Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Christina Gomez

East Hartford,CT

Summary

Experienced with managing detailed claims support tasks and ensuring accuracy in documentation. Utilizes strong communication skills to liaise between departments and resolve issues promptly. Track record of enhancing claims processing efficiency and supporting team goals effectively.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Claims Support Specialist

ESIS
09.2022 - Current
  • Conducted thorough research on claimant backgrounds, validating information accuracy before proceeding with case evaluations.
  • Served as a reliable source of information for both internal and external stakeholders on claim-related inquiries, demonstrating expertise in company procedures and industry regulations.
  • Collaborated with cross-functional teams to optimize the overall claims management process, resulting in improved workflows.
  • Enhanced customer satisfaction with timely communication on claim status updates and followups.
  • Assisted in optimizing existing processes through continuous improvement efforts, resulting in increased operational efficiencies.
  • Performed regular quality checks on processed claims data to ensure integrity of information entered into the system is maintained.
  • Handled escalated issues from clients regarding their claims process, working collaboratively with relevant parties to resolve concerns quickly.
  • Organized and maintained electronic claim files, enabling easy access to records for future reference or audits.
  • Maintained compliance with industry regulations and company policies while processing claims information.
  • Contributed to training initiatives for new hires, sharing knowledge on best practices in claims support functions.
  • Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
  • Checked documentation for accuracy and validity on updated systems.
  • Verified client information by analyzing existing evidence on file.
  • Generated, posted and attached information to claim files.

Front Desk Coordinator

Medworks LLC Occupational Medicine
02.2018 - 07.2022


  • Ensured accurate billing by carefully reviewing invoices before issuing them to clients or submitting payment requests internally.
  • Balanced daily cash drawer reconciliations, ensuring accurate financial recordkeeping.
  • Greeted visitors and customers upon arrival, offered assistance, and answered questions to build rapport and retention.
  • Maintained strict confidentiality when handling sensitive client information in accordance with company policies.
  • Successfully managed challenging situations involving guest complaints or issues by employing excellent problem-solving skills.
  • Updated client records accurately and efficiently, ensuring data integrity within the system.
  • Facilitated effective communication between clients, guests, and internal staff by serving as a central point of contact.
  • Scheduled appointments in computer system.
  • Maintained a clean, organized reception area, creating a welcoming atmosphere for clients and visitors.
  • Collaborated with team members to address guest needs and ensure seamless operations.
  • Trained all staff on front desk procedures and policies.
  • Served as point of contact for clients, fulfilled requests and resolved conflicts within customer service department and forwarded all other inquiries to appropriate department and personnel.

Medical Assistant

Fieldstone Family Medicine
07.2016 - 02.2018
  • Communicate with the patients and gather information about their ailment, health, medical history and measure their vital signs, weight and height
  • Collect blood, saliva and other body fluid samples for conducting medical tests, maintain the samples safely and forward them to the diagnostic laboratory
  • Clean and sterilize the medical instruments regularly. Make certain each apparatus runs efficiently and is safe for use
  • Made schedules of appointments and performed general front-desk tasks; recording, bookkeeping, writing summaries, answering calls, etc., as well as duties like infection control and supply/purchase overview

Coordinator/Billing Specialist

Prudhomme Vision
05.2014 - 06.2016
  • Instructing patients about various tests, procedures, and appointments. Performing various vision screenings, coordinating patient scheduling, Supervising and training other staff members, calling on insurance benefits, collecting copays, inputting procedure codes into electronic database.
  • Building loyal clientele through friendly interactions and consistent appreciation, assisting optometrist with ordering contact lenses and other office supplies.

Education

High School Diploma -

East Hartford High School
East Hartford, CT
06.2008

Skills

  • Claims analysis
  • Claims processing
  • Microsoft office
  • Policy interpretation
  • Teamwork and collaboration
  • Customer service
  • Time management
  • Problem-solving

Accomplishments

Resolved UAT training issues for new WC system.

Certification

  • Branford Hall Career Institute Windsor, CT Medical Assistant Certification May 2009
  • Brio Academy of Cosmetology East Hartford, CT Make-Up Artist Certification July 2010

Timeline

Claims Support Specialist

ESIS
09.2022 - Current

Front Desk Coordinator

Medworks LLC Occupational Medicine
02.2018 - 07.2022

Medical Assistant

Fieldstone Family Medicine
07.2016 - 02.2018

Coordinator/Billing Specialist

Prudhomme Vision
05.2014 - 06.2016

High School Diploma -

East Hartford High School

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