Summary
Overview
Work History
Education
Skills
Timeline
Generic

Krysta Poley

Pass Christian,MS

Summary

Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.

Overview

3
3
years of professional experience

Work History

Precertification Specialist/VA & Workers Comp

Mississippi Orthopaedic Institute
11.2022 - Current
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Resolved discrepancies with client applications to verify eligibility.
  • Assisted with medical coding and billing tasks.
  • Managed office logistics by scheduling appointments, maintaining files as well as collecting payments.
  • Analyzed trends in denials or authorization delays to identify opportunities for improvement within our precertification department.
  • Increased accuracy of submitted claims through meticulous attention to detail in verifying insurance eligibility and benefits.
  • Streamlined precertification processes by implementing efficient tracking systems and prioritizing urgent cases.
  • Enhanced interdepartmental collaboration through effective communication with case managers, physicians, and billing departments.
  • Conducted thorough follow-ups with insurance companies, ensuring timely receipt of authorization numbers for approved services.

Daycare Opening Manager

Ovation Learning Center
12.2020 - 11.2022
  • Implemented curriculum to enhance classes with learning-focused activities.
  • Actively encouraged children to develop their communication, problem-solving and social skills.
  • Implemented age-appropriate curricula to meet needs of young learners.
  • Intervened in disruptive behavior, using positive reinforcement strategies to redirect and calm children.
  • Guided students to develop social, emotional and physical skills.
  • Provided a safe and nurturing environment for children, regularly monitoring indoor and outdoor spaces for potential hazards.

Education

Certification - Medical Billing And Coding

Penn Foster
Scottsdale, AZ
02.2024

High School Diploma -

Harrison Central High School
Gulfport, MS
05.2020

Skills

  • Medical Records Maintenance
  • Insurance Authorizations
  • Prior Authorization Knowledge
  • Documentation and Recordkeeping
  • Collaboration and Teamwork
  • Medicaid knowledge
  • Data Management
  • Healthcare Regulations Understanding
  • Critical Thinking
  • Proficiency in EHR
  • Computer Proficiency
  • Organization and Time Management
  • Medical Coding

Timeline

Precertification Specialist/VA & Workers Comp

Mississippi Orthopaedic Institute
11.2022 - Current

Daycare Opening Manager

Ovation Learning Center
12.2020 - 11.2022

Certification - Medical Billing And Coding

Penn Foster

High School Diploma -

Harrison Central High School
Krysta Poley