Karina Gomez
Galt,CA
Summary
To obtain a Case Worker or Social Work role to apply strong advocacy skills and help individuals and families access essential services and community resources. Experienced in working with vulnerable populations, including elderly individuals and helping support client well-being.
Overview
7
7
years of professional experience
Work History
Claims Processor
Blue Shield of CA
Lodi, USA
07.2020 - 12.2022
- Processed health insurance claims accurately and efficiently to uphold regulatory compliance and company standards.
- Reviewed health claim submissions for completeness, identifying discrepancies and resolving issues promptly.
- Collaborated with healthcare providers to obtain documentation verifying claim validity and support timely approval.
Certified Nursing Assistant
Arbor Nursing Home Center
Lodi, USA
02.2016 - 04.2019
- Assisted residents with daily living activities to promote independence, safety, and enhance quality of life.
- Monitored vital signs and reported changes to nursing staff for timely medical interventions.
- Monitored residents' emotional and physical well-being and reported any changes.
- Supported residents with dementia, chronic illness, and rehabilitation, providing compassionate care during end-of-life transitions.
- Collaborated with healthcare team members to create personalized care plans for residents' needs.
- Provided proper documentation following HIPAA law and facility policies.
Education
Bachelor of Arts (B.A.) - Psychology
California State University-Sacramento
Sacramento, CA, US05-2024
Skills
- Bilingual (Spanish)
- Microsoft Word, Excel, PowerPoint
- Attention to Detail
- Multitasking
- Team collaboration
- Problem-solving
- Time management
- Organizational skills
- Reliability
- Effective communication
- Patient Advocacy
- Claims Analysis
- Regulatory Compliance
- Adaptability to change
Timeline
Claims Processor
Blue Shield of CA
07.2020 - 12.2022
Certified Nursing Assistant
Arbor Nursing Home Center
02.2016 - 04.2019
Bachelor of Arts (B.A.) - Psychology
California State University-Sacramento