Stephanie Boles
@stephanieboles
VA/Tricare and insurance claims professional focused on accurate eligibility and fast resolution.
What I'm looking for
I’m a claims-focused professional who helps people get the benefits and payments they’re entitled to by combining careful documentation with clear follow-through. In my Tricare claims work, I support claimants through admission-related needs, enrollment applications, and benefits form preparation.
I process electronic and hard copy billing and follow up with third-party carriers to keep insurance claims moving. I investigate and coordinate coverage across multiple service lines, review eligibility using detailed billing references, and analyze denied claims to identify the real reasons for denial and the most effective corrective actions.
I’m also skilled at customer communication and case ownership—answering coverage and payment status questions, escalating when needed, and interpreting legal documentation such as contracts or court orders when evaluating claims. When denials happen, I file appeals on behalf of customers, including situations where denials stem from insufficient evidence.
Outside of claims, I bring a strong customer-service mindset and process discipline from healthcare reception, precision production work, and cosmetology. Whether I’m updating records, scheduling appointments, producing work to specifications, or delivering client-focused services, I prioritize accuracy, organization, and a supportive experience from start to finish.
Experience
Work history, roles, and key accomplishments
VA Claims Representative
Aspirion Health Resources
Dec 2023 - Present (2 years 6 months)
Supported claimants in obtaining admission to outpatient treatments, pharmacy items, and prosthetic equipment, and processed applications for VA health care system enrollment. Submitted electronic and hard-copy billing, coordinated insurance benefits across service lines, and reviewed denied claims to identify corrective actions.
Ensured timely submission of required claim documentation, interpreted legal documents, and investigated coverage and liability to determine payment. Managed customer inquiries and filed appeals for denials due to insufficient evidence.
Production Worker
Mutec
Mar 2005 - Feb 2021 (15 years 11 months)
Monitored inventory levels, replenished supplies as needed, and reported production issues to supervisors for resolution. Verified finished products against work orders or blueprints, adjusted machine settings, and inspected workpieces to ensure specification conformance.
Medical Receptionist
North Columbus Eye Center
Oct 2016 - Apr 2018 (1 year 6 months)
Greeted and checked in patients, updated patient information in computer systems, and handled billing/collections-related data entry. Answered phones, scheduled appointments, roomed patients, collected vital signs, and documented chief complaints while supporting clinical staff.
Education
Degrees, certifications, and relevant coursework
Central High School
High School Diploma, High School
Earned a High School Diploma from Central High School in 2003.
Southeastern Beauty School
Master Cosmetologist, Cosmetology
2008 -
Completed Master Cosmetologist training at Southeastern Beauty School starting in 2008.
Virginia College
Associate of Healthcare Administration, Healthcare Administration
2016 -
Completed Associate training in Healthcare Administration at Virginia College starting in 2016.
Availability
Location
Authorized to work in
Job categories
Skills
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