To obtain a challenging position that will enable me to utilize and advance my skills in a corporation that offers a proficient and professional working environment while contributing to the success of the corporation.
Hi, I’m
CHRISTOPHER S. GONZALES
Makati City
Summary
Overview
15
years of professional experience
2010
years of post-secondary education
1
Language
Work History
Assisted Business Solutions
Billing/Collection Specialist
09.2023 - 05.2025
Job overview
- Responsibilities: To collect payments from the previous resident who still owes a balance from their old apartment when they moved out. To receive Incoming calls from the consumer who have some questions on their moveout statement. To provide them payment option and payment plan to close their account as soon as possible. To dispute charges that seems to be incorrect. To reimburse amount collected after finding out that the amount should be zero or adjusted.
- My Role: To answer all incoming calls to collect money and if they can’t we provide other payment option and payment plan. To discuss what contract do they have with their previous property. To validate if charges are correct. If not, will be needing to help consumer that amount should be disputed. To provide detail information coming from the reviewer’s in regards to the disputed amount.
ALLSECTECH MANILA, INC
Patient Care Coordinator
07.2023 - 09.2023
Job overview
- Responsibilities: Schedule appointments, follow-ups, and referrals efficiently to ensure continuity of care. Act as the main point of contact between patients, families, and healthcare providers to facilitate smooth communication and care coordination. Collaborate with healthcare providers to create and maintain comprehensive patient care plans, addressing all patient needs.
- My Role: Handle patient inquiries and concerns, providing support and resolving issues related to their care. Keep accurate and up-to-date patient records, including care plans, appointment schedules, and communication notes. Assist patients in understanding their treatment options, insurance benefits, and financial assistance, guiding them through the healthcare system. Collaborate with healthcare providers to create and maintain comprehensive patient care plans, addressing all patient needs.
Optum Global Solution
Recovery Specialist / Resolution Representative
03.2019 - 07.2023
Job overview
- Responsibilities: Helping providers to understand how their claims was overpaid. Collecting overpayment amount on their claims by asking a Refund Check (Paper Check). Filing a dispute on behalf of the provider if we both agree and find out that the refund request was identified in Error. Amending refund check posting if that was mistakenly applied to a different patient account. Rectify Double Dip Issue by requesting a repayment to the claim's adjusters. Provide expertise claims support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. Contacts customers through a variety of methods (e-mail, form letters and phone calls) to discuss, negotiate payment and resolve outstanding overpayment amounts and balances.
- My Role: As a Recovery Specialist, I was receiving phone calls from providers who needs an explanation how their claims was overpaid, disputing about the refund request letter they received from us, and providers who wants their overpayment amount to be recover via offset through taking funds from their future claims. Every call had different stories and I always make sure all concerns will be properly address. I helped providers to understand what is wrong with their claims that creates an overpayment. If they agree with the audit reason, I’d asked them to send a refund check. But if they don’t agree, they had an option to dispute the overpayment refund request by sending a verbal or written appeal.
HCL Technologies Inc.
Senior Customer Executive / Senior Billing Specialist
09.2015 - 03.2019
Job overview
- Responsibilities: Assisting customer with their billing and payment concern. Explaining those claims which are being denied by their insurances. Acknowledging all other concern which is a non-billing issue and finding the best resolution. Also, Reviewing and Reprocessing claims which were being billed in error.
- My Role: As a Senior Billing Representative, I collected payments to our patients who bought or rented our Durable Medical Equipment such as CPAP machines, Oxygen Tanks, Negative Pressure Wound Therapy, 24-hour Holter Monitoring, Electric Wheelchairs and etc. I Discussed the contracts that their insurance had with us a DME supplier. I also took escalated calls and complex customer issues coming from our Level 1 Billing Representative helping them to provide the best resolution.
Outsource Network, Makati
Customer Care Specialist
10.2012 - 09.2015
Job overview
- Responsibilities: Ensuring a good quality of service to the customer/member by giving them an accurate information and satisfaction in their queries. Providing approval for In-patient and Out-patient Approvals. Informing them precise and accurate details of their Heath card Benefits.
- My Role: As a customer care representative, I received calls from the member who wants to know their eligibility status, covered services, and health care benefits. I also provided precise information about their insurance coverages, inclusions and exclusions. I was receiving phone calls from providers such as Nurses, Doctors, Medical Practitioners and Technicians asking for Authorization Letter from the services they will render to our members.
Mc Jories Fashion Style, Bulacan
Assistant General Manager
04.2010 - 09.2012
Job overview
- Responsibilities: Oversee the whole operation of the factory. Recommend products and product designs for new merchandize. Negotiate with suppliers about the raw materials prices and terms. Canvass new merchandize for the customers.
- My Role: As an Assistant Manager, I supervised our staffs and checked their attendance, offered tips on how to produce more products, monitored inventory, wrote sales reports and made recommendations for onboarding and training of new employees.
Education
Manila Adventist Medical Center and Colleges, Inc.
Bachelor of Science from Nursing
University Overview
S.Y. 2010
Skills
Adept understanding in management and interpersonal skills
Excellent ability to handle high stress in time sensitive environment
Extensive background in healthcare and care giving
Strong analytical and organizational skills
Proficient in computer
Efficient in working with multidisciplinary teams
Proficient oral and written communication skills both in English and Spanish
Extensive knowledge of the Health Insurance process and Medical Billing process
Advanced knowledge in MS Excel
References
References
Maria Erminda Delgado
Collection Specialist
Assisted Business Solutions
+63 935 417 6552
Gellie Ann Bucasas
Quality Analyst
R1 RCM
+63 921 674 1346
Noralyn Macabale
Account Manager
Optum Global Solutions
+63 995 718 4846
Awards
Awards
Q1 2023 - ELITE AWARDS, Q3 2022 - ELITE AWARDS, Q1 2022 - ELITE AWARDS, URS Inbound Overall Performance - September 2021, URS Inbound Overall Performance - August 2021, URS Inbound Overall Performance - July 2021, URS Inbound Overall Performance - June 2021, URS Inbound Overall Performance - May 2021, URS Inbound Overall Performance - March 2021, URS Inbound Overall Performance - February 2021, URS Inbound Overall Performance - January 2021, URS IB Overall Performance - December 2020, Inbound Overall Performance - November 2020, IB Top Performer - October 2020, Q1 2020 - ELITE AWARDS, IB Top Performer - July 2020, IB Top Performer - June 2020, IB Top Performer - May 2020, IB Top Performer - March 2020, Included in Big 5 RNR. Top 1 overall rank for the month of October 2018., Included in Big 5 RNR. Top 4 overall rank for the month of January 2018 & Top 5 overall rank for the month of February 2018., Received incentives for hitting all the metrics in Quality & Productivity from February 2017 to June 2017., Included in Top 3 Overall number of Call Transactions and AHT from July 2016 to September 2016., Member’s Commendations, Included in Top 5 Overall number of Call Transactions and AHT from May to December 2014.Timeline
Billing/Collection Specialist
Assisted Business Solutions
09.2023 - 05.2025
Patient Care Coordinator
ALLSECTECH MANILA, INC
07.2023 - 09.2023
Recovery Specialist / Resolution Representative
Optum Global Solution
03.2019 - 07.2023
Senior Customer Executive / Senior Billing Specialist
HCL Technologies Inc.
09.2015 - 03.2019
Customer Care Specialist
Outsource Network, Makati
10.2012 - 09.2015
Assistant General Manager
Mc Jories Fashion Style, Bulacan
04.2010 - 09.2012
Manila Adventist Medical Center and Colleges, Inc.
Bachelor of Science from Nursing
01.2010