Summary
Overview
Work History
Education
Skills
References
Professional References
Timeline
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KRYSSII M. AILOR

KRYSSII M. AILOR

Lewiston

Summary

Detail-oriented Non-Certified Medical Coder with extensive experience at Catalyst Medical Group, specializing in ICD-10 billing and efficient time management. Demonstrates a strong ability to navigate complex insurance processes, which enhances patient satisfaction and ensures precise claims processing. A committed team player focused on driving organizational success through collaborative problem-solving and excellence in coding practices.

Overview

7
7
years of professional experience

Work History

Non-Certified Medical Coder

Catalyst Medical Group
Lewiston
09.2024 - Current
  • Proficient in a Wide Range of Medical Coding Procedures
  • Reliable and Efficient in Handling Essential Requests
  • While I may work in a specific department within this multi-specialty clinic, I understand we are all united as one team
  • Our collective strength relies on each member's performance-if one of us falters, we all feel the impact
  • I take pride in being a loyal, reliable, and dedicated employee who contributes positively to our success

Medicare Biller/Patient Accounts Representative

Catalyst Medical Group
Lewiston
09.2022 - Current
  • I have a strong command of ICD-9 and ICD-10 billing, ensuring the accurate use of CPT codes and thorough documentation to substantiate the provider's level of service
  • I handle phone inquiries with ease, adeptly addressing questions related to billing issues, errors, and balances for patients or their insurance providers
  • As a health information technician, I expertly manage patient payments and oversee insurance claims for healthcare providers
  • I am skilled in using Athena One EMR billing to provide reliable and efficient services
  • My strong attention to detail and knowledge of medical terms and billing processes help me stand out
  • I set and meet realistic deadlines and work well alone and in teams
  • I enjoy helping patients navigate insurance and payment issues to achieve the best results
  • I understand ICD-9 and ICD-10 billing and use the correct CPT codes and documentation to support providers
  • I answer phone calls and help with any questions about billing issues, errors, or patient balances related to their insurance
  • I also manage payments for patient balances and handle insurance claims for healthcare providers
  • I am a health information technician capable of managing payments for patient balances, and I oversee insurance claims for healthcare providers

Financial Coordinator/Insurance Coordinator/Patient Coordinator

Oral and Facial Surgery
Pullman
09.2018 - 09.2022
  • Include but not limited to checking in patients
  • Scheduling appointments
  • Posting payments, insurance, and private
  • Front office duties
  • Answering phones
  • Directing calls appropriately
  • Any and all necessary duties required to make the front office run smoothly
  • Work well with a team
  • Work effectively under pressure
  • Necessary housekeeping
  • Preparing daily deposits

Education

General Studies Graduate - General Studies

Clearwater Valley High School
4643 ID-13, Kooskia, ID 83539
06-2003

Some College (No Degree) - Medical Coding And Billing

Lewis Clark State College
500 8th Ave Lewiston, ID 83501

Some College (No Degree) - Business Economics

University of Idaho
875 Perimeter Drive Moscow, ID 83843

Some College (No Degree) - Animal Science - Equine Studies

Feather River College
570 Golden Eagle Ave, Quincy, CA 95971

Skills

  • Proficient in Athena One Billing
  • Detail-Oriented Approach
  • Familiarity With Medical Terminology
  • Payment Processing Systems
  • Effective Time Coordination
  • Cross-Functional Teamwork
  • Healthcare Navigation Assistance
  • Insurance Resolution Expertise
  • ICD-10 billing
  • CPT Code Proficiency
  • Project Documentation
  • Clear Telephone Correspondence
  • Payment Resolution Expertise
  • Payment Processing Management
  • Managing Insurance Claims
  • Clinical Information Analyst
  • ICD-10 Proficiency
  • Accurate CPT Coding
  • Medical Claims Processing
  • Proficient in Electronic Medical Records
  • Patient Account Oversight
  • Accurate Data Entry
  • Concise Written Communication
  • Collaborative Teamwork
  • Problem-solving
  • Time management
  • Customer service
  • Confidentiality compliance
  • Coding appeals
  • Documentation oversight
  • Anatomy
  • Healthcare claim coding
  • Workflow management
  • Claims processing
  • Data security procedures
  • Insurance verification
  • Procedural coding
  • HCPCS coding
  • Medicare insurance regulations
  • Clinical documentation
  • Medical terminology
  • Coding error resolution
  • Diagnostic coding
  • Patient data compilation
  • Error reporting
  • Medical classification systems
  • Medical coding and abstracting
  • Insurance claims analysis
  • Regulatory guidelines
  • HIPAA compliance
  • Medical software proficiency
  • Ethical standards
  • Medical claims coding
  • Statement analysis
  • Certification maintenance
  • Continuing education
  • Patient data identification
  • Revenue cycle management
  • Records management
  • ASC Coding Proficiency
  • Data Accuracy Verification
  • Researching Code Assignments
  • Confidential Record Management
  • Efficiency Enhancement
  • Document Coordination
  • Coaching Team Members
  • Critical Problem Assessment
  • Accurate Medical Recordkeeping
  • Team Development
  • Flexible Problem-Solving
  • Prioritization of Responsibilities

References

  • Afton Frazier, Moscow, ID, 83843, 208-596-0860, 4+
  • Melissa Ramirez, Clarkston, WA, 99403, 619-994-8519, 3+
  • Jody Zumwalt, Lewiston, ID, 83501, 208-791-1597, 25+

Professional References

  • Dr. Stephen Holm, DMD, 444 Thain Road, Lewiston, ID, 83501, 208-530-0040, 6+
  • Dr. Sherdon Cordova, DDS, 1256 SE Bishop Blvd, Pullman, WA, 99163, 509-595-1430, 6+
  • Rachel Kennedy, CPC, 320 Warner Avenue, Lewiston, ID, 83501, 208-790-7958, 2+

Timeline

Non-Certified Medical Coder

Catalyst Medical Group
09.2024 - Current

Medicare Biller/Patient Accounts Representative

Catalyst Medical Group
09.2022 - Current

Financial Coordinator/Insurance Coordinator/Patient Coordinator

Oral and Facial Surgery
09.2018 - 09.2022

General Studies Graduate - General Studies

Clearwater Valley High School

Some College (No Degree) - Medical Coding And Billing

Lewis Clark State College

Some College (No Degree) - Business Economics

University of Idaho

Some College (No Degree) - Animal Science - Equine Studies

Feather River College
KRYSSII M. AILOR