1. Jihan Fakhouri
49A East Mount Kirk Avenue
Eagleville, PA 19403
jihanfakhouri@verizon.net
(201) 376-3765
Qualifications Summary:
Extensive knowledge of payroll, billing and administrative functions, as well as, a complete understanding of medical billing practices
(billing, remit and collections), and interaction with government and third party insurance companies.
Performance-driven and results-oriented administrative professional with experience in organizational support, project management,
personnel supervision, credentialing and office management.
Experience:
SDS Rx, King of Prussia, PA February 2015 - Present
Delivery
 Delivery and logistic services to the healthcare market
Connolly Healthcare, Conshohocken,PA January 2014 - March 2014
CollectionsSpecialist (Contract)
 Post payments from collection accounts
 Work with auditors to determine overpayment accounts and amounts
 Access,interpret and understand necessary information of the various online systems
 Understand the systems process in determining how a claim has been paid in order to accurately request repayment of
improperly paid claims
 Research and determine the correct claim for the payment if there is a valid patient/date of services and accurately apply
payment to correct claim
CardioNet, Inc. Conshohocken,PA March 2012 - August 2013
Reimbursement Specialist (Contract)
 Work alongside physicians,nurses,and otherhealthcare workers in a supportive administrative role
 Coordinate with insurance and billing companies to determine the method of payment for services by patient
 Manage financial and medical records
 Process Third Party and Medicare remittances for preparation of billing medical claims
 Coordinate copies of medical documentation with proper charges to support medical billing
 Review and correct Medical claims, edits and denials to ensure proper payment for medical services rendered
 Work with payers,medical facilities and hospitalon charge corrections and other claim edits
 Process and post explanations of benefits: payments or denials
 Collect unpaid medical insurance claims by working with insurance providers
 Gather patient documentation
 Use excel spreadsheet to keep records of outstanding balances
 Resubmit medical claims with appropriate documentation to overturn denial by writing medical reimbursement appeal letters
 Responsible for the timely follow up and reimbursement of medical claims filed by the Medical Insurance Billing
Department
 Liable for maintaining detailed and accurate account documentation
 Escalate payer issues to ensure timely reimbursement of medical claims
 Trained fellow coworkers on billing practices and denial procedures
 Compile, manage, and document daily correspondence to clients whether written, verbal or e-mail
Marco Peter Transit, Philadelphia, Pennsylvania October 2008 - November 2010
Office Manager
 Manage, train, oversee,and coordinate the activities of personnel
 Computerize all applications and make them accessible from any location
 Clean daily errors on validation reports
 Serve as a liaison and service quality control between drivers, dispatchers,and clients
 Responsible for all billing using batches and corrections to ensure proper payments
 Make drivers’ schedule to provide the best possible professional, courteous and efficient service

2. Dr. Haidy Behman, Carteret, New Jersey January 2008 - May 2008
Billing Manager
 Problem solve practice, physician and patient service issues
 Implement, monitor and enforce policies, procedures and processes
 Perform collections, accounting and review patient insurance information to achieve highest remittance allowed
 Correct improper coding practices to guarantee proper reimbursement
 Analyze, correct and resubmit denials of all insurances including Medicare and Medicaid to recover over 80% of denials
 Post payments for all insurance companies to ascertain correct recompense per patient
 Recover over 80% of untimely filing and aged claims for primary insurances and secondary insurances
Shashi Agarwal M.D., East Orange, NJ May 2004 - June 2008
Office Manager/Billing Supervisor
 Manage daily office operations and supervise 4-8 employees on a daily basis delegating work assignments and ensuring
completion of same
 Hire, schedule and train employees to ensure adequate staffing and modify activities as necessary
 Recover thousandsofdollars, over 85%, in rejected insurance claims annually and maintained accounting functions and
prepared payroll for processing
 Supervise all medical billing for payment from Medicare, Medicaid and third party insurance companies
 Contribute to the restructuring of the management of office practices to improve productivity and profitability
 Prioritize work activities and perform regular evaluations
 Credential practice and IDTF with several third party insurance carriers, as well as Medicare to become a participating
provider using CAQH and assisted in opening two otherlocation
 Ensure HIPAA compliance procedures to protect privacy of patient records while updating information periodically for
accuracy
 Communicate effectively as a bilingual speaker and translator
New Savon Executive Limousine Inc. Jersey City, NJ April 1995 - September 2004
Office Manager
 Direct company’s daily activities with regard to payroll, marketing, and all administrative matters
 Improve business profit by increasing productivity by 30%
 Serve as a liaison and service quality control between drivers, dispatchers,and clients
 Designate problem solver able to develop concise solutions to difficult challenges
US Immigration and Naturalization Service, Queens, NY July 1992 - September 2000
Immigration Inspector
 Conduct primary and secondary inspections ofapplicants for admission into the USA
 Evaluate the purpose of aliens' presence in the USA and determined validity of documentation
 Detect fraudulent aliens and the use of illegal visas, and processed expediting departures to country of origin.
 Communicate effectively as a bilingual speaker and translator
 Implement legal procedures necessary to permit non-immigrants to apply for Permanent Residence Status
Plus other employment since 1987
Education:
POLYTECHNIC UNIVERSITY, Brooklyn,New York
BachelorofScience,ComputerScience/Computer Engineering
Minor,Mathematics
Computer Skills: Microsoft Word,Excel, PowerPoint,Lotus Notes,Oracle
Certifications and licenses:
 Navigating the Medical Record 2009
 ICD-9 Procedures 2009
 ICD-9 Coding 2009
 CPT Procedure Coding 2009
 Medical Terminology 2009
 Outpatient and Physician Office Coding and Billing 2009
Languages:
 Egyptian Arabic – Fluent