Autumn Taylor
Hyattsville,MD
Summary
Energetic individual equipped to support day-to-day operational functions and accomplish business goals. Blends advanced organizational, technical and business expertise to enhance workflows. Focused on attentively assisting office staff and customers and identifying opportunities for improvement.
Overview
2
2
Languages
1
1
year of post-secondary education
3
3
years of professional experience
Work History
Prior Authorization Specialist
Center for Brain & NeuroCare LLC
Fulton, Maryland
01.2024 - 01.2025
- Reviewed prior authorization requests for compliance with insurance policies.
- Communicated with healthcare providers to gather necessary documentation.
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Scheduled patient appointments, diagnostic specialty appointments, tests and procedures.
Front Office Manager
Medics USA
07.2022 - 12.2024
- Kept up with all HIPPA laws to keep the office running smoothly.
- Managed front desk operations and ensured smooth daily workflow.
- Coordinated patient appointments and maintained scheduling accuracy.
- Trained new staff on front office procedures and customer service protocols.
- Oversaw inventory management for office supplies and medical materials.
- Verified insurance coverage with providers and updated patient records.
Education
Associate of Science - Nursing
Prince George's Community College
Upper Marlboro, MD 08.2025 - 10.2026
Skills
- Insurance verification
- Prior authorization
- Payer eligibility
- Medical necessity review
- Patient scheduling
- HIPAA compliance
- Problem solving
- Time management
- Physician order verification
- Medical coding
- Precertification requirements
- Medical appeals handling
- Practice management
- EMR systems
- Front office operations
- Medical records
- Inventory control
Languages
English
Native/ Bilingual
Spanish
Professional
References
References available upon request.
Timeline
Associate of Science - Nursing
Prince George's Community College
08.2025 - 10.2026
Prior Authorization Specialist
Center for Brain & NeuroCare LLC
01.2024 - 01.2025
Front Office Manager
Medics USA
07.2022 - 12.2024