Gina M. Enriquez
El Paso
Summary
Innovative professional with a commitment to delivering practical solutions and driving success in collaborative environments. Experienced in contributing ideas that enhance productivity and foster team creativity. Focused on leveraging skills to support organizational growth while pursuing opportunities for personal and professional advancement.
Overview
16
16
years of professional experience
Work History
Medicaid Eligibility Specialist III
HHSC- MEPD
El Paso, TX
05.2021 - Current
- Fully trained MEPD programs such as Medicare Cost Share programs, Nursing Facilities, Waivers and Hospitals.
- Utilized excellent interviewing techniques to obtain sensitive information, inquire effectively, and resolve client statement discrepancies.
- Maintain effective working relationships with others that include colleagues, private and professional entities and clients
- Actively listen to clients, elicit, relate and evaluate information, and interpret terms
- Complete work within specified deadlines
- Read, understand, and apply a variety of interrelated instructions, such as those found in guidelines, regulations, and policies
- Establish priorities according to relative importance and deadlines, set goals, and manage time efficiently
- Identify conflicting information provided by the clients or their authorized representatives
- Operated various computer systems to execute tasks efficiently.
- Established and maintained effective working relationships by negotiating among multiple parties and resolving conflicts under pressure.
- Organizing, prioritizing, writing, proofreading, editing, filing, record keeping, and interpersonal communication
- Skill in communicating effectively both verbally and in writing.
- Work in a dynamic fast paced and constant changing environment
- Executed data entry tasks to maintain accurate records.
- Daily usage of all computer functions such as Internet, Microsoft Word, Excel, Outlook and all systems used to make an accurate eligibility decision.
- Work independently and under limited supervision.
- Experience and understanding general knowledge and skills needed to perform all aspects of my job duties to include extra assignments
- Maintain positive outlook and show flexibility to new approaches and ideas.
- Collaborated as a team player by fostering open communication and positive relationships with co-workers, clients, supervisors, and other agencies.
- Assist co-workers with troubleshooting cases.
- Assist co- workers with second level reviews.
- Process Regional Reports: Recon Report, BPR Monitoring, Delinquency Report and Scheduled Outs Report on a daily basis.
- Collaborated with the supervisor to conduct weekly process reviews for the unit.
Medicaid Eligibility Specialist II
HHSC- MEPD
El Paso, TX
04.2016 - 04.2021
- Fully trained and processing MEPD programs such as Medicare Cost Share programs, Nursing Facilities, Waivers and Hospitals.
- Excellent interviewing techniques to obtain highly personal information, make inquiries, and resolve conflicting client statements
- Actively listen to clients, elicit, relate and evaluate information, and interpret terms
- Texas Works SNAP trained and processing
- Actively listened to clients to elicit, relate, evaluate information, and interpret terms for accurate eligibility decision-making.
- Establishing and maintaining effective working relationships, including the ability to work with people under pressure, negotiate among multiple parties, and resolve conflicts
- Skill in communicating effectively both verbally and in writing.
- Complete work within specified deadlines
- Establish priorities according to relative importance and deadlines, set goals, and manage time efficiently
- Operated various computer equipment to perform daily tasks efficiently.
- Established and maintained effective working relationships, negotiating among multiple parties and resolving conflicts under pressure.
- Work in a dynamic fast paced and constant changing environment
- Perform data entry
- Daily usage of all computer functions such as Internet, Microsoft Word, Excel, Outlook and all systems used to make an accurate eligibility decision.
- Executed accurate data entry to maintain up-to-date records.
- Assist co-workers with trouble shooting cases.
- Experience and understanding general knowledge and skills needed to perform all aspects of job duties to include extra assignments.
- Assist co-workers with troubleshooting cases.
- Process Regional Reports: Recon Report, BPR Monitoring, Delinquency Report and Scheduled Outs Report on a daily basis.
- Assist supervisor with Weekly Process Reviews for the Unit.
Medicaid Eligibility Specialist
HHSC- MEPD
El Paso, TX
04.2015 - 04.2016
- Fully trained MEPD programs such as Medicare Cost Share programs, Nursing Facilities, Waivers and Hospitals.
