Summary
Overview
Work History
Education
Skills
Timeline
Generic

ELEXIS TIDWELL

Saint Ann,MO

Summary

Skilled Member Advocate with a proven track record in enhancing customer service excellence and pharmaceutical knowledge, notably with MaxorPlus and Capital Rx. Excelled in insurance authorizations and interpersonal skills, achieving significant client retention for Magellan Health Services. Demonstrates exceptional problem-solving abilities and adaptability, committed to driving customer satisfaction, and operational efficiency.

Overview

9
9
years of professional experience

Work History

Customer Service Representative

Capital Rx
New York, New York
04.2025 - Current
  • Process pharmacy claims, and ensure accurate billing documentation.
  • Perform detailed data entry, updating member and prescription records in internal systems.
  • Initiate and track prior authorizations in compliance with health plan requirements.
  • Handle and organize sensitive patient information in accordance with HIPAA regulations.
  • Educated members on pharmacy benefits and services.
  • Assisted customers with inquiries regarding medication benefits and coverage options.

Member Advocate

MaxorPlus, A Maxor National Pharmacy Services Company
Amarillo, TX
09.2021 - 04.2025
  • Answered customer inquiries regarding pharmacy benefits.
  • Processed claims for prescriptions and initiated prior authorizations.
  • Filled customer medications, and checked prescription order status.
  • Made outbound calls to providers for insurance authorizations to the customer's health insurance.
  • Educated members on pharmacy benefits and services.

Customer Care Coordinator

Magellan Health Services
Maryland Heights, MO
03.2020 - 09.2021
  • Coordinated insurance authorizations with healthcare providers.
  • Verified patient eligibility and updated records.
  • Resolved escalated service issues and maintained accurate documentation.
  • Delivered fast, friendly, and knowledgeable service for routine questions and service complaints.

Customer Representative

MTM
Lake Saint Louis, Saint Louis
07.2018 - 03.2020
  • Coordinated medical transportation rides and verified eligibility.
  • Used various systems to meet contract service levels.
  • Resolved escalated customer issues quickly to improve retention.
  • Assisted clients with transportation needs and service inquiries.
  • Managed communication between clients, drivers, and healthcare providers.

General Clerk II

Serco, Inc
Wentzville, MO
06.2016 - 05.2018
  • Processed health insurance applications and resolved data issues.
  • Verified personal information and maintained documentation standards.
  • Processed incoming and outgoing mail efficiently for timely distribution.
  • Maintained accurate records using document management systems daily.
  • Handled customer inquiries promptly to provide clear information and support.

Education

High School Diploma -

Hazelwood Central High School
Florissant, MO
06.2013

Skills

  • Insurance authorizations
  • Clerical support
  • Data entry
  • Salesforce CRM
  • Live chat messaging
  • Customer service excellence
  • Pharmaceutical knowledge
  • Adaptability and flexibility
  • Interpersonal skills
  • Documentation and recordkeeping team collaboration
  • Team collaboration
  • Customer relations
  • Inbound call management
  • Problem-solving abilities
  • Multitasking and time management

Timeline

Customer Service Representative

Capital Rx
04.2025 - Current

Member Advocate

MaxorPlus, A Maxor National Pharmacy Services Company
09.2021 - 04.2025

Customer Care Coordinator

Magellan Health Services
03.2020 - 09.2021

Customer Representative

MTM
07.2018 - 03.2020

General Clerk II

Serco, Inc
06.2016 - 05.2018

High School Diploma -

Hazelwood Central High School

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