David Gilliam
@davidgilliam
I resolve Medicaid and Medicare member eligibility, enrollment, and claims issues in high-volume healthcare support.
United StatesWhat I'm looking for
At Elevance Health, I verify eligibility, coverage, and enrollment for more than 100 member inquiries daily, resolve claims and provider concerns, and maintain HIPAA-compliant documentation. I use QNXT, CRM systems, and multiple databases to research issues, update records, and coordinate resolutions across internal teams.
I've also supported COVID-19 testing appointments at New York Health Care and trained new hires on QNXT navigation and call procedures. I bring more than four years of healthcare customer service experience focused on accurate, dependable member support.
Experience
Work history, roles, and key accomplishments
Verified eligibility, coverage, and enrollment information for over 100 member inquiries daily while maintaining high accuracy and compliance standards. Resolved complex claims, benefits, and provider-related inquiries, and trained new hires on QNXT navigation and call procedures.
Education
Degrees, certifications, and relevant coursework
Lincoln High School
High School Diploma, General Studies
2008 - 2012
Completed high school education at Lincoln High School in Yonkers, NY.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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