ELVEISHA DILWORTH
Alamogordo,NM
Summary
Detail-oriented Healthcare Customer Support Professional with 3+ years of experience addressing eligibility, benefits, claims, and authorization inquiries. Demonstrates expertise in researching complex information, maintaining accurate documentation, and resolving sensitive issues effectively. Leverages strong communication and organizational skills to navigate time-sensitive situations, ready to contribute in a patient access environment.
Overview
13
13
years of professional experience
Work History
CUSTOMER EXPERIENCE ASSOCIATE I – HEALTHCARE
Magellan Health
09.2022 - 04.2026
- Supported healthcare members, providers, and internal customers through multiple communication channels, using professional, empathetic, and clear communication.
- Researched member eligibility, healthcare benefits, Employee Assistance Program (EAP) services, claim status, authorization questions, and related healthcare inquiries.
- Reviewed information across multiple applications and healthcare systems to address inquiries, research accounts, and facilitate timely issue resolution.
- Documented customer interactions and account details accurately while following confidentiality and information-handling procedures.
- Investigated concerns, identified resources, and pursued accurate resolutions to achieve first-call resolution.
- Recognized crisis-related calls and situations requiring additional support, referrals, or escalation, applying sound judgment and attention to detail.
- Collaborated with team members to communicate process improvement suggestions to leadership.
CHILD CARE PROVIDER
Holloman Air Force Base (AFB)
Alamogordo, NM
05.2013 - 11.2021
- Planned age-appropriate educational and recreational activities to support children’s learning and development.
- Supervised children across age groups, ensuring safety and fostering a supportive environment while addressing diverse needs.
- Communicated daily with parents and guardians regarding children’s activities, progress, and behavioral needs, strengthening family engagement.
- Communicated with parents and guardians about children’s daily activities, progress, and behavioral needs.
- Planned and implemented age-appropriate educational and recreational activities, enhancing children’s learning and developmental outcomes.
Education
Associate Degree - Healthcare Administration
Pima Medical Institute
High School Diploma -
Alamogordo High School
Skills
- Healthcare Customer Service
- Benefits eligibility
- Healthcare Information Systems
- Issue resolution
- Problem Solving
- Team Collaboration
- Patient and Member Support
- Claims inquiries
- Confidentiality and HIPAA Awareness
- Referral and Triage Support
- System navigation
- Active listening
Affiliations
- QA score is 95 through 100% on every call
- Excellent written feedback from providers and members on how great my customer service skills were.
Personal Information
Title: PATIENT ACCESS REPRESENTATIVE | HEALTHCARE CUSTOMER SUPPORT
Timeline
CUSTOMER EXPERIENCE ASSOCIATE I – HEALTHCARE
Magellan Health
09.2022 - 04.2026
CHILD CARE PROVIDER
Holloman Air Force Base (AFB)
05.2013 - 11.2021
High School Diploma -
Alamogordo High School
Associate Degree - Healthcare Administration
Pima Medical Institute