Grizelda Lopez
Summary
Dedicated financial service professional with over 10 years of experience in Medicaid and Medicare claims. Skilled in benefits verification, attention to detail, and team collaboration, contributing to timely resolutions and improved financial outcomes.
Overview
14
14
years of professional experience
Work History
Financial service associate
Nyu Langone
New York, New York
01.2019 - 05.2026
- Conducted Medicaid payment analyses to identify discrepancies and enhance reimbursement accuracy.
- Verified Medicaid claim statuses for timely processing and resolution of claims.
- Assured patient eligibility through ePACES for accurate claims handling.
- Reprocessed denied claims, increasing potential reimbursement amounts.
- Resolved eligibility and demographic discrepancies with patients to ensure accurate claims.
- Coordinated benefits verification for non-Medicaid payers to avoid delays.
- Collaborated with insurance companies, patients, and colleagues to deliver timely resolutions.
Financial service Associate
NYU Langone Brooklyn
Brooklyn, NY
04.2012 - 01.2019
- Followed up on Medicare inpatient claims, securing optimal reimbursement levels.
- Reconciled Medicare payments, ensuring accuracy of financial records.
- Referred secondary accounts for collection of deductible, copay, and coinsurance balances.
Education
GED -
Kingsborough Community College
Brooklyn, NY12-2006
Skills
- Medicaid processing
- Claims reconciliation
- Benefits verification
- Eligibility determination
- Denied claims management
- Epic and Omnipro expertise
- Customer relationship management
- Financial analysis
- Attention to detail
- Problem solving
- Team collaboration
- Adaptability
- Organization
- Dependability
Languages
Spanish
Native/ Bilingual
Timeline
Financial service associate
Nyu Langone
01.2019 - 05.2026
Financial service Associate
NYU Langone Brooklyn
04.2012 - 01.2019
GED -
Kingsborough Community College