Carmen J. Fondren

Current Address: Contact Information:

**** ****** **. abxw54@r.postjobfree.com

Memphis, TN 38119

cell 314-***-****

* Objective : To obtain a challenging position within the

Accounting/Finance environment with the opportunity for advancement. Proven

performer with experience in all accounts receivable, payable, budgeting,

bookeeping and efficient workforce allocation planning. Able to develop

strategies to achieve organizational goals, adapt strategies to frequent

changing conditions in a tactful manner when under pressure.

* Education

Capella University, Minneapolis, MN: Jul. 2008-Present Sanford Brown

College, St Louis, MO

Course Study: Bachelors in Finance and Accounting Jan. 1999-Jul.

2000 G.P.A. 3.55

G.P.A. 3.00 Associates in Information

Technology

* Work Experience

UT Medical Group, Memphis TN.

Reimbursement Analyst/Insurance Claims Specialist

May 2011 to Present

. Responsible for analyzing assigned claims data to insure appropriate

reimbursement with provider relations. Defines and solves errors in

contract management system and recommend solutions.

. Works closely with internal contract manager and external provider

representatives.

. Reviews and researches unpaid and underpaid insurance claims as well

as corresponding with insurance companies, physicians, clinics and

hospitals.

. Train new employees on procedure and protocol to work insurance follow

up. Works with minimal guidance on large complexity, high volume with

provider groups or specialists.

Seabury & Smith/Mercer, St Louis, MO

Provider Network Contractor-Provider Relations/Accounts Payable April

2003 to March 2011

. Provide in depth analysis and modeling of new contracts. Coordinated

communications of contracts and rates with claims department. Work

with internal and external customers and others in providing requested

information and solving problems.

. Recruit and develop network for a region and set of providers.

Facilitate and oversee to the provider set-up and contract

configuration to ensure accurate claims adjudication.

. Conduct and complete month end Accounting close, prepare weekly wage

updates, maintain and track monthly budgets. Conduct monthly reviews

and prepare audit schedules for internal and external audits.

. Ensure that all audits reports are correct and complete.

. Assist supervisor with special projects to ensure all budgets are

accurate in regards to fixed costs and other expenses for the

departments.

. Research and resolve questions, complaints and grievances and ensures

that information in all databases is accurate and properly configured

to support operations.

. Responsible for training new hires in the finance department. Promoted

to Accounts Payable-February 2007.

*Computer Skills: : 10-Key 16,000, 60 wpm, knowledgeable with ICD-9, CPT

coding, Microsoft Word, Excel, Power Point, Publisher, Amisys, AS400

Caps System, IDX, SAP, Quickbooks and also other necessary office

equipment.

*References Available upon request

Contact this candidate