KYNROM PASCUAL PALAY
Navotas City,MNL
Summary
Hard-working Customer service representative with 8 years of dedicated service in customer support. Independent worker able to work in remote areas. Proven ability to communicate with customers and resolve issues quickly and effectively. Consistently meet company’s quality standards and adhere to product and service updates. Professional in healthcare administration with strong background in managing authorization processes. Adept at ensuring compliance, streamlining workflows, and mitigating risks. Consistent track record of fostering team collaboration and achieving results in dynamic environments. Skilled in navigating complex systems, prioritizing tasks, and maintaining high standards of accuracy and efficiency.
Overview
9
9
years of professional experience
20
20
years of post-secondary education
Work History
Insurance Verification Specialist
Better Health Supplies
02.2025 - Current
- Conducted thorough insurance verifications to ensure accurate patient coverage and eligibility
- Implemented process improvements that enhanced accuracy of insurance data management systems.
- Trained junior staff on best practices for verification procedures and compliance standards.
- Assisted in processing authorization requests for medical services and procedures.
- Supported review of patient information to ensure compliance with insurance guidelines.
- Coordinated communication between healthcare providers and insurance companies for efficient authorizations.
- Maintained accurate documentation of authorization status within internal systems.
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Managed high volumes of documents efficiently, prioritizing tasks according to deadlines and project requirements.
Insurance Verification Specialist
Cardinal Health Inc Philippines
10.2020 - Current
- Assured timely verification of insurance eligibility and benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Expedited patient registration process by efficiently validating eligibility for various insurance plans.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
Customer Service Representative
Startek Philippines
10.2016 - 10.2020
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services.
Education
Bachelor of Science - Marine Transportation
06.2010 - 03.2013
Bachelor of Science - Nursing
06.2009 - 01.2016
High School -
06.2005 - 03.2010
Elementary -
06.1999 - 03.2005
Skills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Communication and interpersonal skills
- Insurance benefits verification
- Critical thinking
- Eligibility determination
- Coverage and authorizations
- Prior authorization processing
- Documentation and correspondence
- Follow-up procedures
References
Philip, Jumawan, CSR, 09950235370
Timeline
Insurance Verification Specialist - Better Health Supplies
02.2025 - Current
Insurance Verification Specialist - Cardinal Health Inc Philippines
10.2020 - Current
Customer Service Representative - Startek Philippines
10.2016 - 10.2020
Our Lady of Fatima University - Bachelor of Science, Marine Transportation
06.2010 - 03.2013
Our Lady of Fatima University - Bachelor of Science, Nursing
06.2009 - 01.2016
Westminister High School - High School,
06.2005 - 03.2010
Daanghari Elementary School - Elementary,
06.1999 - 03.2005