Tisa Gomes
Las Vegas,NV
Summary
Dedicated Customer Service Professional with over 15 years of experience in client-focused roles, specializing in problem-solving and conflict resolution. Proven track record of delivering exceptional customer support, managing complex client interactions, and leading teams to ensure superior service delivery. Known for strong empathy, effective communication, and ability to handle high-stress situations professionally.
Overview
11
11
years of professional experience
Work History
Crisis Specialists
Crisis Link
09.2023 - Current
- Provide exceptional customer support to individuals in crisis situations, demonstrating high empathy and problem-solving skills
- Deliver creative solutions to resolve customer concerns effectively and efficiently
- Maintain detailed documentation of customer interactions for seamless service continuity
- Contribute to community safety through professional and empathetic customer communication
- Assisted in checking patient's insurance eligibility prior to their appointment.
- Provided customer service by answering inquiries, resolving complaints, and providing general information to clients regarding healthcare services.
Lead Mental Health Technician
Mission Community Hospital
California
08.2021 - 10.2022
- Led a customer service team, implementing best practices to elevate patient care standards
- Resolved complex customer conflicts through effective mediation and communication
- Streamlined service delivery processes, improving customer satisfaction and operational efficiency
- Trained and mentored new staff on customer interaction best practices
- Managed comprehensive customer assessments and documentation
- Managed incoming calls from patients and other healthcare facilities to provide information or schedule services.
- Responded promptly to emails, voicemails, and faxes from customers seeking assistance or advice.
- Verified patient demographic information in order to ensure accuracy of data entry.
Clinical Claims Representative
Beacon Health Options/Anthem Blue Cross
California
04.2020 - 05.2021
- Managed customer inquiries regarding clinical claims, ensuring timely and accurate resolution
- Collaborated with cross-functional teams to expedite customer claim processing
- Identified and resolved discrepancies in customer accounts, maintaining high accuracy standards
- Improved customer satisfaction by reducing claim processing time through innovative approaches
- Answered inbound calls, chats and emails to facilitate customer service.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
Customer Care Specialist
Glendale Memorial Hospital
Glendale, CA
09.2013 - 04.2021
- Maintained detailed customer records, ensuring accurate and up-to-date information
- Tracked customer concerns and feedback to improve service delivery
- Enhanced documentation processes, contributing to improved customer experience
- Provided consistent, high-quality customer support in a fast-paced healthcare environment
- Managed incoming calls from patients and other healthcare facilities to provide information or schedule services.
- Processed paperwork related to medical claims processing including authorizations, referrals, pre-certifications.
Education
Certificate in Medical Billing/Health Claims Examiner -
Adelante Career Institute
Certificate in Alcohol and Drug Studies -
California Consortium of Addiction Programs
High School Diploma -
Channel Islands High School
Skills
- Customer Service Excellence
- Conflict Resolution
- Problem-Solving
- Team Leadership
- Crisis Management
- Documentation & Record Keeping
- Microsoft Office Suite
- Interpersonal Communication
- Critical Thinking
- Empathy & Active Listening
- Answering high call volume
Timeline
Crisis Specialists
Crisis Link
09.2023 - Current
Lead Mental Health Technician
Mission Community Hospital
08.2021 - 10.2022
Clinical Claims Representative
Beacon Health Options/Anthem Blue Cross
04.2020 - 05.2021
Customer Care Specialist
Glendale Memorial Hospital
09.2013 - 04.2021
Certificate in Medical Billing/Health Claims Examiner -
Adelante Career Institute
Certificate in Alcohol and Drug Studies -
California Consortium of Addiction Programs
High School Diploma -
Channel Islands High School