Kayla Newman
Columbia
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
12
12
years of professional experience
Work History
Customer Service Representative
SPINX
05.2025 - Current
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Contributed to sales growth by upselling products and services based on individual customer requirements.
- Investigated and resolved customer inquiries and complaints quickly.
- Cross-trained and provided backup support for the Deli kitchen.
- Store safety coordinator.
Prior Authorization Specialist
Prisma Health Pediatric Endocrinology
07.2023 - 08.2024
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
- Developed comprehensive database of insurance requirements and medication coverage to streamline prior authorization process.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
- Coordinated with pharmacy staff to ensure timely dispensing of specialty medications following authorization approval.
Claims Customer Service Advocate II
BlueCross BlueShield of SC
03.2019 - 06.2023
- Examined claims forms and other records to determine insurance coverage.
- Managed a caseload of complex claims, ensuring proper handling and timely resolution for optimal outcomes.
- Collaborated with other departments to ensure seamless coordination for effective claim resolutions.
- Supported team members in resolving challenging cases, sharing expertise to foster professional growth among colleagues.
- Developed training materials for new hires to onboard them effectively into the role of Claims Adjudicator.
Department Manager
Walmart
02.2017 - 01.2019
- Oversaw inventory management processes, maintaining optimal stock levels while minimizing waste and losses due to shrinkage or obsolescence.
- Collaborated with other departments to ensure seamless coordination in achieving company-wide objectives.
- Improved customer satisfaction rates through attentive service, prompt issue resolution, and continuous process improvements.
- Maintained a professional work environment by addressing conflicts proactively and fostering open communication among staff members.
Sales Associate
Walmart
07.2013 - 02.2017
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Built relationships with customers to encourage repeat business.
- Managed returns, exchanges and refunds in accordance with store policy.
Education
Diploma - Pharmacy Technician
Penn Foster Career School
Columbia, SC05-2014
High School Diploma -
White Knoll High School
Lexington, SC05-2006
Skills
- Customer relations
- Effective listening skills
- Analytical thinking
- Detail-oriented data management
- Proficient in computer applications
- Conflict resolution
Timeline
Customer Service Representative
SPINX
05.2025 - Current
Prior Authorization Specialist
Prisma Health Pediatric Endocrinology
07.2023 - 08.2024
Claims Customer Service Advocate II
BlueCross BlueShield of SC
03.2019 - 06.2023
Department Manager
Walmart
02.2017 - 01.2019
Sales Associate
Walmart
07.2013 - 02.2017
Diploma - Pharmacy Technician
Penn Foster Career School
High School Diploma -
White Knoll High School
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