Summary
Overview
Work History
Education
Skills
Timeline
BusinessAnalyst
Kynrom Palay

Kynrom Palay

Navotas,Manila

Summary

Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.

Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.

Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with 1 year of managing documentation. Considered team player with exemplary multitasking skills.

Amiable Prior Authorization Representative with [Number] years of connecting patients and healthcare providers to vital resources. Dedicated to executing on prescribed medical funding guidelines and policies. Maintains compassionate and sympathetic relations with consumers. Adept at balancing business interests with human-centric service models.

Overview

9
9
years of professional experience

Work History

Insurance Verification Specialist

Better Health Supplies Inc.
02.2025 - 10.2025
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Generated reports to track insurance verifications and claim progress.
  • Achieved insurance pre-authorizations to enable timely patient procedures.
  • Complied with HIPAA guidelines and regulations for confidential patient data.

Operations Customer Service Specialist

Cardinal Health Philippines Inc
10.2020 - 02.2025

• 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

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, service

  • Cross-trained and backed up other customer service managers.

Education

Bachelor of Science - Nursing

Our Lady of Fatima University
Valenzuela

Bachelor of Science - Marine Transportation

Our Lady of Fatima University
VALENZUELA
04-2013

Skills

  • Electronic authorization processing
  • Prior authorization processing
  • Collaborative relationships
  • Statement preparation
  • Insurance plan verification
  • Insurance benefits verification
  • Insurance terminology
  • Patient contact
  • Eligibility determination
  • HIPAA compliance
  • Medicaid
  • Process evaluation
  • Coverage and authorizations
  • Insurance billing
  • Attention to detail
  • Customer service
  • Secure data practices

Timeline

Insurance Verification Specialist

Better Health Supplies Inc.
02.2025 - 10.2025

Operations Customer Service Specialist

Cardinal Health Philippines Inc
10.2020 - 02.2025

Customer Service Representative

Startek Philippines
10.2016 - 10.2020

Bachelor of Science - Nursing

Our Lady of Fatima University

Bachelor of Science - Marine Transportation

Our Lady of Fatima University
Kynrom Palay