Carly Kilby
Ruckersville,VA.
Summary
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
08.2019 - 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
12.2017 - 08.2019
- 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
08.2016 - 01.2018
- 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
09.2013 - 08.2016
- 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
10.2008 - 01.2010
- 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
05.2003 - 09.2004
- 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
- Page | 5
- 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, Illinois2002
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
08.2019 - Current
Patient Care Coordinator
Martha Jefferson
12.2017 - 08.2019
Estee Lauder Counter Manager
Belk
08.2016 - 01.2018
Education Lead/Co-Manager, Cosmetic Advisor
Sephora
09.2013 - 08.2016
Service Supervisor
Coles
10.2008 - 01.2010
Lancôme Counter Manager
Bergners
05.2003 - 09.2004
High School Diploma -
GCS Highschool
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