Lizbeth Caviness
Fort Washington,MD
Summary
Experienced professional with a diverse background in sales management, insurance, data entry, human resources, and customer service. Seeking a collaborative team environment that fosters the achievement of business and sales objectives. Recognized for meticulous attention to detail, eagerness to learn, determination, and strong organizational skills. Fluent in both English and Spanish, with expertise in data entry, administrative tasks, and sales management. Committed to supporting colleagues' success and contributing to overall company growth through effective team building. Demonstrated ability to lead successful teams, host events, and recruit top talent.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Insurance Coordinator
Hudson Orthodontics
10.2023 - Current
- Verified insurance and communicated coverage to staff and patients.
- Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
- Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Filed and tracked insurance claims and communicated claims status to patients.
- Obtained prior authorization and precertification for outpatient procedures.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
- Contributed positively to team morale by consistently demonstrating a collaborative attitude and willingness to support colleagues.
- Enhanced customer satisfaction by efficiently handling insurance claims and processing policy updates.
- Maintained compliance with local, state and federal regulations governing insurance, Medicare and Medicaid requirements.
- Spearheaded initiatives to improve internal processes, resulting in reduced wait times for customers seeking assistance or quotes.
- Streamlined office workflows for increased productivity, organizing and maintaining client files.
- Reduced claim-processing time by implementing an improved tracking system for faster resolution.
- Conducted thorough policy reviews, identifying gaps in coverage and offering appropriate solutions.
- Stayed updated on current industry news through regular attendance at conferences and seminars.
- Trained 7 staff members on current Medicaid regulations and guidelines.
- Mentored new hires within the department, sharing best practices and fostering team cohesion.
- Improved client retention through proactive policyholder outreach and exceptional customer service.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Posted payments to accounts and maintained records.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Generated, posted and attached information to claim files.
- Calculated adjustments, premiums and refunds.
- Maintained confidentiality of patient finances, records, and health statuses.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Processed and recorded new policies and claims.
- Checked documentation for accuracy and validity on updated systems.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Modified, updated and processed existing policies.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Communicated verification and authorization status updates with contracting department to facilitate decision-making for patient admissions and insurance coverage.
- Notified insurance agents and accounting departments of policy cancellations and changes.
- Coordinated with contracting department to resolve payer issues.
Scheduling Coordinator
Hudson Orthodontics
08.2022 - 10.2023
- Utilized advanced software tools like Excel, Outlook, and scheduling-specific platforms to effectively manage comprehensive appointment calendars.
- Proactively identified scheduling issues and developed quick solutions to promote efficiency and profitability.
- Managed daily scheduling conflicts to reduce operational backlogs and support full shift-coverage.
- Communicated scheduling changes to staff members, implementing proof-of-receipt to reduce errors.
- Optimized workflow by prioritizing tasks based on urgency and aligning staff assignments accordingly.
- Fostered a positive work environment by addressing employee schedule concerns in a timely manner and with empathy.
- Supported company growth by effectively managing an increasing volume of scheduling requests without compromising service quality.
- Developed strong working relationships with management and executive team through effective scheduling and communication skills.
- Generated reports and tracked data to monitor operational priorities and scheduling.
- Increased patient satisfaction through timely appointment scheduling and proactive management of wait times.
Beauty Manager
Sephora
02.2019 - 08.2021
- Successfully run a top performing Sephora Boutique located inside JCPenney, Hyattsville
- Achieved accolades for exceeding sales plan for the year of 2019
- Consistently praised for top performance of 30%+ above sales goals which lead to an overall profit for my store annually of 1.2 million dollars
- Lead my team through consistent in the moment coaching and building confidence through realistic goals and challenging team members to provide excellent customer service and thorough store operation processes
- Worked side by side with loss prevention to curb shrink and business planning with my field manager to optimize productivity of store profits according to placement of product on floorplans
Operations Manager
Sephora
07.2017 - 02.2019
- Oversee administrative paperwork and processes
- Coaching teams productivity and sales quota
- All operational tasks including but not limited to: price changes, shipment check in, weekly merchandising of product, processing of damages, return to warehouse, and product updates
- Accomplished top 10% of online fulfillment in company region
- Top performer in sales and credit participation
- Visual merchandising and weekly updates of floorplans
Beauty Manager
Sephora inside Jcpenney
09.2016 - 07.2017
- Ensuring a play and learn environment for clients
- Creating sales plans to drive goals through use of Excel
- Recruiting, interviewing and hiring new talent
- Creating training plans for each associate
- Composing store schedule bi-weekly
