Gerwin Ramirez
Quezon, Nueva Ecija,Philippines
Summary
Tech-savvy and detail-oriented Virtual Assistant with over three years of experience in medical billing, coding, and revenue cycle management. Versed in CPT, ICD-10, and HCPCS coding, along with proficiency in denial resolution, prior authorization, and insurance claim submission. Proficient in EMR/EHR systems such as Kareo, AdvancedMD, Claim MD, Medisoft, and ReDoc while ensuring strict adherence to HIPAA compliance and patient confidentiality. Skilled in utilizing Google Workspace, Trello, Notion, Microsoft Excel, Hubstaff, and Microsoft Teams to enhance workflows and support efficient remote operations.
Overview
6
6
years of professional experience
1
1
Certificate
Work History
Audit and Billing Team Supervisor
Thera-Care Rehabilitaion Services
06.2022 - 08.2025
- Claims Processing & EDI Management: Facilitate daily submission of over 150 insurance claims using: Claim MD for electronic data interchange (EDI) and real-time claim tracking, Medisoft for patient billing, ledger management, and CPT/ICD coding accuracy,
ReDoc for clinical documentation and therapist productivity reporting. - Denial Analysis & Resolution: Lead root-cause analysis of insurance denials, leveraging payer-specific logic and historical data to reduce rejections and accelerate reimbursements.
- Data Governance: Maintain high data fidelity across billing platforms, ensuring HIPAA compliance and audit readiness through structured documentation and access controls.
- Manage scheduling of 45 therapists and over 400 patients across OT, PT, and ST disciplines, balancing clinical availability, patient acuity, and insurance authorization windows. Utilize Excel-based dynamic scheduling matrices coordinating Front Desk Staff thru SharePoint-integrated dashboards to forecast therapist utilization and reduce appointment gaps.
- Develop and maintain KPI dashboards tracking claim turnaround times, denial rates, therapist productivity, and revenue recovery trends. Use Excel Power Query and pivot tables to generate actionable insights for executive leadership and clinic managers.
- Facilitate real-time communication and task coordination via Microsoft Teams.
Video Editor, Content Creator
HitList Production
03.2019 - 05.2022
- Crafted compelling video content specifically designed for a YouTube, Facebook, TikTok and Instagram audience, significantly boosting online engagement and channel visibility.
- Demonstrated proficiency in a suite of video editing tools, including Capcut, Microsoft Clipchamp, and Canva, to deliver high-quality visual content.
- Continuously adapted video content based on audience feedback and emerging trends to maintain relevance and high viewer retention rates.
- Collaborated effectively with team members to ideate and produce innovative content ideas, enhancing the creative output of the team.
- Oversaw end-to-end video production-from concept development to final edit-demonstrating expertise in narrative structure, visual communication, subtitling, and voice-over integration.
- Managed and grew brand presence across platforms like YouTube, Facebook, and Instagram. Planned content calendars, optimized posts for engagement, and used analytics to refine strategy.
Education
Bachelor of Science - Nursing
Good Samaritan Colleges
Cabanatuan City, Philippines03-1996
Skills
- Claim Preparation & Submission
- Denial Management, Appeal and Follow-Up
- Patient Record Maintenance
- Insurance Verification & Prior Authorization
- Patient Communication
- HIPAA Compliance Oversight
- Ad Hoc Tasks
Certification
- Passed the Philippines Career Civil Service Sub-Professional Examination -83.66%
July 15,1999
San Fernando, Pampanga, Philippines
- Passed the Philippines Career Civil Service Professional Eligibility Examination - 82.19%
Oct. 16, 2005
Wesleyan University,Cabanatuan City, Philippines
Languages
English
Full Professional
Filipino
Native or Bilingual
Timeline
Audit and Billing Team Supervisor
Thera-Care Rehabilitaion Services
06.2022 - 08.2025
Video Editor, Content Creator
HitList Production
03.2019 - 05.2022
Bachelor of Science - Nursing
Good Samaritan Colleges