Gloria Yadiri Padilla
Round Rock
Summary
Detail-oriented Eligibility Advisor with extensive experience in case management and policy compliance. Proven ability to determine client eligibility and effectively communicate benefits, ensuring accurate and timely service delivery.
Overview
16
16
years of professional experience
Work History
Eligibility Advisor II
Texas Department of Health and Human Services Commission
Round Rock
07.2009 - Current
- Performs moderately complex (journey-level) eligibility determination work for social services programs.
- Works under general supervision, with limited latitude for the use of initiative and independent judgement.
- Obtains, verifies, and calculates income and resources to determine client financial eligibility for social services programs.
- Processes, monitors, reviews, and communicates case status and changes to clients, their families, or authorized representatives.
- Interviews clients, their families, or authorized representatives to gather information in determining benefit eligibility.
- Certifies program eligibility, computes benefits level, and determines length of eligibility.
- Conducts reviews to determine or verify new and continued program eligibility.
- Explains program benefits, requirements, rights of appeal, and fair hearings to clients, their families, or authorized representatives.
- Calculates and processes changes to client benefits such as overpayments, adjustments, or restoration of benefits.
- Document case records to maintain accurate and confidential client records.
- Performs work related assignments.
- Experience in using manual and/or automated systems to determine eligibility for SNAP, TANF, and Texas Works Medicaid, MEPD programs, policy and procedures.
- Texas Integrated Eligibility Redesign System (TIERS) and Eligibility Workload Management System (EWMS).
- Experience in evaluating case records in relation to agency standards for quality and timeliness.
Education
High School Diploma -
James Pace High School
Brownsville06-2001
Some College (No Degree) - Communications
The University of Texas At Brownsville
BrownsvilleSkills
- Eligibility determination
- Case management
- Benefit calculation
- Program certification
- Policy compliance
- Effective communication
- Attention to detail
- Active listening
- Time management
- Customer service
- Client engagement
- Training and mentoring
- Compliance requirements
- Professional demeanor
- Multi-tasking
- Interpersonal communication
- Interview skills instruction
- Teamwork
Languages
Spanish
Native/ Bilingual
English
Professional
Timeline
Eligibility Advisor II
Texas Department of Health and Human Services Commission
07.2009 - Current
High School Diploma -
James Pace High School
Some College (No Degree) - Communications
The University of Texas At Brownsville