Elizabeth Magallon
Corona,USA
Summary
Detail-oriented Healthcare Specialist with hands-on experience supporting member and provider services at Dignity Health. Skilled in reviewing claims and authorizations. Proficient in Ez-Cap, HIPAA compliant documentation, and effective communication across departments. Recognized for professionalism, compassion, accuracy, and strong problem-solving skills in fast paced healthcare environment.
Overview
5
5
years of professional experience
Work History
Member Service Representative
Dignity Health
05.2025 - Current
- Review and verify medical authorizations, referrals, and eligibility using EZ-Cap and internal systems.
- Coordinate with the Utilization Management team and providers to ensure members receive appropriate and timely care.
- Communicate with providers, members, and facilities to resolve issues and questions efficiently.
- Maintain compliance with HIPAA and organizational standards for patient confidentiality and documentation accuracy.
- Managed difficult conversations with compassion and professionalism, helping deescalate tense situations while maintaining a focus on finding resolutions.
Instructional Aid Special Education
River Springs Charter School
05.2024 - 05.2025
- Managed detailed records for students with special needs, ensuring accurate documentation of progress and behavioral reports.
- Coordinated communication between teachers, parents, and administration, ensuring smooth operational flow, and addressing any discrepancies promptly.
- Provided administrative support by maintaining organized files, processing information, and assisting with data entry for student assessments, and progress reports.
- Demonstrated attention to detail by reviewing and verifying data for accuracy, ensuring compliance with policies and procedures.
- Assisted special education students with individualized learning plans, fostering academic growth and emotional development through tailored support strategies.
Instructional Aid Special Education
Unified School District
12.2023 - 05.2024
- Provide one-on-one and group support to students with special needs, assisting in academic, behavioral, and emotional development in the classroom setting.
- Collaborate with teachers to implement individualized education plans (IEPs), and adapt lesson materials to accommodate diverse learning styles.
- Monitor student progress and behavior, report observations, and work with educators to adjust instructional strategies.
- Assist in managing classroom routines, ensuring a positive and inclusive learning environment for students with various disabilities.
- Facilitate communication between students, parents, and faculty to ensure consistent support and progress.
Clerk
Walmart
05.2021 - 10.2022
- Managed and maintained accurate records of incoming and outgoing shipments, ensuring proper documentation and tracking.
- Collaborated with team members to organize inventory stock levels, ensuring an adequate supply for customer demands.
- Entered and maintained accurate data in company databases to ensure information integrity.
- Conducted regular inventory audits to ensure accuracy and prevent stock discrepancies.
Cashier
Homegoods
01.2021 - 05.2021
- Processed transactions accurately while managing high-volume customer flow, balanced daily registers, and resolved payment discrepancies efficiently.
- Built a strong rapport with diverse customers, provided exceptional service, and maintained an organized workspace while supporting the team during peak hours.
- Coordinated with team members to manage queues effectively, cross-trained new staff, and ensured smooth operations during busy periods.
Cashier
Kick Back Jacks
11.2020 - 05.2021
- Processed transactions accurately while maintaining high customer service standards, managed cash drawer reconciliation, and resolved customer inquiries efficiently.
- Created a welcoming environment for customers, coordinated with team members during peak hours, and maintained an organized workspace for smooth operations.
- Streamlined checkout procedures, reduced wait times during rush periods, and consistently met daily sales targets while ensuring customer satisfaction.
- Answer customers' questions, and provide information on procedures or policies.
Education
High School Diploma -
Sultana High School
Hesperia, CA05.2019
Skills
- EZ-Cap
- Member and Provider Communication
- Time Management
- Team Leadership
- Problem Solving
- Conflict Resolution
- Multitasking in Fast-Paced Environments
- Relationship building
- Call center experience
Languages
Spanish
Timeline
Member Service Representative
Dignity Health
05.2025 - Current
Instructional Aid Special Education
River Springs Charter School
05.2024 - 05.2025
Instructional Aid Special Education
Unified School District
12.2023 - 05.2024
Clerk
Walmart
05.2021 - 10.2022
Cashier
Homegoods
01.2021 - 05.2021
Cashier
Kick Back Jacks
11.2020 - 05.2021
High School Diploma -
Sultana High School