Debra Machemehl
Insurance Billing Adminstrator at Texas State Optical (TSO)- Claim this Profile
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Bio
Jonathan Machemehl
Great personality and never met a stranger. Always working hard for the foundation.
Jonathan Machemehl
Great personality and never met a stranger. Always working hard for the foundation.
Jonathan Machemehl
Great personality and never met a stranger. Always working hard for the foundation.
Jonathan Machemehl
Great personality and never met a stranger. Always working hard for the foundation.
Credentials
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HR Generalist
SHRM
Experience
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Texas State Optical (TSO)
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United States
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Medical Practices
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1 - 100 Employee
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Insurance Billing Adminstrator
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Mar 2018 - Present
Manage all billing accounts for medical and vision including and individual accounts. Process & post insurance payments & resolve any patient issues with explanations of benefits (EOB). Bill insurances for services by verifying that the CPT and diagnosis codes are correct base on medical necessity. Post payments/denial reasons receive on patient's account per the EOB receive from insurance and enter adjustments as necessary. Maintain accurate billing analysis reports. Insurance medical credentialing for doctors as necessary. Show less
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Practice Manager
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Apr 2012 - May 2016
Work within the medical practice to develop business strategies, manage budgets and oversee day-to-day operations (scheduling, billing, human resource, collections, etc.). Ensure the business needs of the practice are met. Work closely with the physicians to facilitate the development and implementation of new policies and strategies.Duties:• Established practice standards, operating goals, productivity improvement and cost reduction programs that consistently improved quality and patient satisfaction• Responsible for renewing and maintaining records for physician’s federal and state licenses (e.g. DEA, TX controlled substance, state medical license, malpractice insurance, long term/disability insurance) • Manage/supervise employee benefits, training, evaluations, payroll, scheduling and established polices and procedures for staff• Coordinated staff meetings and disciplinary actions (i.e. performance enhancement plans, probations and termination of staff)• Oversight of insurance, cash collections, ICD-10/CPT coding, monitoring of accounts receivable operating expenses, vendor invoices• Monthly meetings and trainings with physicians and staff to ensure clinical and administrative polices are followed for compliance• Ensured state and corporate regulatory policies and procedures are followed in daily office practices (e.g., HIPPA, OSHA and CILIA)• Manage and supervise outside vendors (e.g., frame, pharmaceutical and lab representatives)• Serve as a liaison between doctors, employee, insurance companies and patient in clinical setting and business setting• Prioritize and manage multiple projects simultaneously, and follow through on issues in a timely manner Show less
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Administrative Assistant
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Oct 2006 - Apr 2012
Duties:• Coordinate operational activities with doctors and office manager • Serve as a liaison between doctors and insurance companies• Prioritize and manage multiple projects simultaneously, and follow through on issues in a timely manner• Read and analyze incoming memos, submissions, and for significance and plan their distribution• Communicate and handle incoming and outgoing insurance communications on behalf of the doctors• Review statistical insurance reports and documents. Submit medical and vision claims.• Apply payments to patient accounts. Resolve incorrect payments and explanation of benefits rejections. Show less
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Director, La Porte Education Foundation
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May 2007 - Nov 2014
Seek to enrich and maximize the quality of education in our school district and for our students.
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Vice President of Publicity
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Apr 2011 - May 2014
Responsible for publicizing the activities and accomplishments of the organization and its members to promote the benefits of the organization. Assist in fundraising ideas and planning.Created and implementing a rebranding campaignDuties include:• Produce and review all flyers, posters, newsletters, PSA’s, press releases, and articles prior to printing/release• Produce and/or supervise photographs for events and media stories• Work with foundation president and executive director to adhere to foundation policies and procedures• Work with the event chairs to fulfill publicity campaigns prior to events, on-site the event, and post-event• Work with media outlets to secure exposure and showcase events and articles• Maintain/supervise website with current news and photographs and social media platforms Show less
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Houston Chronicle
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United States
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Newspaper Publishing
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700 & Above Employee
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Intern reporter for Neighborhood sections
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Jan 2012 - May 2012
Write unbiased, factual, informative and interesting accounts of important events, happenings and other newsworthy issues for the various neighborhood sections. Write unbiased, factual, informative and interesting accounts of important events, happenings and other newsworthy issues for the various neighborhood sections.
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Education
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2009 - 2012
University of Houston-Clear Lake
Bachelor, Communications -
San Jacinto College
Associate of Arts (A.A.), General Studies
Community
