Samia Costa
Naples
Summary
Dedicated and detail-oriented healthcare professional with over 30 years of experience supporting medical practices through front-desk operations, medical assisting, billing, and insurance coordination, highly skilled in patient relations, medical documentation, prior authorization, and claim processing. Known for strong communication skills, accuracy, and the ability to thrive in fast-paced, multi-physician environments.
Overview
18
18
years of professional experience
Work History
Medical Assistant
Elite Pain Care
04.2021 - Current
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Obtained client medical history, medication information, symptoms, and allergies.
- Performed medical records management, including filing, organizing and scanning documents.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Oriented and trained new staff on proper procedures and policies.
- Liaised with patients and addressed inquiries, appointment requests and billing questions.
- Prepared lab specimens for diagnostic evaluation.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- Helped improve patient outcomes by educating and advising on relevant treatments and care.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Collected pertinent data and calculations to aid physician in interpreting results.
- Collected and documented patient medical information such as blood pressure and weight.
- Followed appropriate procedures to minimize patient's exposure to radiation.
- Taught patients about medications, procedures, and care plan instructions.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging, and compassionate environment.
- Measured patient pulse oximetry.
- Obtained and documented patient medical history, vital signs and current complaints at intake.
Medical Billing Specialist
Florida Pain Center
06.2008 - 04.2021
- Scheduling, entering new patient data, post-pay and charges office visit, enter charges for CBD oil patient buy, Balancing cash drawer every night, run virtual card, answer telephone, scan documents, Preparing deposits.
- Pre-cert for procedures and MRI, CT, X-Ray, scheduling MRI, CT for patient Scan all documents and Insurance cards and ID.
- Responsible for doctor’s dictation any correct mistake Transfer all diction from Entrada in to AthenaNet Checked night before eligibility and phone list for appointments and cancellations.
- Check patients in.
- Update patient’s demographics and insurance information.
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
- Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
- Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.
- Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
- Reviewed and verified benefits and eligibility with speed and precision.
- Determined prior authorizations for medication and outpatient procedures.
- Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
- Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
- Billed all lab claims with attached lab slips.
- Accurately coded diagnostics and prepared billing statements for patients.
- Completed appeals and filed and submitted claims.
- Consistently informed patients of financial responsibilities prior to services being rendered.
- Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
- Entered procedure codes, diagnosis codes and patient information into athenaNet.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Education
High School Diploma -
Key West Collegiate School
Key West, FL07.1992
Skills
- Medical receptionist
- Patient-focused, detail-oriented, and computer-savvy medical receptionist, personable and courteous in all interactions with patients and team members, and skilled at anticipating physician and practice needs
- Effective in handling office and administrative tasks within busy, multi-physician practices
- Expedients in processing patient check-in/check-out, verifying insurance, and collecting third-party claims
- Efficient in managing appointment scheduling, patient records, medical billing, and financial information
- Expertise
- Medical office procedures
- Front desk reception
- Patient relations
- Insurance verifications
- HIPAA rules and regulations
- Medical Terminology, Billing and Coding
- Claims filing
- Financial transactions
- Physician support
- Physical schedules
- Microsoft Word
- Microsoft Excel
- Microsoft PowerPoint
- Streamline MD
- Medical manager
- Sage Medical Manager
- ZyloMed
- AthenaNet
- Entrada Health
- Administrative, Microsoft Excel, telephone
- Streamline, mail, phone
- Billing, office
- Charts, Microsoft PowerPoint
- Detail-oriented, Microsoft Word
- Dictation, next
- Filling, pricing
- Financial, coding
- Insurance, reception
- Inventory, receptionist
- Managing research
- Medical billing, Sage
- Medical manager, scheduling
- Medical terminology, Spanish
- Documentation expert
- Payment collection
- Patient care
- Medical records management
- Diagnostic testing support
- Insurance verification
- Billing accuracy
- Medical coding
- Data entry
- Effective communication
- Staff training
- Conversant in [languages]
- Professional bedside manner
- Stocking supplies
- Fluent in [languages]
- HIPAA compliance
- Medical equipment operation
- Completing insurance forms
- Medical billing and coding
Languages
Spanish
Full Professional
English
Full Professional
Timeline
Medical Assistant
Elite Pain Care
04.2021 - Current
Medical Billing Specialist
Florida Pain Center
06.2008 - 04.2021
High School Diploma -
Key West Collegiate School