Bilingual Medical Assistant with Remote Experience

Monica Carballo

**** ***** ***** ****.

STOCKTON CA, 95207 Cell: 408-***-****

Email: ********************@*****.***

Objective: To secure a fulfilling job and position where I can use my skills, education and experience as a Medical Assistant, where I can see day to day the positive effect I have on patients and provider I am aiding for.

(Bilingual: English/Spanish) Medical Assistant

Work Skills: The ability to work effectively with people differing in ethnicity and cultural backgrounds. Experience work in community help programs such as, referral coordinator through Valley Express and helping adolescents in family planning, family pact, medi-cal/medicare programs. Experience in. medical and pharmaceutical terminology I can type 45 wpm. Experienced in Internal Medicine, Pediatrics, Geriatrics, Orthopedics, OB- GYN, Gastroenterology, Endocrinology and Urgent Care, triaged patient walk ins through phone calls. Working remotely and being able to support a quiet, safe, and private work area.

6/2025- 11/2025 Lumicera Pharmacy

Patient Care Assistant (remote)

Provided customer care, addressed specialty pharmacy service questions, and assisted with specialty pharmacy staff translation. As a patient care assistant, I was responsible for the primary roll for enrolling new specialty pharmacy patients and ensuring that all pertinent patient information was contained within the record. Patient information included demographics, allergies, medication, history, and Pay information. As a patient care assistant my main objective was to place phone calls to existing patients, answer phone calls, and aid with insurance questions from patients and aid prescribers as well with the information of medication dispensing.

01/01/2025-7/1/2025 Remote Health Plan San Joaquin

HEDIS AUDITOR (remote)

Assisted with administrative support for the quality improvement for the HEDIS department. Audited various patient charts from different providers such as Golden Valley, Community Medical Centers, San Joaquin General Hospital, Livingston community. Experience with several EMR systems such as Epic, Cerner, Adventist. Identified if patient charts met expectations and reviewed medical records for exclusions. Engaged in many meetings for deadlines, team collaborations updates through Microsoft teams. Experienced with medical terminology. Experience with Microsoft office, Excel, Outlook, Word. Knowledge with looking up claims and eligibility inquiries.

09/01/2024 -01/01/2025 Remote- P3 Health Partners Care

Quality Management (remote)

Responsibilities of managing operational support initiatives while experience with data mining. Overseen special projects, with a focus on supporting HEDIS quality gap closures, Risk Adjustment activities, and provider engagement. Daily problem-solving, meticulous tracking, and coordination across departments to meet varying and changing requirements. Conducted telephonic outreach to patients for education and engagement on preventative screenings, medication adherence, and follow-up with primary care providers. Strong analytical, critical thinking, and problem-solving skills.

01/08/2024-7/1/2024 Remote- Health Plan San Joaquin

HEDIS AUDITOR (remote)

Assisted with administrative support for the quality improvement for the HEDIS department. Audited various patient charts from different providers such as Golden Valley, Community Medical Centers, San Joaquin General Hospital, Livingston community. Experience with several EMR systems such as Epic, Cerner, Adventist. Identified if patient charts met expectations and reviewed medical records for exclusions. Engaged in many meetings for deadlines, team collaborations updates through Microsoft teams. Experienced with medical terminology. Experience with Microsoft office, Excel, Outlook, Word. Knowledge with looking up claims and eligibility inquiries.

7/5/2023-11/01/2023 Kaiser Permanente referral coordinator

Under direct and indirect supervision, received requests for referral to non-Plan medical services and inpatient admissions, review, triage or authorize requests for eligible Health Plan members according to departmental protocols and procedures; communicate appropriate benefit information to Health Plan members and non-Plan providers; provide current information to NWP and other KP staff concerning contracted providers in the community and the relevant financial arrangement involved. Accurately enter information from referral requests, authorized or denied, into Health Connect (Tapestry) and the claims system (Diamond), accurately maintain inpatient census reports for alliance facilities.

6/10/2022-7/01/2023 Sahdev Saharan Rheumatology and Arthritis Clinic

Worked primarily in the front office. Coordinated day to day schedules of patient appointments. Insurance verification and eligibility of different insurances private, government based such as Health plan San Joaquin, Nivano, All care Alignment, Blue cross, Blu shield etc. Epic EMR knowledge. Answered multiple busy phone lines. Knowledge and coordination in obtaining authorizations for biologic medications in office for patients, worked with different specialty pharmacies. Administered many injections such as Cimzia, Prolia etc. back-office duties consisted of rooming patients, vitals, injections, procedure assistance for the provider. Assisted nurses in office for infusion days. Regular clean up duties, re-stocking.

04/01/2021-2/1/2022-Dignity Health Medical Group Stockton

Working in both front and back office medical assistant. Have been cross trained in the Gastroenterology Department, Endocrinology Department, and Referrals Department as well as trained and worked in the call center for Dignity Health Center. Currently a Medical Assistant to Dr. Kaur Endocrinologist and processing all Endocrinology referrals. Room patients take all vitals manually, injections, finger glucose checks, Hg A1C testing. Downloading of all meters in office using different computer software and applications. Trained in Cerner EMR, Athena IDX appointment scheduling EMR. Insurance verification eligibility through Athena IDX.

