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Stephanie BolesSB
Open to opportunities

Stephanie Boles

@stephanieboles

VA/Tricare and insurance claims professional focused on accurate eligibility and fast resolution.

United States
Message

What I'm looking for

I’m looking for a role where I can own claims end-to-end—confirm eligibility, resolve denials, coordinate benefits, and file appeals when needed—while communicating clearly and working with teams that value accuracy, timeliness, and customer outcomes.

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

AR
Current

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.

MU

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.

NC

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

CS

Central High School

High School Diploma, High School

Earned a High School Diploma from Central High School in 2003.

SS

Southeastern Beauty School

Master Cosmetologist, Cosmetology

2008 -

Completed Master Cosmetologist training at Southeastern Beauty School starting in 2008.

VC

Virginia College

Associate of Healthcare Administration, Healthcare Administration

2016 -

Completed Associate training in Healthcare Administration at Virginia College starting in 2016.

Tech stack

Software and tools used professionally

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