Looking for new opportunities.

1. PROFESSIONAL SUMMARY
SKILLS
WORK HISTORY
EDUCATION
ADDITIONAL INFORMATION
ELLEN M. FEARNLEY
Rochester, NH 03867 • H: 603-335-1991 • C: 603-312-4928 • efear8891@gmail.com
A well-seasoned and broadly based individual with over twenty-two years of diverse demanding responsibilities in hospitals and physicians offices. Creative problem
solver with ability to drive revenue growth, resolve conflict and improve moral.
Accuracy and attention to detail with ability to identify/resolve problems.
Solid analytical and problem solving skills.
Ability to multi-task and work independently.
Familiarity with CPT-ICD, HCPCS II codes and modifier usage.
Orthopedics and neurology experience.
Knowledge of Maws, Medicare and Medicaid.
Extensive anatomy/physiology knowledge.
Managed care contract knowledge.
HIPAA Compliance.
Effective and appropriate written and oral communication.
Organize priorities while using critical thinking.
Take and follow direction in a positive and appropriate manner.
Deadline-driven.
Interpersonal issues and customer relations displayed with integrity,
friendliness and compassion.
Strong work ethic.
Team player with positive attitude.
Exercises good judgment.
Comfortable working in a fast paced facility.
Ability to think "outside the box"
Flexible.
Use knowledge of investigation techniques.
Analyze and resolve complex insurance denials.
Use telephone communication techniques.
Maintains strict confidentiality.
Take initiative to grow both personally and organizationally.
Initiative to learn new tasks with the ability to apply acquired knowledge to
future duties.
10/2001 - 12/2015
Workers' Compensation Collector/Biller
Seacoast Orthopedics & Sports Medicine - 7 Marsh Brook Dr, Somersworth, NH 03878
Completed registration quickly and cordially for all new Workers' Compensation patients.
Contacted insurers/payers to verify insurance coverage and eligibility requirements of patients.
Obtained verbal /written authorization for medical treatment from appropriate sources.
Verified insurance information for accuracy and completeness and resolved discrepancies as needed.
Confirmed that patient/payor demographic information was correct and accurate.
Entered information into the computer system in an accurate and efficient manner to facilitate the insurance verification and authorization process.
Maintained appropriate documentation of insurance verification and authorization forms and transactions.
Retrieved medical records and workers' compensation forms from the computer, along with 1500 billing forms and submitted by fax or mail.
Assigned additional diagnosis codes based on specific clinical findings in support of existing diagnoses.
Contacted insurance carriers through insurance portals,, email or telephone to resolve outstanding accounts and denials.
Entered payments/adjustments and balanced the day in the computer.
Posted and obtained authorization on credit cards.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received through the process of posting payments, adjustments
and denials.
Thoroughly investigated past due claims and minimized number of unpaid accounts.
Maintained an organized logging system for tracking collection accounts and follow through in a queue and clipboard system.
Responded to insurance carrier correspondence and/or inquiries .
Monitored shared email in-boxes and ensured inquiries were addressed.
Communicated with patient, providers and claims adjusters.
Submitted refund requests for claims paid in error.
Meticulously tracked and resolved under payments.
Professional Coders:
Course Work -
Associate of Science: Radiology-Registered Radiologic Technologist
North Shore Community College - Beverly, MA
IMMEDIATELY AVAILABLE.
My strong initiative and organizational skills combined with my ability to work independently or as a team player, allow me to play a critical role in a fast-paced
environment. I have a strong work ethic, attention to detail and customer service skills. Highly motivated individual with desire to help others.
One reason I particularly like the business and the challenges that go along with it, is that it is always changing. I had the opportunity to connect with people
and enjoyed communicating with the adjusters and formed some significant customer relationships.
Now, I am looking for a company that values customer relations where I can join a strong team and have a positive impact.