Summary
Overview
Work History
Education
Skills
Timeline
Generic

Aniya Poynter

Upper Marlboro,MD

Summary

Ambitious student pursuing a Bachelor's degree in Healthcare Management and Business Administration, with six years of experience in medical back office and administrative roles, demonstrating strong customer service skills. Proven ability to enhance patient satisfaction through effective communication and problem-solving. Contributed to improved front office operations, resulting in increased efficiency. Experienced lead patient care coordinator skilled in managing patient care and coordinating medical staff, resulting in improved operational efficiency and a streamlined process. Specializes in patient advocacy and healthcare administration, demonstrating strong leadership and adaptability to meet diverse patient needs.

Overview

7
7
years of professional experience

Work History

Supervisor Prior authorizations/Medical Records Director

Washington Open MRI
Rockville, Maryland
07.2025 - Current
  • Reviewed insurance claims for prior authorization, compliance, and accuracy.
  • Contacted insurance carriers to verify insurance coverage and eligibility.
  • Had advanced knowledge of medical terminology, diagnostic testing, and imaging.
  • Assigned the proper ICD-10/CPT codes to the correct procedure to obtain proper authorizations.
  • Maintained accurate patient records using electronic health record systems.
  • Reviewed and processed medical documents for compliance with regulations.
  • Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
  • Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
  • Notified ordering providers of denied authorizations.
  • Responded promptly to inquiries from providers, patients, and payers regarding the status of prior authorization requests.
  • Maintained files for referral and insurance information, entering referrals into system.
  • Applied knowledge of Medicare, Medicaid, and third-party requirements, utilizing online eligibility systems to verify patient coverage and policy limitations.
  • Evaluated patient eligibility and benefit coverage for requested services.
  • Provided training on prior authorization processes to new staff members.
  • Reviewed prior authorization requests for medical services and procedures.

Lead Patient Care Coordinator

Medstar brandywine
Brandywine, MD
09.2022 - 06.2025
  • Improved operational efficiency by managing updates to central scheduling system.
  • Communicated schedule changes effectively with clients and caregivers.
  • Utilized MS Office and Excel for detailed data analysis, creating informative spreadsheets.
  • Streamlined documentation process by copying and faxing critical patient information.
  • Achieved organizational targets through establishment of efficient scheduling processes.
  • Enhanced client attendance by conducting reminder calls prior to visits.
  • Maintained compliance by overseeing heart monitor device checklists in scheduling.
  • Led patient service coordination efforts within cardiology department.
  • Billed insurance companies for heart monitors.
  • Lead Patient Service Coordinator.
  • Trained incoming employees.
  • Create documents with information for scheduling procedures for future employees.
  • Create a schedule for clinical heart monitor dates.
  • Evaluated prior authorization requests for medical services and treatments.
  • Reviewed patient medical records to ensure compliance with insurance guidelines.
  • Communicated with healthcare providers to clarify authorization details and requirements.
  • Utilized electronic health record systems to track authorization statuses efficiently.
  • Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
  • Notified ordering providers of denied authorizations.

Property Management Assistant

Community Service Group
Ft. Washington, MD
11.2021 - 07.2022
  • Scheduled maintenance calls to ensure timely service delivery.
  • Responded to inquiries from various parties, utilizing active listening and effective questioning techniques.
  • Contacted tenants to discuss overdue rent and other critical matters.
  • Inspected properties regularly to identify deficiencies and arrange necessary repairs.
  • Managed resident complaints and expedited maintenance requests for prompt resolution.
  • Coordinated with maintenance teams and contractors to facilitate efficient turnover after move-outs.
  • Updated tenant and unit information in housing database for accuracy and efficiency.
  • Handled tenant requests via email and phone systems on a daily basis.

Administrative Assistant

Morningside house of St Charles
Waldorf, MD
08.2021 - 11.2021
  • Answered phone calls and emails to provide information, resulting in effective business correspondence.
  • Inventoried and ordered supplies for office.
  • Scheduled appointments, meetings and events for management staff.
  • Handled sensitive and confidential employee information with complete discretion.
  • Welcome patrons to front desk engage in friendly conversations while conducting check in.
  • Updated details in company database by keying in customer contacts and delivery date.
  • Updated front desks concierge book to maintain most relevant visitor information.
  • Direct Customer communication to appropriate department personnel
  • Coordinated appointments, meetings and conferences.

Front Desk Receptionist

Charleston senior living
Waldorf, MD
03.2019 - 08.2021
  • Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
  • Received incoming calls and coordinated with staff to fulfill customer requests.
  • Answered multi-line phone system and managed calls by routing to proper extensions or taking messages.
  • Scheduled appointments and maintained and updated appointment calendars.
  • Coordinated pick-up and delivery of express mail services.
  • Sorted invoices for accounting department by date stamping and filing by vendor code.

Education

Healthcare Management

University of Maryland - College Park
College Park, MD
06-2029

Skills

  • Patient relations and outreach
  • Healthcare operations
  • Professional phone etiquette
  • Ms Office proficiency
  • Insurance verification and practices
  • Team collaboration
  • Microsoft expertise
  • Multitasking abilities
  • Multi-line telephone operation
  • Administrative support skills
  • Email and telephone decorum
  • Front desk management
  • Active listening skills
  • Customer service excellence
  • Leadership capabilities
  • Appointment scheduling
  • HIPAA compliance knowledge
  • Inventory management strategies
  • New hire training facilitation
  • Patient safety protocols
  • Healthcare knowledge base
  • Care planning expertise
  • Medical terminology proficiency
  • Verbal and written communication skills
  • Process improvement initiatives
  • Patient records management system
  • Attention to detail
  • ICD-10/CPT code knowledge
  • Prior authorization knowledge
  • Conflict resolution
  • Training and mentoring
  • Safety protocols
  • Staff discipline

Timeline

Supervisor Prior authorizations/Medical Records Director

Washington Open MRI
07.2025 - Current

Lead Patient Care Coordinator

Medstar brandywine
09.2022 - 06.2025

Property Management Assistant

Community Service Group
11.2021 - 07.2022

Administrative Assistant

Morningside house of St Charles
08.2021 - 11.2021

Front Desk Receptionist

Charleston senior living
03.2019 - 08.2021

Healthcare Management

University of Maryland - College Park
Aniya Poynter