MARINO SAMUEL
Greenfield,United States
Summary
I am a proven achiever in streamlining processes and enhancing data security. I significantly boosted efficiency at Synergy Claims LLC. As an expert in software applications and a quality-oriented team player, my background spans medical billing to financial management, demonstrating unparalleled dedication to regulatory compliance and cost reduction. Analytical medical biller successful at resolving disputes and billing inquiries. Detail-oriented individual with several years of experience performing intricate billing procedures with undeniable level of detail. Familiar with private and commercial insurance carriers.
Overview
33
33
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Synergy Claims LLC
Greenfield, WI
07.2020 - Current
- Maintained timely and accurate charge submission through electronic charge capture, including billing, and account receivables (BAR) system and clearing house.
- Generated monthly invoices for patients based on services provided according to established fee schedules.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Performed quality assurance audits on submitted claims ensuring that they met industry standards.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Posted charges, payments and adjustments.
Property Manager
Amberwood Condos
Greenfield, United States
07.2020 - Current
- Managing 91 Units compound, collecting rent and other property fees from tenants and individual owners
- Paying property expenses, including taxes, mortgages, payroll, insurance premiums and maintenance costs
- Reporting the property's financial status, occupancy and expiring leases to property owners
- Meeting potential tenants, showing them the property and assessing their applications in accordance with anti-discrimination laws
- Advertising vacant properties and hiring a leasing agent to find tenants as needed
- Inspecting properties and arranging for repairs and new materials as required
- Arranging contracts for maintenance, trash removal, landscaping, security and other ongoing services and managing disputes with these service providers where appropriate
- Investigating and resolving property complaints and rental violations
Insurance Agent
Farmers Insurance
Cedarburg, WI
09.2015 - 12.2016
- Promote the insurance agency to customers who need insurance
- Network with potential customers
- Educate customers on each type of insurance coverage and make recommendations based on their needs
- Evaluate current insurance policies and recommend additional coverage when needed
- Maintain all insurance documents in a confidential way
Development Project Lead
USAID
TUNISIA
02.2005 - 06.2015
- Defining project goals, objectives, and timelines: Setting the project's objectives, goals, and timelines keeps everybody aligned with the project's objectives and goals
- Developing project plans, including budgets and resource allocation
- Coordinating and assigning tasks to team members: The goal is to have all tasks assigned to the right team members and make everyone aware of their responsibilities
- Monitoring project progress and making adjustments as needed: This ensures that the project is on track and that any issues are addressed promptly
- Communicating project status and issues to upper management: The purpose is to have everyone be aware of the project's progress and any issues that need to be addressed
- Ensuring compliance with project requirements and standards: The project must be completed according to the set standards, and the deliverables have to meet the requirements
- Identifying and managing project risks and issues: Any risks and issues are addressed promptly so that the project can be completed without any major setbacks
Senior Accountant
USAID
TUNISIA
03.1998 - 01.2005
- Using the highest standards and practices to ensure financial documents comply with the law
- Collecting and verifying financial information
- Maintaining a general ledger by inputting daily financial transactions
- Directing other employees and Junior Accountants
- Putting together payroll for their company or clients
- Resolving financial problems, performing audits, and analyzing profit loss
- Preparing financial statements, producing accounting reports, and checking them for accuracy
- Increasing company revenues and boosting profits
Financial Assistant
American Embassy
TUNISIA
09.1991 - 02.1998
- Processing and preparing financial statements
- Creating, sending, and following up on invoices
- Collecting and reviewing data for reports
- Reviewing and performing audits on financial statements and reports
- Reporting discrepancies
- Preparing payments for employees
- Suggesting improvements in accuracy, efficiency, and reducing costs
Medical Billing Specialist
Synergy Claims LLC
- Reviewing patient bills for accuracy and completeness
- Submitting claims to insurance companies
- Following up on unpaid claims and disputed claims
- Checking insurance payments for accuracy
- Communicating with insurance companies regarding discrepancies
- Preparing and submitting medical claims
- Appealing denied claims
- Performing medical and Medicare audits and reviews
Education
MASTER OF BUSINESS ADMINISTRATION -
University of Phoenix-Arizona
ARIZONA06.1999
Master of Business Management -
EVRY UNIVERSITY
Paris, France06.1990
Skills
- Quality-oriented team player
- software applications proficiency
- Information Technology
- Process Improvement
- Regulatory Compliance
- Cost Reduction
- Data security procedures
- Database systems
- Insurance collections
Websites
Certification
- Property Management Certification, In Progress, IAP
- Microsoft Certified Specialist, Microsoft
- Certificate of High Performance Management, Securitas
- Certified Internal ISO Quality Process Auditor, ISO Audit 9001
Hobbies and Interests
- Fishing
- Soccer Game
- Movies
Languages
- Arabic
- French
- English
- Italian
Languages
English
Professional
French
Native/ Bilingual
Arabic
Full Professional
Timeline
Medical Billing Specialist
Synergy Claims LLC
07.2020 - Current
Property Manager
Amberwood Condos
07.2020 - Current
Insurance Agent
Farmers Insurance
09.2015 - 12.2016
Development Project Lead
USAID
02.2005 - 06.2015
Senior Accountant
USAID
03.1998 - 01.2005
Financial Assistant
American Embassy
09.1991 - 02.1998
Medical Billing Specialist
Synergy Claims LLC
MASTER OF BUSINESS ADMINISTRATION -
University of Phoenix-Arizona
Master of Business Management -
EVRY UNIVERSITY
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