Caitlyn Hurrell
Egg Harbor City
Summary
Customer-oriented, strategic-thinking sales management professional successful in cultivating partnerships, retaining top accounts and growing profit channels. Multi-tasking and self-motivated leader with expertise in expanding network connections and persuasively introducing products. Well-versed in implementing pricing models, managing vendor relations and expanding territory.
Overview
16
16
years of professional experience
2
2
years of post-secondary education
Work History
Sales Manager
Tomasello Winery
Hammonton
04.2010 - Current
- Led sales team to enhance customer engagement and satisfaction.
- Developed strategic marketing plans to promote winery products effectively.
- Analyzed market trends to identify new business opportunities and growth areas.
- Coordinated wine tasting events to showcase products and attract potential clients.
- Trained and mentored staff on sales techniques and product knowledge.
- Managed daily operations of sales department, including supervision of staff members.
- Established relationships with key clients, while maintaining existing customer base.
- Performed sales consultations and educated clients on products and services.
- Developed pricing strategies that would maximize profits while still remaining competitive in the market.
- Collaborated with marketing team to create promotional materials for target customers.
- Resolved customer complaints regarding sales and service.
- Supported sales team members to drive growth and development.
- Enhanced sales volume through skilled support to both new and inactive customers.
Prior Authorization Specialist
Advocare Stafford Orthopedics
Manahawkin
05.2014 - 02.2020
- Processed prior authorization requests for orthopedic procedures and treatments.
- Communicated with healthcare providers to gather necessary documentation and information.
- Reviewed clinical information to determine eligibility for services and procedures.
- Collaborated with insurance companies to clarify coverage policies and requirements.
- Maintained accurate records of authorization requests and outcomes in the system.
- Educated patients on authorization processes and required documentation submissions.
- Resolved issues related to denied authorizations through effective problem-solving strategies.
- Coordinated with other departments to obtain additional information needed for prior authorization.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
- Maintained accurate records of all authorization activities in the database system.
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Provided guidance to providers regarding the prior authorization process.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
- Maintained files for referral and insurance information, entering referrals into system.
- Processed appeals in a timely manner as per policy guidelines.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
- Clarified patient inquiries and questions to update patient account information in computer system.
- Scheduled patient appointments, diagnostic specialty appointments, tests and procedures.
- Interpreted benefit language in order to determine covered services under each plan type.
- Input claim, prior authorization, and other important medical data into system.
- Communicated authorization decisions, including approvals and denials, to healthcare providers and patients.
- Trained new staff on prior authorization procedures and company policies.
- Assisted healthcare providers with appeals for denied authorizations, including gathering additional information and documentation.
Education
Associate of Applied Science -
Atlantic Cape Community College
Mays Landing, NJ 09.2010 - 09.2012
Skills
- Sales strategy
- Customer relationship management
- Market analysis
- Product pricing
- Team leadership
- Conflict resolution
- Effective communication
- Staff training
- Motivational skills
- Resolution-oriented
- Systems and software expertise
- Exceptional multi-tasker
- Goals and performance
- Staff management
Timeline
Prior Authorization Specialist
Advocare Stafford Orthopedics
05.2014 - 02.2020
Associate of Applied Science -
Atlantic Cape Community College
09.2010 - 09.2012
Sales Manager
Tomasello Winery
04.2010 - Current