SASHICA CARABALLO
**** ********* ******, *****, ** 10467
*********@*****.***
SUMMARY OF QUALIFICATIONS
Dedicated, Detail-Oriented Professional with 12 years of experience providing Administrative, Clinical, and Management Support Services in Healthcare and Retail Sectors
Effective Communicator and Team-builder committed to engaging and motivating patients, patrons, and colleagues around treatment, department, and organizational goals for increased internal and external customer satisfaction and continued service utilization by the communities served
Working knowledge of Medical Terminology, Infection Control/Universal Precautions, and HIPAA Law
Computer Competencies: Microsoft Office Suite, eChamps, UAS, ePaces, CMS, Outlook, Plexis, EMR, Lawson, and Epicor
Type 55 WPM
Bilingual: Fluent in written and spoken English and Spanish
RELEVANT EXPERIENCE
05/2007-2016: CLAIMS REPRESENTATIVE, Business Development Coordinator, CenterLight Healthcare, Bronx, NY
Reviewed and processed claim forms; Entered Select, FFS, and Contracts into database
Processed invoices, check requests, and reimbursements; Filed paid/unpaid invoices; Completed Duty Sheet Reports
Worked closely with Purchasing and Claims Departments to troubleshoot issues related to vendor invoices
Secured DME/Durable Medical Equipment authorizations and entered information into database
Performed general clerical duties: filing, copying, faxing, processing phone calls and correspondence
10/2004-05/2007: REGISTERED MEDICAL ASSISTANT, Urban Health Plan, Bronx, NY
Greeted patients and visitors; Ascertained nature of visit and directed to appropriate personnel
Obtained Rx and HMO authorizations; Took vital statistics from patients and recorded findings
Assisted physicians with examinations and minor surgical procedures; Autoclaved surgical instruments
Performed EKGs, ACGIs, Blood Glucose Finger Stick Testing, PPD Implantation and Readings
Operated E-Med and E-Mevs machines
Ordered supplies and equipment for multiple departments; Made ordering and repair recommendations
ADDITIONAL EXPERIENCE
05/2000-10/2004: ASSISTANT STORE MANAGER, Strawberry Department Store, Inc., New York, NY
Opened/Closed Store; Supervised, Scheduled, and Trained staff; Processed Payroll; Operated switchboard
Utilized and Monitored cash registers: cash, check, debit and credit card transactions; Printed and Reconciled receipts
EDUCATION
Coursework: 30 Credit Hours, John Jay School of Criminal Justice, New York, NY
Internship: Medical Assistant, Endocrinologist’s Office, New York, NY
Certificate: Medical Assistant Program Completion, Mandl School of Allied Health, New York, NY
Certificate: CPR/Basic Life Support, American Heart Association
In-service: HIPAA, Infection Control, Customer Service, OSHA, Fire Safety
Introductory HCAHPS/Hospital Consumer Assessment of Healthcare Providers and Systems
Introductory Care Coordination and DSRIP/Delivery System Reform Incentive Payment Program
Diploma: Academic, South Bronx High School, Bronx, NY