- Excellent interviewing techniques to obtain highly personal information, make inquiries, and resolve conflicting client statements
- Maintained effective working relationships with colleagues, private and professional entities, and clients to facilitate communication and collaboration.
- Actively listen to clients, elicit, relate and evaluate information, and interpret terms
- Complete work within specified deadlines
- Read, understand, and apply a variety of interrelated instructions, such as those found in guidelines, regulations, and policies
- Establish priorities according to relative importance and deadlines, set goals, and manage time efficiently
- Identify conflicting information provided by the clients or their authorized representatives
- Operated various computer systems to perform job functions efficiently.
- Establishing and maintaining effective working relationships, including the ability to work with people under pressure, negotiate among multiple parties, and resolve conflicts
- Organized, prioritized, and executed tasks related to writing, proofreading, editing, filing, record keeping, and communication to enhance workflow efficiency.
- Skill in communicating effectively both verbally and in writing.
- Work in a dynamic fast paced and constantly changing environment
- Executed accurate data entry tasks to maintain up-to-date records.
- Utilized computer functions including Internet, Microsoft Word, Excel, Outlook, and all relevant systems to ensure accurate eligibility decisions.
- Work independently and under limited supervision.
- Demonstrated knowledge and skills to perform all job duties and additional tasks.
- Provided assistance to co-workers in troubleshooting complex cases. with troubleshooting cases.
- Assist co- workers with second-level reviews.
- Process Regional Reports: Recon Report, BPR Monitoring, Delinquency Report and Scheduled Outs Report on a daily basis.
- Assist supervisor with Weekly Process Reviews for the Unit.
Texas Works Advisor I
State of Texas Health & Human Services Commission
Midland, TX
07.2014 - 03.2015
- Processed SNAP, TANF, and Medicaid applications and renewals, ensuring compliance with guidelines despite limited client interaction.
- Completed all applications in a timely manner and before given deadlines.
- Process SNAP, TANF, and Medicaid applications and renewals, with limited amount of contact with clients and employers.
- Establish communication with collateral sources for income verification. sometimes to verify income and/ or changes.
- Enter client data into computer systems timely and accurately
- Make collateral contacts sometimes to verify income and/ or changes.
- Perform required document scans to ensure accurate application evaluation. for all applicants.
- Exhibit a positive attitude towards work challenges and changes. and show flexibility to new approaches and ideas.
- Collaborated with co-workers and agencies to foster open communication and enhance team dynamics.
Financial Assistance Analyst (FAA)
State of New Mexico- Human Services Division
Las Cruces, NM
10.2010 - 06.2014
- Operate and work with the following programs: ISD2, HGHI (Child Support), HP99, HTPQ, DOL, The Work Number, SAVE, and Client Tracking System (CTS)
- Processed SNAP, TANF, and Medicaid applications, ensuring compliance with regulations despite limited client and employer contact.
- Completed all applications in a timely manner and before given deadlines.
- Planned, organized, and prioritized workload to consistently meet county office deadlines.
- Made collateral contacts to verify income and changes, enhancing accuracy of eligibility determinations.
- Make collateral contacts sometimes to verify income and/ or changes.
- Maintain positive outlook and show flexibility to new approaches and ideas.
- Coordinated appointment times for clients to facilitate their access to services.
- Contacted clients to ensure they were prepared for appointments with required documents.
Education
Bachelor - Community Health
New Mexico State University
Las Cruces, NM05-2010
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Gadsden High School
Anthony, NM05-2005
Skills
- Eligibility determination
- Application processing
- Policy interpretation
- Business process expertise
- MS Office proficiency
- Office Oriented (Answer multi-phone lines, fax machine, copiers, etc)
- Bilingual communication
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Medicaid Eligibility Specialist III
HHSC- MEPD
05.2021 - Current
Medicaid Eligibility Specialist II
HHSC- MEPD
04.2016 - 04.2021
Medicaid Eligibility Specialist
HHSC- MEPD
04.2015 - 04.2016
Texas Works Advisor I
State of Texas Health & Human Services Commission
07.2014 - 03.2015
Financial Assistance Analyst (FAA)
State of New Mexico- Human Services Division
10.2010 - 06.2014
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Gadsden High School
Bachelor - Community Health
New Mexico State University