Connie Mcfadden Boese

** ******* *****, *****, ** 72023

ad3hfx@r.postjobfree.com

Ph. 501-***-****

Professional Summary

Accomplished and energetic Customer Service with a solid history of achievement in Medical billing. Motivated leader with strong organizational and prioritization abilities. Areas of expertise include b i l l i n g, coding and to solve problems. Skills

35 Years Customer Service ICD-9 and 10

CPT 4 and DME CODING Writing

Active Listening Speaking

Computers and Electronics Administration and Management Clerical

Experience

Insurance Claims Clerks Apr 2014-Sep 2015

Rotech Billing Texarkana, TX

Review insurance policy terms to determine whether a particular loss is covered by insurance.

Check to ensure that appropriate changes were made to resolve customers' problems.

Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.

Compare disputed merchandise with original requisitions and information from invoices and prepare invoices for returned goods. Prepare insurance claim forms or related documents and review them for completeness.

Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors. Calculate amount of claim.

Post or attach information to claim file.

Pay small claims.

Transmit claims for payment or further investigation. Apply insurance rating systems.

Office Manager and Credentialing Specialist Oct 2012-Jan 2014 Lakewood Family Medicine North Little Rock, AR

Office Manger

Prepare and review operational reports and schedules to ensure accuracy and efficiency.

Monitor the facility to ensure that it remains safe, secure, and well-maintained.

Hire and terminate clerical and administrative personnel. Receive payments and post amounts paid to customer accounts. Locate and notify customers of delinquent accounts by mail, telephone, or personal visits to solicit payment.

Persuade customers to pay amounts due on credit accounts, damage claims, or no payable checks, or to return merchandise.

Advise customers of necessary actions and strategies for debt repayment. Locate and monitor overdue accounts, using computers and a variety of automated systems.

Confer with customers by telephone or in person to determine reasons for overdue payments and to review the terms of sales, service, or credit contracts. Answer customer questions regarding problems with their accounts. Trace delinquent customers to new addresses by inquiring at post offices, telephone companies, credit bureaus, or through the questioning of neighbors. Negotiate credit extensions when necessary.

Customer Services Oct 2010-Jan 2011

Professional Consulting Service Conway, AR

Review insurance policy terms to determine whether a particular loss is covered by insurance.

Check to ensure that appropriate changes were made to resolve customers' problems.

Determine charges for services requested, collect deposits or payments, or arrange for billing.

Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.

Refer unresolved customer grievances to designated departments for further investigation.

Customer Services, Payment Poster and Claims Adjuster Mar 2008-Aug 2010 Arkansas Physician Management Little Rock, AR

Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.

Review insurance policy terms to determine whether a particular loss is covered by insurance.

Check to ensure that appropriate changes were made to resolve customers' problems.

Determine charges for services requested, collect deposits or payments, or arrange for billing.

Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.

Refer unresolved customer grievances to designated departments for further investigation.

Use computers for various applications, such as database management or word processing.

Create, maintain, and enter information into databases. Set up and manage paper or electronic filing systems, recording information, updating paperwork, or maintaining documents, such as attendance records, correspondence, or other material.

Complete forms in accordance with company procedures. Locate and attach appropriate files to incoming correspondence requiring replies.

Manage projects or contribute to committee or team work. Learn to operate new office technologies as they are developed and implemented.

Train and assist staff with computer usage.

Claims Examiner II & Payment Poster Feb 2004-Oct 2006 Arkansas Oncology Associates Little Rock, AR

Review insurance policy to determine coverage.

Prepare insurance claim forms or related documents and review them for completeness.

Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors. Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.

Transmit claims for payment or further investigation. Apply insurance rating systems.

Create, maintain, and enter information into databases. Claims Examiner Nov 2001-Mar 2004

QualChoice/QCA Little Rock, AR

Pay and process claims within designated authority level. Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures. Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.

Customer Services & Insurance Adjuster Nov 1988-Nov 1997 Arkansas Blue Cross & Blue Shield Little Rock, AR

Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.

Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken. Review insurance policy terms to determine whether a particular loss is covered by insurance.

Check to ensure that appropriate changes were made to resolve customers' problems.

Determine charges for services requested, collect deposits or payments, or arrange for billing.

Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.

Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills. Complete contract forms, prepare change of address records, or issue service discontinuance orders, using computers.

Collect and deposit money into accounts, disburse funds from cash accounts to pay bills or invoices, keep records of collections and disbursements, and ensure accounts are balanced.

Create, maintain, and enter information into databases. Operate office equipment, such as fax machines, copiers, or phone systems and arrange for repairs when equipment malfunctions.

Greet visitors or callers and handle their inquiries or direct them to the appropriate persons according to their needs.

Complete forms in accordance with company procedures. Education

Medical Billing & Coding Specialist Jan 2012

Remington College Little, AR

GPA 3.9

Graduated with honors.

Accounting & Banking Degree Jan 1988

Draughton Business College Little Rock, AR

GPA 3.6

Graduated with honors.

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