Josephine T. Magno

*** * ****** ***** ***, San Tan Valley AZ 85143

410-***-****

adwjy3@r.postjobfree.com

Skills & Abilities Medical billing, Patient admittance, Medical records keeping, ICD-9, ICD-10 and data entry, type 35-55 wpm, PC, E-mail, Fax, Ten-key, Phone support, Copier, Microsoft Word, Excel, Power Point, Outlook, and Alpha numeric, Ten Key. Experience 03/02/2020 – Present Count Team, Casino Arizona

Soft count, count poker chip, black jack for swing and day report. Pick up boxes from slot machine (drop). Verify the money daily amount coming in and report to audit. 2017 – 2020 Owner Manager, The Pit Beef

Owner Manager day to day operation. Handling inventory employee benefits, and salary.

2011 – 2018 Billing Order Entry, Ameritox

Billing Order Entry processed claim to the right payer ID and research. Claim is processed for the right diagnostic code. Make sure benefits coverage were obtained correctly and call the insurance payers. Cross train on Accounts Receivable and Medical Billing.

2008 – 2009 Call Service Representative 1, McKesson

Accept inbound calls and register patients Communicate directly with nurses and doctors to update patient files. Determine patient eligibility for assistance for medications

2005 – 2008 Quality Control Analyst 1, CVS/Caremark

Audit individual claims in proportion to health plans and procedure

Evaluate refinement online Member Submitted claims

Provide training and overview of various process claims to Internal/External customers

Continuing education of Six Sigma classes

Construe doctor’s prescription Calculate, Quantity and Days supply, Converting drug strength, and knowledge of generic vs brand and drug facts/comparison

Converting foreign prescription claims into U.S.A equivalent using Martindale Micromedex Pharmacopoeia and OANDA for US dollar equivalent

Research Online Operational System, Manage Access, Insurance plan access and Eligibility file Internal and External Customer Service 1997 – 2005 Claims Resolution Representative, CVS/Caremark

Analyze and process different types of prescription claims ie; COB, Adjustment, Foreign, Medicaid, VA, DOD, Indian Health, and Federal Employee, and Med-D claims

Research various files ie; Eligibility, NDC, NABP, DEA, Online Operational Research System, Desk

Instruction, and Eclips – Familiar with AS400, QL, Citrix, and 3270 software

Internal and External Customer Service

Paper Support Claims