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Samia Fleifel

***** ******** ** 407-***-****

Land O Lakes, FL 34639 adv0c3@r.postjobfree.com

Background

Highly skilled and analytical individual, possessing strong financial management and problem-solving skills. Experienced as a Payment poster, Medical Claims and Billing Specialist, Bookkeeper, and Office Supervisor. Possess excellent finance knowledge and significant experience working various office environments.

Professional Experience

PFS Account Representative AdventHealth, Tampa, FL May 2019 – Present

• Post third party payments from lockbox and address mail correspondence.

• Analyze EOBs and determine how to appropriately post exceptions, variances, and withholds.

• When posting EOBS, knowledge to transfer remaining balances to appropriate party – secondary insurance or patient balance to the responsible party.

• Post payer rejections, zero-balance EOBs, and process for distribution to appropriate parties.

• Contact payors when additional information is necessary in order to correctly post EOB.

• Work with various payers to resolve claims issues, including Medicare, Medicaid, and commercial payers.

• Research unidentified patient accounts, and post to unidentified cash accounts when necessary.

• Assist co-workers resolve patient account issues

• Work with Supervisor to “catch up” the team’s work and ensure month end posting is complete. Payment Specialist Universal Health Service, Malvern, PA June 2017 – September 2018

• Post ERA files from clearinghouse and EFT/Deposits from payers not set for ERA to patient claims in the accounting system. Reconcile to bank deposits.

• Interpret EOBs and transfer remaining balances to appropriate party – secondary insurance or patient balance to the responsible party.

• Resolve claims, clearinghouse provided edits, and payer rejections.

• Verify third party billing in advance of submission ensuring clean claim submissions.

• Identify adjudicated, zero-pay claims and provide to AR team for resolution.

• Utilize coding knowledge to identify denials resulting from billing issues. Billing Analyst Florida Healthcare Plans, Holly Hill, FL October 2012 – February 2016

• Exhibited strong auditing skills. Ensured third party billing is correctly submitted, therefore, guaranteeing clean claim submission.

• Tracked rejections and denials for trending purposes. Shared results with team members in efforts of minimizing errors. Utilized trending reports to advance training sessions. Page 2

Samia Fleifel

26216 Corkwood Ct 407-***-****

Land O Lakes, FL 34639 adv0c3@r.postjobfree.com

• Posted payments and worked refunds through utilization of EOBs. Reconciled daily, weekly, and monthly work.

• Reviewed medical records to ensure denied claims were properly coded.

• Thorough understanding of contracts, governmental payer reimbursement, and medical terminology.

• Detailed financial analysis. Held regular data reviews to identify errors and employed strategies for correction.

Medical Office Coordinator Sekine, Rasner, & Brock (OB/GYN) Jacksonville, FL December 2006 – May 2010

• Oversaw timely and accurate charge posting. Verified charge documents from Physicians, recommending corrections where necessary.

• Properly coded encounter forms based on services provided. When necessary, provided medical necessity information to payers in response to rejections.

• Ensured third party billing is correctly submitted.

• Assisted in recruiting, hiring, and development of clerical staff.

• Communicated effectively with Physicians, patients, and Insurance Payors. Education

Royal Society of Art Bath Technical College, Bath, England

• Bachelor of Arts in Business

Technical Skills

• Strong organizational, technical, writing, and people skills.

• ICD-10 and CPT-4 Coding skills.

• Experienced at writing reports and effectively presenting analytical information.

• Experienced in Microsoft Office and QuickBooks Pro.

• Ability to establish priorities and organize multiple tasks simultaneously.

• Knowledge of the principles and practices of office coordination sufficient to manage, direct, and coordinate operations.

• Ability to read, analyze and interpret professional journals and governmental regulations. Behavioral Competencies

• Maintain confidentiality of all work information adhering to HIPAA guidelines.

• Demonstrate an ability to function successfully in a team environment.

• Exhibit courteous, compassionate and respectful treatment of internal and external customers.

• Participate in identifying problems, suggest and implement solutions.

• Available outside of normal business hours for support needs.

• Communicate effectively.

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