Ken Michael Romarate

 Ken Michael Romarate, RN Registered Nurse | Senior Medical Biller | EHR Specialist Cagayan de Oro City Misamis Oriental 9000- To obtain a responsible and challenging position with a progressive company where my work experience will have valuable application and utilization of my opportunity for advancement. a) ICD-9 and ICD-10 Coding b) HMOs and Medicare c) CPT and HCPCS Coding d) Medical Billing e) Medical Records Management f) Patient Confidentiality / HIPAA g) Demographics and Charge Entry h) Claim Submission i) Payment Posting j) Denial Management k) A/R Follow-up l) Payor Rejections m) Electronic Remittance Advice (ERAs) n) Customer Support/Service for EHR/EMR issues October 2009 – March 2010- Food & Beverage Management Customer Support Manager / DME Billing Specialist November 2016 – April 2018 Tech Support Specialist / EMR Support June 2016 – October 2016 Senior Medical Biller, WRS Health November 2015 – December 2016 Medical Biller Port Isabel January 2014 – December 2015 Staff Nurse, Northern Mindanao Medical Center October 2013 – February 2016 CollegeGraduated, Bachelor of Science in Nursing 2008 – 2012Liceo de Cagayan University High SchoolGraduated Salutatorian, 2004 - 2008Cagayan de Oro National High School ElementaryGraduated, 1998 – 2004South City Central School Submitting Prior-Authorization/Pre-determination, Continuation of Care, creating narratives. Check Eligibility and verification of patient’s health benefits from insurance carrier’s website. Patient scheduling Full patient demographics and charge entry Insurance claims submission (primary, secondary, and/or tertiary) Accounts receivable analysis with corrective and preventive actions and decision making for Collections Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) Patient billing inquiries as per received information from provider office To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge Custom reports where required Patient billing as per instructions Consulting/Training Super bill review Resolve customer complaints via phone, email, or chat. Use telephones to reach out to customers and verify account information. Greet customers warmly and ascertain problem or reason for calling. Managing incoming calls and customer service inquiries. Identifying and assessing customers’ needs to achieve satisfaction. Build sustainable relationships and trust with customer accounts through open and interactive communication. Follow communication procedures, guidelines and policies Quick thinker and able to learn quickly any kind of job or task ( e.g. customer service, technical-support specialist, back-office support, floor-support , Product-specific trainer, Team leader) Computer and web savvy (Ms Word, Powerpoint and Excel) Critical-Thinking skills—can determine at a fast pace, any type of customer’s needs (from large scale businessman of a company to a layperson) Compassion—helps people. Able to empathize to a customer’s needs and respond accordingly Attention to detail—Stick to proper procedures and apply them as prescribed Organizational skills—can face multiple tasks, with different needs and knows how to prioritize. Calm under pressure—face urgent, business - critical situations almost daily. Being able to function in the heat of emergency.