Claudia Gomez
Elgin,TX
Summary
To obtain a position as customer service in a company where I can gain and expand my experience. I love working with people and helping them out. I am bilingual, very friendly, fast learner, and pleasant attitude with a desire to help in any capacity. I'm eager to take on new responsibilities.
Overview
9
9
years of professional experience
Work History
Eligibility and Financial Screening Specialist
Community Care/ Central Health
Austin, TX
10.2022 - 07.2026
- Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
- Clarified eligibility requirements to clients, addressing and resolving questions to facilitate understanding of benefits.
- Conducted interviews with applicants, explaining benefits process, and which programs were available.
- Explained eligibility details and affordability options to patients with kindness and respect.
- Provided guidance on how to apply for benefits and answered questions related to the process.
- Verified applicant's identity and other relevant documents such as birth certificates or Social Security cards.
- Verified insurance information and updated patient demographics.
- Handled application processing to ensure timely response to applicants. and updated case files in tracking systems.
- Communicated regularly with clients regarding their application status or changes in policies or procedures that may affect them.
- Utilized VeritySource, Epic, TMHP, and YourTexasBenefits to access client records, verify eligibility,and assist with benefits.
Medical Administrative Clerk
Community Care
Austin, Tx
12.2017 - 10.2022
- Assisted patients, staff, and insurance representatives with respect, ensuring clear communication and support throughout processes.
- Entered patient insurance, demographic and health information into software and confirmed records.
- Provided excellent service and attention to patients in face-to-face encounters and through phone conversations.
- Processed patient transactions at front desk, handling cash, checks, and credit cards with accuracy and efficiency.
- Making sure patients are getting the proper care, that's making sure they get all their appointments, getting their medications at the right pharmacy.
Customer Service Representative
Fred Loya Insurance Agency Inc.
Austin , TX
10.2017 - 10.2018
- Informed customers about billing procedures, processed payments, and assisted with payment option setups to ensure smooth transactions.
- Responded to customer inquiries via phone and in person, providing accurate information and addressing concerns.
- • Answer customer's questions through phone, and directly face to face
• Make requested policy and account changes
• consult with customer to determine best options
• Resolve conflicts issues and concerns regarding their policy.
• Receive payment by phone/in person
• sold auto insurance policy
Education
High School Diploma -
Lanier High School
Austin, TXSkills
- Eligibility verification
- Insurance verification
- Medical billing and collections
- Updating medical charts
- Copying medical records
- Appointment scheduling
- Workflow automation
- Customer service management
- Phone communication
- Staff and patient communication
Timeline
Eligibility and Financial Screening Specialist
Community Care/ Central Health
10.2022 - 07.2026
Medical Administrative Clerk
Community Care
12.2017 - 10.2022
Customer Service Representative
Fred Loya Insurance Agency Inc.
10.2017 - 10.2018
High School Diploma -
Lanier High School