MARIA SHADMEHR
Hm: 281-***-****
Cell: 832-***-****
Qualifications:
Collections, Billing, Coding – 15 years
. Radiology .Internal Medicine .Neuro-Psychology
. Neurology .Reconstructive Neurosurgery
Medical Softwares: Mends, Medisoft, Medical Manager, Medic Tech, Mysis, Medinformix , Medic (Clip & Claims) Medserv
Languages Spoken: Bilingual- English and Spanish
Experiences:
Francisco Perez Ph.D 08/01/08 to Present
Billing and Collections, office manager front office posting office charges, bank deposit, scheduling depositions, Insurance verifications, pre-cert, filing, credentials, faxing, collect co-pay check in & check out patient’s, Workers Comp, Commercial Insurance, Medicare, sending out statements to patient , ordering supplies, scheduling appointment for patient’s, following up on EOB’s posting payments, issuing statements to patient’s, billed paper claims.
Neurology Clinic, Houston, TX 12/20/06 - 05/21/08
Billing and collections department, office manager overseeing the optimal patient care in Neurology clinic, posting office charges hospital charges, bank deposit, doctor credentials, employees payroll, attendance, vacation, establishing a whole new computer network to improve monitoring the in–office patient-related data input. Analyzed EOB’s, Trained staff in proper front desk check in & out, insurance verification, scheduling appointments, patients’ charts, follow up A/R reports, electronic billing, sending statements to the patients and refilling claims, Self-Pays, Medicare, Medicaid, Commercial Insurance.
Lu-Mar Diagnostics, Houston TX 04/01/06 – 12/01/06
Responsible for billing/collections, posting billing charges, Worker’s Comp, Commercial Insurance, Medicare, Medicaid, following up on A/R reports, working EOB’s, coding for diagnostic imaging, appeals, attorneys’ collections, billed paper claims, sending statements t o the patients and scheduling appointments, Self-Pay
Texas Nerve & Paralysis Institute, Houston TX 04/05/05-03/10/06
Responsible for billing/collections, posting surgical charges, posting insurance payments, filing appeals, sending statements to the patients, following up on A/R reports, insurance verification, filing and scheduling appointments. Patients’ charts, Follow up EOB’s, re-filing claims, all commercial insurances and Medicaid, Self-Pays.
Gulf Coast MRI & Diagnostics, Clear Lake TX 11/01/04- 01/19/05
Responsible for billing and collections, following up on EOB’s, following up with A/R reports, Worker’s Comp, Medicare, Medicaid, worked on all Commercial Insurances, issuing statement s to patients, billed paper claims and filed appeals.
Universal MRI & Diagnostics, Houston TX 12/22/03- 10/20/04
Responsible for collecting attorneys’ collections, worked and resolved on outstanding A/R reports, Billed Attorney’s status letter, Attorney- Client financial negotiations.
Associates In Medicine, Houston TX 09/09/001 - 11/14/03
Collections Department: Office Manager, worked & resolved an outstanding A/R report (from $800,000.00 to $500,000.00 in 6 months) by creating a brand new procedural system of financial duties for the office staff, organized business office polices, researched & presented HIPPA materials to other managers, EOB’s all Commercial Insurances, Medicare , Medicaid, electronic billing, patients statements, appeals and filing paper claims, Self-Pays.
Universal MRI & Diagnostics, Houston TX 01/2000- to 08-2001
Responsible for billing and collections, following up on claims status, EOB’s, Worker’s Comp, Medicare, Medicaid, Commercial Insurance, coded for Diagnostics Imaging, Appeals, filing paper claims, Self-Pays. United Neurology is the same owner of Universal MRI & Diadnostics
United Neurology, Houston TX 11/1997- 12-1999
Medical Assistant/Receptionist, setting up patients’ charts, scheduling exams for EEG, MRI, EMG, scheduling appointments, insurance verification, filing, pre-cert, medical records, posting office charges, posting office payments, billing and collections worked on A/R report, issued statements, EOB’S and conducting attorney- Client financial negotiations. All Commercial Ins, Medicare, Medicaid, Worker’s Comp. (Transferred to “Universal MRI” owned by the same owner of “United Neurology”)
Columbia hospital, Houston TX 07/95 – 11/97
Patient accounts representative, billed electronic and paper claims, resolved patient accounts, Billed Workers’ Comp and Medicare.