Bayli Anglin
Columbus
Summary
Results-driven healthcare professional with 6+ years of experience in insurance verification, appeals, and prior authorizations. Proven ability to resolve denials and improve patient access across Medicaid, Medicare, VA, and commercial plans.
Overview
10
10
years of professional experience
Work History
Admissions & Marketing Representative
Encompass Health Rehabilitation Hospital
Phenix City
05.2023 - 12.2023
- Verified insurance coverage and benefits for inpatient rehabilitation admissions across Medicare, Medicaid, VA, and commercial plans
- Managed prior authorizations and appeals to secure patient approvals for medically necessary care
- Coordinated with insurance companies, physicians, and case managers to resolve denials and expedite admissions
- Educated patients and families on coverage, benefits, and financial responsibilities
- Managed daily patient census reporting, ensuring accuracy of admissions, discharges, and bed availability
- Assisted with onboarding and training of new employees on workflows and systems
- Planned and executed community outreach events, health fairs, and referral-based marketing initiatives
- Managed local social media accounts for Columbus, GA and Phenix City, AL locations
- Coordinated provider marketing lunches and maintained referral relationships
- Ordered and managed marketing materials, vendor coordination, and promotional inventory
- Created outreach materials and tracked financial documentation for marketing expenses
Administrative Assistant /Patient Care Coordinator
Americanwork
Columbus
05.2022 - 05.2023
- Verified Medicaid and Medicare eligibility using GAMMIS and Palmetto systems
- Assisted patients in accessing services, scheduling appointments, and resolving coverage issues
- Acted as a liaison between patients, providers, and internal teams
- Led audit readiness efforts by reviewing and organizing thousands of patient records to ensure compliance
- Developed a tracking system to monitor expirations for consents, privacy practices, and treatment authorizations
- Proactively contacted patients to update documentation prior to expiration
- Contributed to the organization achieving its first successful audit with an “A” rating after prior failures
- Assisted in onboarding and training new employees; created training materials and documentation
- Supported providers with prescription coordination and administrative follow-up
- Resolved technical issues and improved scheduling workflows through custom spreadsheets
Medical Census Coordinator
UnitedHealthcare
Colorado Springs
12.2019 - 11.2021
- Managed patient census data, admissions, and discharges across healthcare systems
- Ensured accuracy, compliance, and timely reporting of patient information
- Collaborated with internal departments to resolve discrepancies and improve reporting processes
- Provided operational support through real-time data tracking and analysis
JAA and Dental Policy Advisor
Anthem BlueCross BlueShield
Columbus
08.2018 - 12.2019
- Handled insurance inquiries, claims, and benefit explanations for dental and commercial health plans
- Supported grievances and appeals processes, ensuring compliance with policy guidelines
- Educated members and providers on coverage, claims processes, and plan benefits
- Collaborated with internal teams to resolve complex claim and policy issues
- Awarded Anthem National Care Award for excellence in service and performance
Medical Administrative Assistant /Clinical Support Specialist
Cynthia Tew, NP
Columbus
03.2014 - 08.2018
- Performed medical coding, billing, and charting to support accurate patient documentation and claims processing
- Assisted with patient care coordination and documentation across multiple care settings
- Rounded with provider at Skilled Nursing Facilities (SNF) and Assisted Living Facilities (ALF), supporting patient evaluations and follow-up care
- Maintained accurate and up-to-date patient records to ensure compliance with healthcare standards
- Assisted with administrative and clinical workflow tasks to improve efficiency and continuity of care
Education
Certified Medical Assistant (CMA) - Medical Assistant
CareerStep
Lehi, UT 12.2019 - 03.2020
Certified Medical Administrative Assistant (CMAA) - Medical Administration
CareerStep
Lehi, UT 12.2019 - 03.2020
Chattahoochee Valley Community College
Phenix City, ALMicrosoft Office Specialist (MOS): Word 2016 - Computer Science
Columbus State University
Columbus, GAMicrosoft Office Specialist (MOS): Excel 2016 - Computer Science
Columbus State University
Columbus, GAMicrosoft Office Specialist (MOS): PowerPoint 2016 - Computer Science
Columbus State University
Columbus, GASkills
- Appeals & Grievance Resolution
- Prior Authorization & Denial Management
- Insurance Verification (Medicaid, Medicare, Commercial, VA)
- Patient, Provider & Facility Coordination
- Claims & Coverage Analysis
- Healthcare Compliance & Audit Readiness
- Medicaid Systems (GAMMIS, Palmetto)
- Process Improvement & Workflow Optimization
- Training & Onboarding Support
Accomplishments
- Anthem CARE Award | Anthem Blue Cross Blue Shield | 2019
Awarded for outstanding patient advocacy and resolving a complex coverage issue.
Timeline
Admissions & Marketing Representative
Encompass Health Rehabilitation Hospital
05.2023 - 12.2023
Administrative Assistant /Patient Care Coordinator
Americanwork
05.2022 - 05.2023
Medical Census Coordinator
UnitedHealthcare
12.2019 - 11.2021
Certified Medical Assistant (CMA) - Medical Assistant
CareerStep
12.2019 - 03.2020
Certified Medical Administrative Assistant (CMAA) - Medical Administration
CareerStep
12.2019 - 03.2020
JAA and Dental Policy Advisor
Anthem BlueCross BlueShield
08.2018 - 12.2019
Medical Administrative Assistant /Clinical Support Specialist
Cynthia Tew, NP
03.2014 - 08.2018
Chattahoochee Valley Community College
Microsoft Office Specialist (MOS): Word 2016 - Computer Science
Columbus State University
Microsoft Office Specialist (MOS): Excel 2016 - Computer Science
Columbus State University
Microsoft Office Specialist (MOS): PowerPoint 2016 - Computer Science
Columbus State University