Highly skilled customer service and medical authorization professional. Over twenty years of experience in customer service. Professional, dependable, and self-motivated. Dedicated to ensuring that work objectives are organized and goals are surpassed.
Overview
12
12
years of professional experience
Work History
Pre-Cert Authorization Coordinator
UVA Medical Center
Charlottesville, VA
2019.08 - Current
Verifies Patient insurance, coordinating benefits, addressing patient’s concerns, patient-eligibility process and other matters relating to authorization and turnaround
Obtains pre-certifications for inpatient admission and pre-authorization for all outpatient diagnostic tests and performed administrative support function
Applies interpretation of policies and procedures and used independent judgement
Analyzes information required to complete pre-certifications and/or authorizations with insurance carriers service area contacts and workman’s compensation carriers
Demonstrates skill in proficient use of PC and software systems to ensure all pre-certification/pre-authorization information is entered into required computer systems in accurate and timely manner
Demonstrates excellent communication decision-making and organization skills to ensure efficient job performance and job success
Prepares pricing estimate information and contacts patients to provide pricing estimates, payment information, and Insurance benefits.
Patient Care Coordinator
Martha Jefferson
Charlottesville, VA
2017.12 - 2019.08
Consistently exceeded productivity expectations
Earned yearly bonus
Obtained Precertification for patient imaging averaging of 25 completed cases daily
Utilized Epic for scheduling patients by phone
Managed digital data pertaining to patient demographics
Proficient in medical programs like OnBase, Epic, and HBOC
Analyzed and maintained patient records and medical orders
Coordinated with all relevant facility departments and physicians to maintain patient scheduling
Responded to and resolved all patient service requests and call backs
Collected patient insurance documents and medical history records with accuracy and confidentiality
Collected Patient copays and payments
Demonstrated outstanding customer service and interpersonal skills
Facilitated communication between hospital departments
Estee Lauder Counter Manager
Belk
Charlottesville, VA
2016.08 - 2018.01
Effectively managed $800,000 sales counter business
Ranked top 5 in company regional sales performers
Collected Patient copays
Maintained client demographics and data to use for future orders, product needs, and tracking
Collected client orders and payments
Consistently exceeded corporate sales goals while displaying prompt, courteous, knowledgeable, and professional customer service
Tracked all events and collaborated with lead scheduler to create maximum counter coverage
Supported company initiatives and objectives
Knowledgeable of all product sold and their benefits
Tailored skincare and makeup plan to fit client need
Led team of skilled sales associates to achieve set goals through proper training and through demonstrating successful sales technique and etiquette
Organized and managed department stock, ensuring that product is inventoried, replenished, and available for customers by adhering to company quality standards
Resolved customer concerns and complaints
Tracked and projects sales goals, requiring consistent collaboration with brand representatives and store management
Headed and organized monthly sales events to ensure annual counter revenue goals were exceeded.
Education Lead/Co-Manager, Cosmetic Advisor
Sephora
Charlottesville, VA
2013.09 - 2016.08
Scheduled and executed all new associate orientation and continuing education trainings and certification
Maintained brand representative relationships including scheduling store visits according to business needs
Achieved Skin 201 and Color 201 certifications
Key holder responsible for opening and closing store
Managed and executed company focused educational objectives
Provided new product and category training objectives for over 40 brands and maintained training logs
Demonstrated model client service procedure and maintained large clientele and insured customer service satisfaction
Accessed and communicated training needs and provided tailored trainings for store and cast while maintaining company focuses
Set correct tone for fast paced sales floor by motivating advisors and providing effective coaching
Ensured maintenance and presentation standards by managing associates to ensure maximum productivity
Delivered product demonstrations and sample applications, raising exposure of key brands
Facilitated change management activities for department and staff of 15+ individuals
Offered make-up tips and popular tutorials in alignment with latest trends
Maintained team efficiency by strategically delegating daily activities, monitoring output and rewarding positive contributions
Boosted satisfaction and repeat business by recommending products in alignment with customer needs
Ranked among top sales performers
Service Supervisor
Coles
Alice Springs, Australia
2008.10 - 2010.01
Effectively handled customer needs, complaints, or concerns in timely manner
Supervised up to 16 cashiers and provided training, monitoring, and assistance with operational issues
Organized maintenance trouble calls
Oversaw scheduling and execution of appropriate cashier meal breaks and rest breaks according to company requirements
Demonstrated proficiency in operation of POS systems and money handling and exchanging
Directed store telephone calls and queries.
Lancôme Counter Manager
Bergners
Galesburg, IL
2003.05 - 2004.09
Contributed to total counter sales by exceeding personal sales goals
Collected client payments
Established and maintained personal clientele
Coordinated main selling Makeup artistry events
Reorganized counter procedures, inventory, and displays
Delegated sales goals and responsibilities
Boosted, met, and maintained counter sales
Managed and maintained personal clientele
Attended regional meetings and company training schools
Trained and motivated sales team through teamwork and company initiatives
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Received and processed stock into inventory management system
Exceeded goals through effective task prioritization and great work ethic
Education
High School Diploma -
GCS Highschool
Galesburg, Illinois
2002
Skills
Insurance Eligibility Verifications
Microsoft Proficiency
Epic Cadence
Obtaining Authorizations and referrals
Outstanding Customer service
Payment collections and planning
Timeline
Pre-Cert Authorization Coordinator
UVA Medical Center
2019.08 - Current
Patient Care Coordinator
Martha Jefferson
2017.12 - 2019.08
Estee Lauder Counter Manager
Belk
2016.08 - 2018.01
Education Lead/Co-Manager, Cosmetic Advisor
Sephora
2013.09 - 2016.08
Service Supervisor
Coles
2008.10 - 2010.01
Lancôme Counter Manager
Bergners
2003.05 - 2004.09
High School Diploma -
GCS Highschool
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