Elisa Lopez
Summary
Dedicated customer service professional with 30 years of experience in client education and eligibility assessment. Expertise includes resolving inquiries, training staff, and collaborating with community organizations to enhance service delivery. Committed to providing healthcare knowledge and resources to underserved populations.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Eligibility Specialist
Jefferson County Human Services
Golden, Colorado
11.2024 - Current
- Reviewed and processed applications for public assistance benefits.
- Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
- Assessed client eligibility for various assistance programs and services.
- Conducted detailed interviews with applicants to determine their eligibility for assistance programs.
- Conducted interviews to gather detailed information from applicants, enhancing accuracy of eligibility assessments.
- Reviewed applications to verify client information, resolving discrepancies and ensuring compliance with eligibility standards.
- Analyzed financial information provided by applicants to verify income levels.
- Processed client applications in accordance with established guidelines.
- Maintained accurate case files and documentation for compliance audits.
- Maintained comprehensive knowledge of program regulations, policies, and procedures.
- Analyzed changes in regulations affecting program eligibility criteria.
- Collaborated with community organizations to support client needs effectively.
- Resolved client inquiries and issues related to eligibility determinations.
- Assisted clients with completing forms required for processing applications.
- Explained reasons behind application denials and recommended further action.
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
- Attended regular training sessions to stay up-to-date on new rules and regulations.
- Developed strategies that streamlined application processing and improved customer service delivery.
Associate Eligibility Specialist
Jefferson County Department of Human Services
Golden, CO
04.2024 - Current
- Connect with clients to resolve case inquiries, answer questions, and address if a case needs to be escalated
- Review cases, research case files, and ensure case resolution by entering data and uploading documents into CBMS
Benefits Navigator 3
Benefits in Action
Lakewood, CO
01.2021 - 04.2024
- Assist clients with navigating and applying for SNAP, Medicaid, Medicare, LiHEAP, Connect for Health, RTD Live and mental wellness in Colorado.
- Entered client data to create accounts and applications in Colorado Peak PRO, enhancing benefit literacy assessment.
- Trained new benefit navigator employees and represented consumers at training and appointments with other agencies, fostering collaborations with community organizations for events and partnerships.
- Verified client benefits for other navigators using Colorado Benefits Management System (CBMS), ensuring accurate benefit delivery.
Flex Supervisor/ Driver
United Parcel Service
CO
05.2018 - 12.2022
- Managed daily activities of package handlers and clerks to ensure timely tracking of load volume and delivery of packages.
- Supervised daily operations to ensure efficient package handling processes.
- Trained and mentored team members on safety and operational procedures.
- Coordinated workflow among staff to optimize delivery schedules and routes.
Scheduler/ Time Keeper
SCL Healthcare
Wheat Ridge, CO
05.2017 - 03.2018
- Collaborated with in-patient units to develop unit schedules using AtStaff, ensuring optimal staff allocation.
- Oversaw staff hours in Kronos and processed payroll for over 100 employees, maintaining accuracy and compliance.
- Coordinated scheduling for medical staff across multiple healthcare facilities.
- Managed appointment logistics to optimize patient flow and resource allocation.
- Collaborated with departments to address scheduling conflicts and staffing needs.
Associate Sales Executive
Kaiser Permanente
Aurora, CO
02.2009 - 01.2017
- Developed training materials and trained brokers on online tools to enhance sales of KP group plans; maintained sales databases and processed quotes for group prospects.
- Served as liaison to brokers and member enrollment department, resolving complex benefit, claims, and billing issues to ensure smooth operations.
Education
High School -
Jefferson High School
Edgewater, CoArapahoe Community College
Skills
- Application processing
- Application assessment
- Public assistance programs
- Regulatory analysis
- Case management
- Knowledge of benefits
- Client assessment
- Data management
- Customer interaction
- Interviewing
- Telephone communication
- Critical thinking
- Problem solving
- Effective communication
- Community collaboration
- Knowledgeable in [software]
Certification
- Connect for Health Assister, 03/01/24
- Colorado State Health Insurance Program (SHIP) for Medicare, 09/01/23
Timeline
Eligibility Specialist
Jefferson County Human Services
11.2024 - Current
Associate Eligibility Specialist
Jefferson County Department of Human Services
04.2024 - Current
Benefits Navigator 3
Benefits in Action
01.2021 - 04.2024
Flex Supervisor/ Driver
United Parcel Service
05.2018 - 12.2022
Scheduler/ Time Keeper
SCL Healthcare
05.2017 - 03.2018
Associate Sales Executive
Kaiser Permanente
02.2009 - 01.2017
High School -
Jefferson High School
Arapahoe Community College