josmarie pagan
@josmariepagan
Health information and pharmacy records professional focused on accurate claims and patient support.
United StatesWhat I'm looking for
I’m a health information professional with extensive understanding of medical records, pharmacy benefits, and claims workflows. In my current pharmacy clerk role, I assist customers with health insurance plans, claims, billing inquiries, and policy details—helping patients and doctors place prescription orders, explain pharmacy benefits, and process medication home delivery requests.
I’ve also led and audited record-preparation processes, including breach auditing for 30–60 hospitals, releasing information for RSC departments, and preparing, scanning, and indexing medical records for electronic review. I bring strong problem-solving, customer service, and leadership—investigating rejected or denied claims, submitting documentation and corrected billing codes, and maintaining accurate notes to ensure compliance with applicable policies and regulations.
Experience
Work history, roles, and key accomplishments
Pharmacy Clerk
Cigna Express Scripts Pharmacy
Aug 2020 - Present (5 years 10 months)
Assisted customers with health insurance plan, claim, billing, and policy inquiries, including medication and pharmacy benefit support. Processed prescription and refill requests, coordinated with physician offices via calls/faxes, and resolved rejected or denied claims through follow-up and appeals documentation.
Preparation and Imaging Team Lead
Stat Information Solutions
Jul 2019 - Oct 2021 (2 years 3 months)
Prepared and organized medical records for scanning and electronic review by indexing, filing chronologically and alphabetically, and distributing work to meet turnaround needs. Trained facility employees on workflows for electronic health record processing and imaging review.
Quality Assurance / Audit Specialist
Stat Information Solutions
Feb 2019 - Jul 2021 (2 years 5 months)
Performed breach auditing across 30–60 hospitals and created invoices according to state fees and regulations. Updated patient information in charts, scanned and uploaded documents, and provided customer service via calls plus email/fax to support RSC Release of Information billing.
Education
Degrees, certifications, and relevant coursework
Colonial High School
High School Diploma, High School
Completed high school education at Colonial High School, graduating in May 2019.
Availability
Location
United StatesAuthorized to work in
Job categories
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