Ian Andrei Gamas

IAN ANDREI GAMAS M E D I C A L V I R T U A L A S S I S T A N T WORK EXPERIENCE PROFILE Dedicated and detail-oriented Medical Virtual Assistant with 6 years of experience. Extremely motivated to constantly improve my skills and grow professionally. Willing to learn in order to contribute well to the growth of the company. CONTACT -- COMPETENCIES Problem-Solving Good in communication with clients and collaborate with colleagues Can work under pressure and deliver quality results Willingness to learn and adapt to new environment Able to plan effectively, work between tasks and meet deadlines on time REFERENCE Roxanne Marie Magante TEAM LEADER PH# - Rowel Estaras TEAM LEADER PH# - Hanna May Turingan TEAM LEADER PH# - MEDICAL VIRTUAL ASSISTANT Billing and Claims Specialist (Jan 2022 - April 2025) Enters appropriate CPT and HCPC codes on claims Processes and releases claims to insurance thru clearing house Prepares the Claims 1500 form as necessary Document Review and Reading EOB’s Payment posting, A/R follow-ups, Claim Submission MEDICAL VIRTUAL ASSISTANT Insurance Verification and Biling Specialist (April 2020 - Dec 2021) Process Physician's order for Healthcare services Pre-qualifies all documents (Medical History, face to face notes, RX, Authorization and Referrals) prior to shipment of order Verifies with the insurance (Federal & Commercial) Coverage, Eligibility and benefits thru Website or phone calls. Communicates with the Doctor's office and patient for any missing documents Submitting Authorization request to insurance if needed Medication refills Contact customer for order completion or follow-ups Updates patient's medical records and information in the database Handles inbound calls for Billing queries Submit claims to corresponding payer Explains to the customer about the claims & denials reasons of the EOB INSURANCE VERIFICATION & BILING SPECIALIST TATA Consultancy Services (Sept 2019 - May 2020) Verifies Member's eligiblity, benefits and coverage for Federal and Commercial insurance via Website or phone call Coordinates with the insurance for any remaining patient's responsibilities Determines prior authorization requirements before providing the services identifies coordination of benefits Handles escalated orders for urgent shipment request responsible in updating the database with member's policy or coverage details SENIOR CUSTOMER SUPPORT ASSOCIATE HCL TECHNOLOGIES PHILIPPINES (MAY 2018 -JULY 2019 Acts as the SME (Subject Matter Expert) of the team Process phyisician's order for Healthcare Services Pre-qualifies all documents (Medical History, face to face notes, RX, Authorization and Referrals) prior to shipment of order Verifies with the insurance (Federal & Commercial) Coverage, Eligibility and benefits thru Website or phone calls. Communicates with the Doctor's office and patient for any missing documents Handles inbound calls for Billing queries Submit claims to corresponding payer Explains to the customer about the claims&denials reasons of the EOB DENTAL BILLING & INSURANCE ASSOCIATE CAMBE DENTAL BILLING ( MAY 2017 - JAN 2018) Verifies benefits and eligiblity Request authorization of medical coverage for customers via phone call or websites Handles DOS base system database and different software for insurance verification Check EOB and claims