- Driving weekend events by creating interesting and dynamic sales incentives
- Coaching associates in the moment and composing coaching profiles for each
- Driving metrics such as credit and sales through coaching and in-store competitions
- Reviewing performance with district and field managers
- Review business monthly and expressing opportunities to team
- Successfully completed store updates and processed damages, testers, and return to vendors
- Receive, open and stock floor with shipment
- Update Inventory weekly
Department Supervisor
JCPenney
09.2015 - 09.2016
- Areas of responsibility: Fine Jewelry, Shoes, Handbags, Lingerie
- Shipment planning for incoming delivery trucks 3 times a week
- Coaching associates to become first in sales of jewelry warranties in my district 6 months' straight
- Inventory maintenance and ordering of supplies
- Daily execution of clerical duties for jewelry department including processing customer repairs, securely checking in thousand dollar packages
- Manage team of 50+ sales associates
- Floor sets according to company directive
- Planning of sale events Utilization of resources to increase sell-through of stock
- Assisting in successfully becoming store of the week for our district
- Daily use of Word, Office email and Excel
- Cash room functions such as making change, opening/closing registers, counting down the safe when shutting down the store
Sales manager, Visual merchandiser, Fine jewelry Sales Consultant, Cashier
Macys
04.2013 - 02.2015
- Sales manager: Ensured all associate training was conducted on a timely basis
- Assuring shift coverage each week by actively reaching out to associates
- Quarterly review of associate performances
- Conducted interviews and actively prospected for open positions
- Created detailed sales plans to reach daily, weekly and monthly sales goals
- Assuring my departments were neat and tidy for next business day
- Worked closely with Loss Prevention to effectively complete daily procedures
- Handled executive in charge duties: led management meetings weekly reviewing sales goals/plans, hosted community charity fundraisers, associate scheduling
- Visual merchandiser: Performing quarterly inventory
- Following companywide directives for store trends in a compelling and exciting manner
- Maintained mannequins, beds and displays each day
- Understanding customer preferences and exercise judgement when deviating from company directives to appeal to specific customer base
- Construct, paint, set-up and install signs, sale banners, panels, and other items required for special events and fashion shows
- Built multiple decorative fixtures throughout the store using hand and power tools
- Traveled to other stores in the area to assist with trend set-ups
- Pulled merchandise to set-up visual representations using the loan book to check merchandise into and out of departments
- Fine watch department-TAG HEUER SPECIALIST: Received Tag Heuer Specialist certificate
- Top sales with average unit sold retailing at $2,000
- Held open and constant communication with vendors
- Trained 10 new associates on department regulations and high value security
- Communicating to clients about sales and events
- Restocking watch cases, ensuring security procedures are met
- Recorded repairs and shipped items to repair centers
- Sold the benefits of jewelry protection plans with each purchase
- Cashier: Handling Purchases, returns, and payments courteously and professionally
- Assisting any customers in any department in the store
- Maintaining cleanliness of sales floor and fitting rooms
- Maintained a professional attitude with sincerity and enthusiasm
- Adding clients to our 'My Client' program
- Opening Macy's credit cards
Fine Jewelry Consultant/Clerical
Sears
01.2012 - 12.2012
- Cleaned Jewelry and Sized Watches in a timely manner for clients
- Shipped items for repair, including packaging, printing out correct labels, insuring high value items correctly, and contacted customers to update them on shipping/repair status
- Received and made Customer service calls
- Preparing Repair logs and filed all paperwork
- Creating online purchases and followed up with every customer to ensure satisfaction
- Processed Returns/Payments, Created Layaways
- Designed jewelry display cases to appeal with customer demands
Cashier/Customer Service Representative/Human resource assistant
Sears
01.2008 - 12.2012
- Served as a Human resource assistant
- Received Top Credit Card seller award
- Encouraged Sales, Processed Payments/Returns, Online Purchases
- Greeted Customers in a happy and inviting manner
- Restocked merchandise/Display decoration
- Recovered the sales floor during high volume periods
- New Hire Training
- Balanced cash drawers
- Constantly maintained a clean and orderly checkout area
Education
Associate in Interior Design -
Eastern Florida State College
Melbourne, FL01.2011
Associate in Arts - General Studies
Eastern Florida State College
Palm Bay, FL01.2010
Skills
- Microsoft office
- Microsoft word
- Microsoft Excel
- Sales Management
- Interviewing
- Loss Prevention
- Fundraising
- Event Planning
- Retail Management
- Merchandising
Certification
TAG HEUER SPECIALIST
Personal Information
Title: Customer service expert
Awards
- Presidents Award
- Deans List
Volunteer Experience
- Project Response administrative/case assistant
- Habitat for Humanity of Brevard County
- Palm Bay West Little League administrative assistant
Timeline
Insurance Coordinator
Hudson Orthodontics
10.2023 - Current
Scheduling Coordinator
Hudson Orthodontics
08.2022 - 10.2023
Beauty Manager
Sephora
02.2019 - 08.2021
Operations Manager
Sephora
07.2017 - 02.2019
Beauty Manager
Sephora inside Jcpenney
09.2016 - 07.2017
Department Supervisor
JCPenney
09.2015 - 09.2016
Sales manager, Visual merchandiser, Fine jewelry Sales Consultant, Cashier
Macys
04.2013 - 02.2015
Fine Jewelry Consultant/Clerical
Sears
01.2012 - 12.2012
Cashier/Customer Service Representative/Human resource assistant
Sears
01.2008 - 12.2012
Associate in Interior Design -
Eastern Florida State College
Associate in Arts - General Studies
Eastern Florida State College