Summary
Overview
Work History
Education
Skills
Timeline
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Autumn Tyson

Raleigh

Summary

My extensive background encompasses successful management of administrative functions, including patient staff support, office management insurance d payment processing. I possess a deep understanding of healthcare and insurance regulations, compliance, and accreditation standards, ensuring adherence to industry guidelines. I have the drive to explore issues, teach others, and be a leader in my areas of expertise.

Overview

9
9
years of professional experience

Work History

Claims Specialist

Raleigh Radiology
Raleigh
03.2023 - 11.2023
  • Confirmed patient eligibility, benefits, and coverage limitations prior to services. Communicated with insurance carriers to obtain pre-authorizations or referrals as needed.
  • Monito ed denials, investigated root causes, and e ed or appealed as necessary.
  • Generated patient statements, explained charges, and set up payment plans when needed. Responded to billing inquiries from patients courteously and professionally.
  • Posted payments, adjustments, and write-offs in the clinic's practice management system. Reconciled remittance advice with p-nt accounts.
  • Ensured billing practices comply with HIPAA, CMS guidelines, and payer requirements. Maintained thorough and organized documentation for audits or reviews.
  • Worked closely with medical providers and office personnel to clarify documentation, updated records, and resolved billing questions.

Scheduling Coordinator

Raleigh Radiology
Raleigh
10.2019 - 03.2023
  • Developed and managed an efficient appointment scheduling system that aligned with the radiologist's availability and ensured optimal workflow.
  • Prioritized and coordinated appointments to maximize the utilization of imaging equipment and minimize wait times for patients.
  • Created staff schedules while ensuring prompt and accurate annotation within the scheduling database.
  • Conducted regular reviews and assessments of the appointment scheduling system to identify areas for improvement and implement solutions.
  • Worked closely with radiologists to understand their schedules, preferences, and any specific requirements for different types of examinations.

Health Care Technician

BrightStar Care
Cary
01.2016 - 09.2019
  • Collaborated seamlessly with a diverse team of physicians, nurses, and healthcare professionals to manage patient care effectively.
  • Contributed proactively to medical procedures and related duties, ensuring a coordinated and patient-centered approach.
  • Upheld strict security, safety, and regulatory standards by meticulously checking patient identifying information against records.
  • Documented detailed observations and baseline measurements in medical records, ensuring accurate and comprehensive patient information.
  • Supported the continuity of care by maintaining thorough and organized medical records.
  • Assisted patients with activities of daily living under the guidance of nursing staff, ensuring a supportive and caring environment.
  • Verified proper cleaning and sanitation of respiratory equipment prior to each use, contributing to infection prevention efforts.
  • Interacted effectively with patients, their families, and other healthcare professionals, delivering a high level of customer service and fostering a positive, collaborative atmosphere.

Account Manager

Blue Cross Blue Shield
Raleigh
06.2014 - 12.2015
  • Maintained a high-touch, personalized service for clients by promptly responding to customer calls, addressing inquiries, and collecting valuable customer intelligence.
  • Educated clients on new products and services, ensuring a comprehensive understanding and satisfaction.
  • Implemented direct marketing mailings and phone contacts to approach potential clients, expanding the client base and driving business growth.
  • Secured high-value accounts by showcasing the value proposition of the insurance offerings through strategic communication.
  • Accommodated new and different insurance requests, demonstrating flexibility and a proactive approach to meeting client needs.
  • Spent ample time with each customer, verbally reviewing and explaining documents to ensure client comprehension and satisfaction.
  • Collected premiums on or before the effective date of coverage, ensuring adherence to financial procedures and timely completion of transactions.

Education

Associate of Science - Medical Assisting

East Coast Polytechnic University
07.2025

High School Diploma -

South Central High School
06.2014

Skills

  • Leadership
  • Process Management
  • HIPPA
  • Regulatory / State Compliance
  • Principal & practical work ethic
  • Professional Written & Oral Communication
  • Coordinating/Planning
  • Records Management
  • Expert Organizational & Time Management
  • Conflict Resolution
  • Quality Customer Service
  • Attention to Detail
  • Team Collaboration
  • Reports/Documentation
  • Flexibility
  • Microsoft Outlook, Word, Excel, PowerPoint
  • Appointment scheduling
  • Patient interaction
  • Billing compliance
  • Electronic health records
  • Team collaboration

Timeline

Claims Specialist

Raleigh Radiology
03.2023 - 11.2023

Scheduling Coordinator

Raleigh Radiology
10.2019 - 03.2023

Health Care Technician

BrightStar Care
01.2016 - 09.2019

Account Manager

Blue Cross Blue Shield
06.2014 - 12.2015

Associate of Science - Medical Assisting

East Coast Polytechnic University

High School Diploma -

South Central High School

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