Aulynne Page
San Antonio,TX
Summary
Experienced Healthcare Insurance Specialist with over 10 years of experience in medical billing, insurance verification, authorizations, referrals, patient services, and revenue cycle management. Skilled in navigating commercial, Medicare, Medicaid, and HMO insurance plans while ensuring accurate eligibility verification and timely authorization approvals. Strong knowledge of medical terminology, insurance portals, EMR systems, and healthcare compliance regulations. Recognized for exceptional attention to detail, problem-solving abilities, and providing outstanding patient support.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Insurance specialist
Renal Associates
San Antonio, TX
08.2023 - Current
- I verify patients insurance to make sure they are okay to be seen by our specialist. I make sure we have authorization on file for HMO plans.I also request referrals and do authorizations for epo injection.
Insurance Specialist
Celebrate Dental & Braces
San Antonio, TX
01.2024 - 08.2024
- I verified all the insurance for DPPO plans. For all patients with PPO and Medicare plans. Also handled pre authorizations for dental treatment. Checked out patients and went over treatment plans and made appointments for patients. Also answered phone calls for patients concerns or questions. I followed up with denials for patients treatments and followed up on outstanding authorizations. We used open dental.
Insurance Specialist
FTP billing
San Antonio, TX
02.2023 - 08.2023
- I verified patients seen at Alamo City Urgent Care. I verified for the marbach location and the shanefield location. I used multiple insurance verification website such as availity, Cigna, TMHP. I also know how to navigate throughout the portal to figure out what insurance a patient has if it's a Medicare advantage plan or if a Medicaid patient had a primary insurance that they did not provide a time of visit. I would verify for about a hundred patients a day maybe more just depends on the clinic flow.
Insurance Specialist
Dr Peter Tarbox
San Antonio, TX
10.2022 - 02.2023
- I verify insurance for new patients and also any testing that is scheduled for patients. I fax out authorization request for HMO plans. I call doctor's office to check status of my request. Im usually a week ahead of the schedule. I also help with medical records request. Call insurances to see if we are in network and what a patient's responsibility might be. I know how to navigate through all the insurance portals.
Medical Coder
FTP BILLING
San Antonio, TX
06.2022 - 08.2022
- I coded outpatient charts for an ER. I also would verify the patient's insurance to make sure it was active. The systems used for this was WellSoft and Centricity. I know have to navigate through all the insurance portals to verify eligibility. Post payments for self paid patients.
Rad Tech
AeroCare
San Antonio, TX
08.2021 - 05.2022
- I set up patients with sleep devices. CPAP or BIPAP. I handle compliance for patients to make sure they are using the device like they should. Educate my patients on sleep apnea. Handle the intake coming in. Fixing tickets, to see why they are being put in held revenue. Collect payments and set up patients auto pay. Answer any questions they have regarding the device or services they are being charged for.
DME Billing Specialist
Sleep Therapy And Research Center
San Antonio, TX
01.2021 - 07.2021
- I do all the billing for cpap and bipap machines. I bill supplies for the machines. Send out new patients to other DME companies that accept their insurances. I post payments for DME and office codes from patients and the ERA. The system I use for billing is eClinicalWorks. I also know how to use availity and payspan, also Optum and any insurance verification websites. I know how to obtain authorizations and referrals. Also worked denials. Spoke with patients about their billing matters. Worked multiple phone lines and screens.
PSR - Patient Service Representative
Carenet Healthcare Services
San Antonio, TX
10.2020 - 09.2020
- I work for WellMed. Assisting patients with scheduling appointments. Canceling appointments. Scheduling lab work.Setting up transportation. Referrals getting set up. Getting patients to the nurses and on call physicians. Work with ecw system. High call volume everyday.
Care Coordinator
Carenet Healthcare Services
10.2018 - 09.2020
- A typical day is answering phones concerning benefits. Service all states contracts related to medical coverage, authorization, claims status, provider search and PCP changes. Also triaged patients with symptoms and forward them to an RN.
Engagement Specialist
Carenet Healthcare Services
10.2018 - 09.2020
- Help members navigate the healthcare system to access care, and save time and money
- Provide the answers and information needed to make informed healthcare decisions
- Use technology to connect them to the resources needed to live longer, healthier lives
- Convey empathy and understanding to them in their time of need
- Contact health plan members to inform them of proactive steps they can take to improve their health
- Provide a compelling value proposition that will prompt the member to take action
- Answer questions and provide guidance to help members navigate the process
- Multi-task through simultaneous thinking, talking and typing
Education
Medical Coding and Billing - vocational
The College of Health Care Professions
San Antonio, TX07-2013
Diploma - High school or equivalent
John Jay High School
San Antonio, TX06-2010
Skills
Insurance Verification
Prior Authorizations
Referrals Management
Medical Billing & Coding
Revenue Cycle Management
Medicare & Medicaid
PPO, HMO, and Commercial Plans
Claims Processing
Denial Resolution
Patient Scheduling
EMR/EHR Systems
eClinicalWorks
Open Dental
Availity
HIPAA Compliance
Medical Terminology
Customer Service
Microsoft Office Suite
Certification
- Driver's License
- Medical Coding Certification
- Certified Coding Associate
- Medical Technologist
- Medical Billing Certification
Language Skills
English - Excellent ( Read Write Speak )
Additional Information
- Multi Phone System Cisco, Microsoft Word 40-50wpm, Excel, PowerPoint.
- Medical software-MSP, Citrix, HDX, SMS, MicroMD, MacPractice, ICD-9 Coding, CMS-1500, UB-04.
- Medical Terminology, CPT, HCPCS, HIPPA.
- CPR certified and payment process.
- Computer Skills
- Typing Speed 40 Words Per Minute
- Apple or Macintosh Computers
- Desktop Publishing Software (InDesign, etc)
- Graphics or Drawing Software (Photoshop, etc)
- Internet Browser (Internet Explorer, Firefox, etc)
- Peripheral Devices (Scanners, Printers, etc)
- Presentation Software (PowerPoint, Flash, etc)
- Spreadsheet Software (Calc, Excel, etc)
- Word Processing Software (Word, WordPerfect, etc)
Timeline
Insurance Specialist
Celebrate Dental & Braces
01.2024 - 08.2024
Insurance specialist
Renal Associates
08.2023 - Current
Insurance Specialist
FTP billing
02.2023 - 08.2023
Insurance Specialist
Dr Peter Tarbox
10.2022 - 02.2023
Medical Coder
FTP BILLING
06.2022 - 08.2022
Rad Tech
AeroCare
08.2021 - 05.2022
DME Billing Specialist
Sleep Therapy And Research Center
01.2021 - 07.2021
PSR - Patient Service Representative
Carenet Healthcare Services
10.2020 - 09.2020
Care Coordinator
Carenet Healthcare Services
10.2018 - 09.2020
Engagement Specialist
Carenet Healthcare Services
10.2018 - 09.2020
Medical Coding and Billing - vocational
The College of Health Care Professions
Diploma - High school or equivalent
John Jay High School