Summary
Overview
Work History
Education
Skills
Timeline
Generic

Rommel Riego

Carol Stream,IL

Summary

Safety-conscious Plant Operator possessing in-depth knowledge of quality assurance protocols, waste management, and equipment maintenance. Offering several years of experience performing wide variety of tasks to verify efficient operations. Strong troubleshooter recognized for quickly detecting problems and immediately taking corrective action. Hardworking professional adept at tending, controlling and operating power-driven, stationary, and portable pumps and manifold systems.

Overview

31
31
years of professional experience

Work History

Medical Biller and Coder

Precious Life Home Health LLC
Bloomingdale, IL
05.2015 - Current
  • Reviewed patient records and assigned accurate codes for diagnoses and procedures.
  • Compiled and maintained logs, and statistical or research records to locate requested health data.
  • Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Entered coded data into electronic health record (EHR) systems.
  • Tracked details such as authorizations, pre-certifications or referrals required prior to service delivery.
  • Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Performed daily audits on all bills submitted for accuracy and completeness.
  • Filed and submitted insurance claims.
  • Updated coding skills and knowledge through continuous education and training.
  • Coordinated with billing department to clarify billing issues related to coding.
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Educated healthcare staff on coding standards and changes in coding guidelines.

Medical Biller and Coder

Associates Home Health Inc
Des Plaines, IL
01.2005 - 09.2014
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Entered coded data into electronic health record (EHR) systems.
  • Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
  • Filed and submitted insurance claims.
  • Updated coding skills and knowledge through continuous education and training.
  • Coordinated with billing department to clarify billing issues related to coding.
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Ensured timely filing of all claims within established guidelines.

Sr System Operator

Sky Cable USA
Mandaluyong City, Philippines
06.2003 - 04.2004
  • Implemented and monitored compliance with IT policies, standards, and regulatory requirements.
  • Reduced workflow downtime by coordinating on-site satellite building repairs.
  • Optimized system resource utilization to ensure efficient operation under varying loads.
  • Monitored data inputs to manage and maintain accuracy.
  • Developed scripts to automate routine tasks associated with system operations such as backups, data transfers.
  • Directed account management and customer training on company technical software and tools for new accounts and new users.
  • Documented installation or configuration procedures to allow maintenance and repetition.
  • Managed user profiles, security access, and shared file structures.
  • Completed frequent checks on user logins, file permissions and other data issues.
  • Installed new hardware and software components as required for system upgrades.
  • Monitored and maintained system operations, ensuring optimal performance of computer systems.
  • Responded to and resolved system outages and performance issues promptly.
  • Devised automation, backup and recovery protocols to preserve and safeguard data.
  • Updated hardware, software, and security protections with latest standards.
  • Operated and maintained data processing and peripheral equipment and called in outside technical support for specialized service.

Senior System Operator

Bayantel Inc
Quezon City, Philippines
06.1997 - 03.2004
  • Updated hardware, software, and security protections with latest standards.
  • Monitored systems for intrusions or denial of service attacks, reporting security breaches to appropriate personnel.
  • Monitored and maintained system performance, ensuring optimal operation and reliability.
  • Installed new hardware and software components as required for system upgrades.
  • Operated and maintained data processing and peripheral equipment and called in outside technical support for specialized service.
  • Troubleshot daily IT desktop client issues, supporting multiple departments, and various offices.

Machine Operator

Bayantel Inc
Quezon City, Philippines
06.1996 - 06.1997
  • set-ups, makes minor adjustments and operates Pitney Bowes Relay 9000 Folder Inserter conveyor equipment.
  • Operates equipment and adjusts as necessary to ensure equipment is operating correctly and meeting quality specifications.
  • Inspects and tests packages, and documents results to ensure equipment is operating correctly and meeting quality specifications.
  • Maintains works area in a clean and organized manner.
  • Operate and Maintain Seimens High Volume Laser Printer to Generate Monthly Telecommunication Telephone Bills

Machine Operator

Analog Devices Inc
Paranaque, Philippines
01.1995 - 05.1996
  • Observe machine operations to detect any problems or defects in the finished product.
  • Monitored and observed production line to watch for pile-ups and jams.
  • Adjust machine settings to complete tasks accurately.
  • Keep detailed reports of maintenance activities performed on machinery.
  • Load raw materials into machines according to specified measurements.
  • Adjusted machine settings according to production requirements.
  • Conducted regular safety audits to identify potential hazards or risks within working environment.
  • Promoted efficient operation of production processes through careful control system monitoring
  • Troubleshoot malfunctions in equipment or processes.
  • Monitor the feed and speed of machines during the machining process.
  • Record production information such as quantities produced and materials used on daily logs.
  • Assisted with troubleshooting issues that arose with facility production processes.
  • Maintain records of completed work and production data including volume produced and time required for each task.
  • Set up and operate machine tools to produce precision parts and instruments.
  • Comply with company policies regarding quality control procedures.
  • Operated equipment and machinery according to safety guidelines.

Billing Specialist

Metro Pacific Group
Taguig, Philippines
08.1993 - 12.1994
  • Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
  • Executed account updates and noted account information in company data systems.
  • Processed invoice payments and recorded information in account database.
  • Computed credit terms, discounts and shipment charges for goods or services to complete billing documents.
  • Reviewed purchase orders, sales tickets and charge slips to compute fees or charges due.
  • Monitored accounts receivable activity to ensure timely payment of invoices.
  • Reviewed engine assigned codes and modifiers to update and verify accuracy.
  • Input statement information, reconciled accounts and resolved discrepancies.

Education

Bachelor of Science - Computer Science

AMA Computer College
Makati City
04-1993

Skills

  • Patient account management
  • Commercial insurance billing
  • Qualified pain management coder
  • Disability claims process
  • Denial management
  • Claim submission
  • Revenue cycle management
  • ICD-10 proficiency
  • Backup and recovery
  • Storage management
  • Operating system expertise
  • IT infrastructure
  • Flow monitoring software
  • Repair work
  • System monitoring
  • System configuration
  • Performance tuning
  • Software installation
  • Scripting languages
  • Data center operations
  • Hardware troubleshooting
  • Safety procedures
  • Network troubleshooting
  • Server management
  • Preventive maintenance and equipment repair
  • Equipment monitoring
  • Settings control and calibration
  • Standard operating procedures
  • Activity logging and reporting
  • Manufacturing best practices
  • Operational safety
  • Quality assurance
  • Production documentation
  • Equipment and machine maintenance
  • Troubleshooting, testing, and diagnostics
  • Equipment calibration
  • Equipment maintenance and repair
  • Machine programming

Timeline

Medical Biller and Coder

Precious Life Home Health LLC
05.2015 - Current

Medical Biller and Coder

Associates Home Health Inc
01.2005 - 09.2014

Sr System Operator

Sky Cable USA
06.2003 - 04.2004

Senior System Operator

Bayantel Inc
06.1997 - 03.2004

Machine Operator

Bayantel Inc
06.1996 - 06.1997

Machine Operator

Analog Devices Inc
01.1995 - 05.1996

Billing Specialist

Metro Pacific Group
08.1993 - 12.1994

Bachelor of Science - Computer Science

AMA Computer College

Similar Profiles

CREATE PROFILE
Rommel Riego