8/6/2016-01/01/2021 Edward, M.D. Orthopedic Surgery

Worked as a Medical Assistant in a private doctor’s office. Front office and back-office duties. Mainly front office assistant. Meeting and greeting all patients of the office. Making all outgoing calls for patients, answered all incoming office calls. Scheduling all appointments for patients, registered new patients. Worked with all insurances private and workers compensation. Data entry for all patients of the office. Surgery scheduling and checking insurances for procedures, working with surgery centers. Scanning of all medical records in office. Rooming patients for the provider. Cleaned the office reception area making sure it is always clean. Ordered all supplies for the office making sure there is always good inventory.

8/31/2015-7/18/2016 Satellite Healthcare Well bound San Jose

Medical Assistant had both clinical responsibilities and administrative responsibilities. My primary task was, taking vitals, obtaining and processing laboratory samples, ensuring that the rooms are cleaned properly between uses. Primary administrative responsibilities included working collaboratively with the clinical manager (CM) to achieve smooth functionality of the center overseeing patient admission and discharge paperwork, preparing network, payer and other reports, reviewing and submitting monthly billing. I was also responsible for maintaining medical records and employee health and education files. Obtained and scanned and filed patient medical records. I was also the employee to leave the clinic who held the responsibility to close and lock the clinic up ad activate alarm before clocking out for the day. I also was chosen to cover for other clinics for other medical assistants.

05/14/2015-7/1/2015 Santa Clara Family Health Plan/ Services Representative

Worked as a Service Representative taking incoming calls from provider office’s and insurance member’s calls. Retrieved messages from SCFHP inbox and returned calls to provider’s and insurance plan members. Provided information such as authorization number to referrals, checked if certain ICD -9 codes have been authorized, checked if referrals were received via-fax, provided doctor’s offices with information on eligibility for members and provided insurance plan information etc. Faxed and e-mailed documents pertaining to member’s insurance plans upon agreement to necessary.

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02/2015-03/2015 Dr. Silcox Arthritis and Rheumatism Center/ Medical Assistant

Worked as a Medical Assistant to one provider Dr. Donald Silcox. Roomed patients took vitals, triaged patients, updated patient’s information in EMR system. Assisted the provider in Ultrasound injections to various joints on patients. Administered Methotrexate injections to walk-in patients. Kept inventory stocked exam, took inventory on sample medications and injections. Cleaned office lobby work area and exam rooms.

3/13-10/14 Los Gatos Medical Group Dr. Shamala Dr. Hariri/ Medical Assistant

Everything from the front to the back office I performed. Worked with two providers. Answered multiple phone lines, scheduled patients for both providers, answered messages, processed payments, roomed patients, vital signs, simple lab procedures UA, UPT, Strep Testing, Drug Testing, Audio, Vision, EKG testing, administered injections, sterilized instruments and stocked supplies as needed daily. Assisted providers in scope exams, pap smears and suture assisting. Ordered supplies for office. Obtained authorizations for procedures from HMO ins. medical records coordinator. Tracking and re-scheduling of patients as per protocol. Knowledgeable about patient education handouts. Complied with HIPPAA and privacy policies. Kept inventory on sample medications and injections. Cleaned office lobby work area and exam rooms.

01/2012-01/2013 Indian Health Center/ Medical Assistant

Set up exam rooms and prepared patients to be seen by the medical provider, performed routine back office clinical tasks as follows: vital signs, chief complaints were entered in EMR system for provider. Simple lab: UA, UPT, EKG and other duties were done as needed. Sterilized instruments assisted with providers during exams and procedures. Assisted patients with filling out questionnaires. Kept inventory of emergency cart and samples. Assisted in immunization schedules and collected appropriate data from CAIR registry into EMR system. Tracking and rescheduling of patients as per protocol. Knowledgeable about patient education handouts. Complied with HIPAA and patient privacy policies.

01/2010-12/2011 Foothill Health Center/ Medical Assistant

Roomed patients prepared them for their visits, vital signs, injections, EKG, triage patient calls, prepared EMR chart for provider, authorized insurance referrals, assist physician during exams and other procedures as needed. Carry out physician orders, set up equipment and trays, ensured patients. Ordered supplies for office. Complied with HIPAA and patient privacy policies.

3/2009-12/2010 Vibrant Care Rehabilitation/Front Office Medical Assistant

Worked both front and back office. Worked dealing with patient injuries and appointment scheduling for multiple physical therapists, partial billing and insurance verifications. Obtaining insurance authorizations for procedures and follow-up visits. Worked with insurance adjusters and different companies for worker’s compensation injuries. Cleaned up workstations for therapists. Complied with HIPAA and patient privacy policies.

12/2007-02/2009 Silicon Valley OB/GYN Dr. Nguyen

Externship, roomed patients, vital signs, assisted in well women exams, pap exams assisted in endometrial biopsies, appointment scheduling, injections, prescription refills. Answered multiple phone lines took messages for MD. Checked UA in house, Pregnancy tests, hemoglobin finger sticks, autoclaved speculums and other medical instruments. Organized charts and filing. Cleaned exam rooms. Kept track of pregnancy timing for patients. Complied with HIPAA and patient privacy policies.

Education:

Nationally Registered Certified Medical assistant 2016

Everest College, San Jose Ca 2008-2009

Evergreen Community College 2007-2008

San Jose Conservation Corps 2007-2007

Evergreen Valley High School 2004-2007

PROFESSIONAL REFRENCES

Jasmine Ngueyn RN, MSN, CNL- 408-***-**** *******@*****.***

Vanessa Lagemann – 408-***-**** *********@****.***

Manager Health Plan San Joaquin

Claudia Barrios Lovo- 551-***-****

Patient care coordinator Stanford

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