Nhorwin Gambalan
obando bulacan,Philipines
Summary
Dedicated Patient Service Clinical Authorisation specialist with expertise in managing patient interactions and insurance verifications. Achieves service time and quality targets through effective communication and follow-up with payors. Ensures patient satisfaction by addressing concerns and providing timely solutions. Results-driven Patient Service Clinical Authorisation professional with strengths in team mentoring and performance optimisation. Trains and develops team members to enhance service delivery and achieve quality targets. Identifies and resolves issues through analytical problem-solving, contributing to improved operational processes.
Overview
3
3
years of professional experience
Work History
PATIENT SERVICE CLINICAL AUTHORZATION
CONIFER HEALTH
06.2024 - Current
- We handled outbound calls, initiated authorizations directly with payors, and followed up daily on the status through portals or by calling the insurance companies. We also contacted patients to verify if they had updated insurance information.
- Achieved service time and quality targets.
- Identified issues, analysed information and provided solutions to problems.
- Handled customer concerns and escalated major issues to supervisor.
- Trained and mentored employees to maximise team performance.
- Developed excellent working knowledge of industry trends and improvements in processes.
INSURANCE VERIFICATION AUTHORIZATION
CORONIS HEALTH
09.2023 - 04.2024
- We handle non-voice tasks and use tools to verify patients’ insurance information.
- Then, after a couple of months, the company transferred me to a non-voice authorization account where I checked the status of existing requests through different portals.
- Collaborated with team members to achieve target results.
- Achieved service time and quality targets.
Education
A-Levels - COMPUTER SCIENCE
BULUCAN POLYTECHNIC COLLAGE
Bulacan, BUL2014
Skills
- Patient interaction
- Authorization processes
- Claims processing
- Insurance verification
- Calm under pressure
- Health and safety awareness
- Team collaboration
- Process improvement
- Quality assurance
- Team building
Languages
English
Elementary
A2
GYM
- GO GYM
Timeline
PATIENT SERVICE CLINICAL AUTHORZATION
CONIFER HEALTH
06.2024 - Current
INSURANCE VERIFICATION AUTHORIZATION
CORONIS HEALTH
09.2023 - 04.2024
A-Levels - COMPUTER SCIENCE
BULUCAN POLYTECHNIC COLLAGE