Raul Ryan Pastedio
Pasay, Metro Manila
Summary
Results-driven customer service professional with experience supporting patients, healthcare providers, and insurance members in fast-paced healthcare environments. Skilled in handling inquiries, verifying insurance information, and resolving concerns with empathy and professionalism. Strong communication, problem-solving, and multitasking abilities with a commitment to delivering high-quality patient support and maintaining confidentiality in accordance with healthcare standards.
Overview
7
7
years of professional experience
Work History
Senior Customer Service Advocate
R1 RCM PHILIPPINES
Taguig
09.2023 - Current
- Verifying patients’ insurance eligibility and benefits
- Checking coverage for treatments, procedures, or hospital services
- Coordinating with insurance companies regarding claims and authorizations
- Explaining insurance benefits, co-pays, deductibles, and balance billing to patients
- Updating patient insurance information in the system
Customer Service Representative
TELUS International Philippines
Taguig
09.2020 - 03.2023
- Process patient accounts and insurance claims for reimbursement.
- Review and edit claims to ensure they meet billing and compliance guidelines before submission.
- Submit claims electronically or manually to insurance payers.
- Follow up on unpaid, denied, or rejected claims.
- Contact insurance companies through calls or payer portals to resolve claim issues.
Customer Service Representative
Alorica
Makati
04.2019 - 04.2020
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Responded to customer requests for products, services, and company information.
Education
Bachelor of Science - Industrial Education
Technological University of The Philippines
Manila, Metro Manila, Philippines 05.2001 -
Skills
Patient communication
Conflict resolution
Active listening
Empathy and compassion
Call handling
Professional phone etiquette
Multitasking
Timeline
Senior Customer Service Advocate
R1 RCM PHILIPPINES
09.2023 - Current
Customer Service Representative
TELUS International Philippines
09.2020 - 03.2023
Customer Service Representative
Alorica
04.2019 - 04.2020
Bachelor of Science - Industrial Education
Technological University of The Philippines
05.2001 -