Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
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Ashley Yorio

Verona,PA

Summary

Highly organized and detail-oriented professional with strong work ethic and dedication to achieving goals. Versatile and results-driven with a robust background. Skilled in business development and insurance verification, adept at multitasking and organization.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Coordinator Complaint Appeals

Aetna, A CVS Health
11.2022 - Current
  • Acted as departmental resource on appeal matters.
  • Created, composed and maintained appeal response templates as needed.
  • Provided excellent customer service to patients and medical staff.
  • Used job-related software to complete daily tasks.

Benefit Verification Specialist

CVS Specialty Pharmacy
10.2020 - 10.2022
  • Provided exceptional customer service by addressing patient concerns regarding coverage and out-of-pocket expenses.
  • Managed high-volume caseloads while maintaining strict deadlines for completing benefit verifications and authorizations.
  • Ensured compliance with HIPAA regulations during all aspects of benefit verification process, protecting patient privacy.
  • Improved patient satisfaction by accurately verifying benefits and providing timely responses to inquiries.
  • Collaborated with cross-functional teams to address discrepancies in patient information, ensuring accurate billing and reimbursement.
  • Worked on Special Project's within my team

Retail Sales Associate

Visionworks
02.2020 - 10.2020
  • Organized store merchandise racks and displays to promote and maintain visually appealing environments.
  • Verified insurance coverage
  • Developed professional relationships with customers to increase loyalty, retention and rapport.
  • Performed pretest

Assistant General Manager

Scene75 Entertainment Centers
05.2018 - 01.2020
  • Handled cash accurately and prepared deposits.
  • Motivated, trained, and disciplined employees to maximize performance.
  • Collaborated with General Manager on marketing initiatives to increase brand awareness and drive sales growth.
  • Increased customer satisfaction by addressing and resolving concerns in a timely manner.
  • Acted as Business Development Manager for months

Real Estate Agent/Property Manager

GPRES Property Management
04.2016 - 05.2018
  • Managed contracts, negotiations, and all aspects of sales to finalize purchases and exceed customer expectations.
  • Negotiated, facilitated, and managed real estate transactions.
  • Advertised client properties through websites, social media, and real estate guides.
  • Handled tenant complaints promptly and appropriately, calling in repairmen, and other support services.
  • Maintained positive landlord-tenant relationships, ensuring clear communication and prompt resolution of any disputes.

Team Member

Zone 28
08.2006 - 01.2016
  • Kept work areas clean, organized, and safe to promote efficiency and team safety.
  • Cross trained in different areas, and received supervisor training.
  • Trained new employees.
  • Learned all required tasks quickly to maximize performance.
  • Worked scheduled shifts and remained available to work during coworker absences, holidays, and busy periods.
  • Contributed to team success by completing jobs quickly and accurately.

Education

Associate of Arts - Criminal Justice, Social Work

Community College of Allegheny County
Pittsburgh, PA

Skills

  • Customer Service
  • Data Entry
  • Relationship Building
  • CRM Software
  • Insurance Verification
  • Multitasking and Organization
  • Microsoft Office
  • Business Development
  • Cross-Functional Collaboration

Certification

  • Licensed Real Estate Agent - April 2016- May 2018

References

Susan Kozak

GPRES

724-355-1477


Jeanne Crichlow

Scene75 Entertainment Center

412-298-6607


Eleanor McManus

Aetna

856-505-7503


Talor Davidson

CVS Health

814-558-0828


Beau V

Zone 28

412-370-1653

 




Timeline

Coordinator Complaint Appeals

Aetna, A CVS Health
11.2022 - Current

Benefit Verification Specialist

CVS Specialty Pharmacy
10.2020 - 10.2022

Retail Sales Associate

Visionworks
02.2020 - 10.2020

Assistant General Manager

Scene75 Entertainment Centers
05.2018 - 01.2020

Real Estate Agent/Property Manager

GPRES Property Management
04.2016 - 05.2018

Team Member

Zone 28
08.2006 - 01.2016

Associate of Arts - Criminal Justice, Social Work

Community College of Allegheny County
Ashley Yorio