    - Fast Learner

    - Revenue Cycle Management

    - Auditing & Compliance

    - Problem solving

    - Strategic Planning

    - Attention to detail

    - Leadership & Team Development

Certification

  • 2011-Present-DME Accredited Consultant
  • Party Planning Certificate-Present

Baker County AASM Accreditation-2022

Assisted Baker County Sleep lab in completing their AASM Accreditation

Timeline

Authorization Specialist

St. Vincent’s Sleep Lab
12.2018 - 05.2020

Office Manager

Pulmonary & Critical Care Associates/Sleep Wake Disorder Center
04.2011 - 12.2018

Front Desk

Hillsborough Radiology
05.2006 - 02.2008

Front Desk Office Manager

Belle Mead Physical Therapy
08.2003 - 04.2006

Insurance Medical Billing and Coding

Somerset County Technical Institute

Certificate - Certificate-Party Planner

IAP

Certificate - DME

DME ACHC

Similar Profiles

  • Rhonda Veal

    Rhonda VealRhonda Veal

    Access Representative Team Lead at St. Joseph Rehab and Sleep LabAccess Representative Team Lead at St. Joseph Rehab and Sleep Lab

  • Rose Ann Millarez Ornedo

    Rose Ann Millarez OrnedoRose Ann Millarez Ornedo

    Health Assistant in Nursing-Neurosurgery ward at St. Vincent’s Hospital Melbourne and Aged care facilities at St. Vincent’s Health AustraliaHealth Assistant in Nursing-Neurosurgery ward at St. Vincent’s Hospital Melbourne and Aged care facilities at St. Vincent’s Health Australia

  • Paula Hill

    Paula HillPaula Hill

    Radiologic Technologist/CT Technologist at UAB St Vincent’s St ClairRadiologic Technologist/CT Technologist at UAB St Vincent’s St Clair

  • Lydia Olson

    Lydia OlsonLydia Olson

    Preschool Teacher | Childcare Provider at The Discovery Tree AcademyPreschool Teacher | Childcare Provider at The Discovery Tree Academy

  • Christopher Mott

    Christopher MottChristopher Mott

    Asset Protection Investigator at WalmartAsset Protection Investigator at Walmart

CREATE PROFILE