Adriana Gomez
Cherokee
Summary
Dynamic Eligibility Specialist at EBCI Public Health & Human Services with a proven track record in enhancing client satisfaction and reducing errors in eligibility determinations. Skilled in data entry and effective communication, I empower clients through accurate application processes, ensuring compliance with regulations while fostering trust and open dialogue.
Professional with strong background in eligibility assessment and client service. Skilled in analyzing applications, verifying information, and ensuring compliance with regulations. Known for effective teamwork, adaptability, and achieving results. Proficient in managing caseloads, problem-solving, and maintaining confidentiality with focus on accuracy and efficiency.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Hardworking and passionate job seeker with strong organizational skills.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Eligibility Specialist
EBCI Public Health & Human Services
12.2024 - Current
- Assisted clients with accurate eligibility form, application and document completion.
- Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
- Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
- Provided exceptional customer service through prompt response times, clear communication channels, and diligent follow-up practices.
- Ensured compliance with local, state, and federal regulations during all phases of the eligibility determination process.
- Maintained detailed records of client interactions, ensuring accuracy and confidentiality of sensitive information.
- Established databases to track, analyze and automate eligibility application processes.
Medical Receptionist
Cherokee Indian Hospital Authority
02.2023 - 12.2024
- Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Conducted patient intake interviews, recording and documenting relevant information.
Restaurant Hostess
Brio Tuscan Grille
06.2021 - 05.2023
- Enhanced customer satisfaction by greeting and seating guests promptly upon arrival
- Demonstrated strong multitasking skills by handling telephone inquiries while attending to in-person guest needs seamlessly.
- Answered customer questions about hours, seating, and menu information.
- Maintained an organized waitlist for busy times, ensuring efficient seating of guests.
- Took reservations and to-go orders by phone, answered customer questions, and informed of accurate wait times.
- Completed daily side work and opening and closing duties without fail.
WIC Breastfeeding Peer Counselor
EBCI Public Health & Human Services
05.2020 - 07.2020
- Assisted in developing educational materials for use in counseling sessions and outreach efforts targeting pregnant women and new parents.
- Provided culturally sensitive care, addressing the unique needs of diverse populations in the service area.
- Reduced barriers to attendance at support meetings by offering flexible scheduling options like evening or weekend sessions.
- Empowered mothers to overcome challenges through tailored advice and practical solutions based on individual needs.
- Enhanced community health outcomes by educating families on the benefits of breastfeeding for both mother and child.
- Increased accessibility to breastfeeding information through online platforms such as social media pages, blogs, webinars, or virtual support groups.
Housing Assistant
Qualla Housing Development
02.2020 - 05.2020
- Increased occupancy rates by conducting thorough applicant screenings and processing rental applications in a timely manner.
- Managed waiting lists efficiently while adhering to fair housing laws during the tenant selection process.
- Assisted property managers with daily tasks for efficient property management and tenant support.
- Maintained accurate records of all housing transactions, including leases, rent payments, maintenance requests, and incident reports.
- Reviewed documentation and input data into computer system to complete eligibility process, re-certifications and tenant move-outs.
To-Go Server
Kobes Express
07.2017 - 10.2017
- Greeted customers and answered inquiries regarding menu items and specials.
- Maintained timely communication with both kitchen staff and customers regarding any potential delays or issues, ensuring transparency and managing expectations effectively.
- Provided expert knowledge of menu items and ingredients when interacting with customers, facilitating informed decision-making for their meal choices.
- Managed multiple orders simultaneously while maintaining attention to detail, ensuring proper packaging and presentation for each item.
- Handled cash transactions accurately, contributing to a well-balanced till at shift''s end.
Bowling Center Customer Service Representative
Harrah's Cherokee Ultra Star
06.2016 - 10.2017
- Streamlined check-in process for improved guest experience and reduced wait times.
- Managed lane reservations efficiently, optimizing lane usage and minimizing downtime between games.
- Collaborated with team members to maintain a clean and organized facility, ensuring an enjoyable environment for patrons.
- Handled cash transactions accurately while adhering to company policies regarding refunds or discounts as needed.
- Trained new employees on best practices for customer service, resulting in a consistently positive guest experience.
- Maintained inventory of rental shoes, balls, cleaning supplies, and other necessary items for seamless operations.
Education
Associate Degree in Nursing - Practical Nursing
Southwestern Community College
Sylva, NC05-2026
High School Diploma -
Cherokee High School
Cherokee, NC05-2019
Skills
- Data entry
- Effective communication skills
- Microsoft office
- Telephone etiquette
- Application review
- Appointment scheduling
- Medicaid
- Customer service
- Problem-solving abilities
- Networking skills
- Income verification
- Verbal communication
- Documentation and reporting
Certification
- BLS, The American Heart Foundation - August 2024-August 2026
- CPR Certification, The American Heart foundation- August 2024- August 2026
Timeline
Eligibility Specialist
EBCI Public Health & Human Services
12.2024 - Current
Medical Receptionist
Cherokee Indian Hospital Authority
02.2023 - 12.2024
Restaurant Hostess
Brio Tuscan Grille
06.2021 - 05.2023
WIC Breastfeeding Peer Counselor
EBCI Public Health & Human Services
05.2020 - 07.2020
Housing Assistant
Qualla Housing Development
02.2020 - 05.2020
To-Go Server
Kobes Express
07.2017 - 10.2017
Bowling Center Customer Service Representative
Harrah's Cherokee Ultra Star
06.2016 - 10.2017
Associate Degree in Nursing - Practical Nursing
Southwestern Community College
High School Diploma -
Cherokee High School
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