Summary
Overview
Work History
Education
Skills
Small Business Owner
Languages
Timeline
Generic

Mario Gomez

Fresno,CA

Summary

Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level healthcare position. Ready to help team achieve company goals. Resourceful Patient Advocate offering 15 years of hospital experience. Versed in collaborating with insurance companies and completing paperwork. Passionate about patient care.

Overview

8
8
years of professional experience

Work History

Drug and Alcohol Prevention Program Counselor

Fresno Hispanic Commision
07.2023 - 10.2023
  • Enhanced program effectiveness by developing and implementing comprehensive counseling strategies.
  • Increased participant satisfaction through tailored support and guidance in various program aspects.
  • Collaborated with interdisciplinary teams to design effective treatment plans for individual clients.
  • Improved client outcomes by consistently monitoring progress and adjusting interventions as needed.
  • Developed strong rapport with clients, maintaining open communication channels and trust throughout counseling process.
  • Promoted client autonomy by empowering them to take active role in their personal growth and development.
  • Maintained detailed case notes, allowing for efficient tracking of client progress over time.

Pre-Expedite Medicare Appeal Coordinator

CVS Aetna
09.2016 - 01.2023
  • Managed project timelines for successful completion, ensuring milestones were met and deadlines were adhered to.
  • Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
  • Coordinated cross-functional teams, resulting in seamless project execution and enhanced outcomes.
  • Reduced logistical errors through meticulous planning of transportation schedules and inventory management practices.
  • Enhanced operational workflows by maintaining well-organized documentation systems and updating records accurately as needed.
  • Collaborated with department heads to develop strategic plans aligning with overall company objectives, fostering a unified approach toward shared goals.
  • Negotiated contracts successfully with vendors securing favorable terms while upholding high-quality standards.
  • Resolved conflicts swiftly among team members through effective mediation techniques, fostering an amicable working environment conducive to collaboration.
  • Coached employees through day-to-day work and complex problems.
  • Monitored performance metrics consistently and implemented corrective actions when needed, contributing to continuous improvement initiatives.
  • Entered data, generated reports, and produced tracking documents.
  • Tracked records, filed documents and maintained communication between clients to manage office activities.
  • Reduced average call handling time, ensuring prompt service to customers while maintaining quality interactions.
  • Enhanced customer satisfaction by efficiently addressing and resolving inquiries in a timely manner.
  • Streamlined call flow processes for more efficient response times and increased productivity.
  • Entered codes for Medicare, Medicaid and private insurance providers using office EMR system.
  • Maintained compliance with local, state and federal regulations governing insurance, Medicare and Medicaid requirements.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.

Customer Service (Bilingual) Medicare Rep

CVS Aetna
09.2015 - 01.2019
  • Enhanced member satisfaction by efficiently addressing and resolving Medicare-related inquiries.
  • Streamlined enrollment process for new members, resulting in improved customer experience.
  • Collaborated with healthcare providers to ensure accurate and timely claims processing.
  • Educated members on plan benefits, leading to increased understanding and utilization of services.
  • Managed a high volume of inbound calls while maintaining exceptional customer service standards.
  • Fostered positive relationships with members by offering personalized support and assistance throughout their Medicare journey.
  • Effectively communicated complicated health insurance concepts in an easily digestible manner for members.
  • Proactively addressed potential gaps in coverage or care coordination by collaborating with internal departments and external partners.
  • Met customer call guidelines for service levels, handle time and productivity.
  • Promptly responded to inquiries and requests from prospective customers.
  • Trained new personnel regarding company operations, policies and services.
  • Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.

Education

Bachelor of Arts - Multimedia Art And Photography

California State University - Fresno
Fresno, CA
06.2015

High School Diploma -

Atwater High School
Atwater, CA
06.2010

Skills

  • Self-Care Promotion
  • Behavior Management
  • Workshop Facilitation
  • Crisis Intervention
  • Client Assessment
  • Substance Abuse Knowledge
  • Individual Counseling
  • Substance Abuse Counseling

Small Business Owner

I have a love for music and started one day buying my first CD to over hundred forms of physical music. Music makes the people get together and built a small business selling rare collectables. 

Languages

Spanish
Native or Bilingual

Timeline

Drug and Alcohol Prevention Program Counselor

Fresno Hispanic Commision
07.2023 - 10.2023

Pre-Expedite Medicare Appeal Coordinator

CVS Aetna
09.2016 - 01.2023

Customer Service (Bilingual) Medicare Rep

CVS Aetna
09.2015 - 01.2019

Bachelor of Arts - Multimedia Art And Photography

California State University - Fresno

High School Diploma -

Atwater High School

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Mario Gomez