Microsoft Office
ASHLEY M. FIORITO
North Huntingdon,PA
Summary
Experienced Quality Auditor with well-honed analytical skills with regulatory compliance auditing experience for 5 years. Solution-focused professional highly-regarded among peers and supervisors in Durable Medical Equipment industry. Skilled auditor who works diligently with all levels of peers, management and external authorities.
Overview
15
15
years of professional experience
Work History
Internal Quality Auditor
ZOLL Lifecor Corp
Pittsburgh
03.2017 - Current
- Perform and control full audit cycle including risk and control management
- Determine audit scope and develop annual plans
- Support every aspect of internal audit quality system from audit planning, implementation, feedback and re-audit
- Obtain, analyze and review documentation, reports, data, flowcharts and any necessary documentation to evaluate risk
- Prepare and present audit results
- Act as an objective source to ensure validity, legality and goal achievement
- Identify potential process gaps and recommend risk aversion measures and cost savings
- Consistent open communication with management, audit committee and peers
- Conduct follow up audits to monitor and measure success of new processes and procedures
- Scheduled and executed 6 yearly National Account and High Risk audits.
Senior Reauthorization Specialist
ZOLL Lifecor Corp
Pittsburgh
10.2014 - 03.2017
- Point of contact for moderate issues relative to reauthorizations
- Assisted sales field with reauthorization process and any inquiries regarding department standards
- Ensured all reauthorizations are worked in a timely manner to maximize revenue opportunities
- Assisted team with objectives set by department manager, including daily expectation setting
- Provided feedback, including monthly 1:1 meetings with team members
- Assisted with creation of new or improved processes as needed including departments SOPs
- Participated in the hiring process of potential new employees
- Responsible for compiling and working on various reports on a regular basis to ensure department process are executed appropriately
- Developed targeted communication strategies for diverse audiences, resulting in increased engagement.
- Mentored junior team members, fostering a culture of learning and career development within the department.
- Answered client queries and complaints to provide strong customer service.
- Managed internal company correspondence by delivering documents, memos and newsletters to appropriate personnel.
Reauthorization Specialist
ZOLL Lifecor Corp
Pittsburgh
01.2013 - 10.2014
- Enhanced team productivity by streamlining processes and implementing time-saving strategies.
- Developed strong client relationships through consistent communication and attentive service.
- Collaborated with cross-functional teams to achieve project goals on time and within budget.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
- Negotiated favorable contracts with vendors, securing high-quality products at competitive prices.
- Mentored junior team members, fostering professional growth through guidance on best practices in the industry.
- Championed the adoption of new software tools that streamlined workflows across multiple departments.
- Oversaw daily operations of a busy office environment, ensuring tasks were completed efficiently and accurately.
- Earned recognition as a top performer consistently exceeding targets throughout my tenure as a specialist in the field.
- Followed all company policies and procedures to deliver quality work.
- Listened and responded to customer requests and forwarded necessary information to superiors.
- Assisted with staff training to enforce quality, safety and sanitation guidelines.
- Developed and managed relationships with key clients and partners to drive growth.
- Created and delivered presentations to internal and external stakeholders to showcase work.
- Monitored industry trends to adapt strategies accordingly.
- Evaluated customer needs and feedback to drive product and service improvements.
- Conducted regular reviews of operations and identified areas for improvement.
- Generated reports detailing findings and recommendations.
- Developed and updated tracking spreadsheets for process monitoring and reporting.
Program Representative
Theracom/Amerisource Bergen
Monroeville
03.2011 - 01.2013
- Researched and verified insurance coverage
- Acquired prior authorizations and submitted to appropriate entities
- Managed patient accounts with excellent documentation
- Communicated with physician offices, patients, insurance providers, pharmacy’s and pharmacy representatives
- Facilitated pharmacy appeals between physician offices and insurance providers
- Solved any billing issues or inquiries
- Assisted in patient assistance programs when needed
- Processed and coordinated requests via phone, email, or fax internally and externally
- Interacted and worked with team members and management to help in the daily productivity
Medical Office Assistant
Steel Valley Infectious Diseases
Monroeville
03.2009 - 03.2011
- Improved patient satisfaction by efficiently scheduling appointments and managing patient records.
- Assisted physicians in providing high-quality care, completing insurance forms and handling referrals promptly.
- Contributed to a positive work environment by maintaining organized files and facilitating clear communication between staff members.
- Increased accuracy of billing processes by carefully reviewing invoices and verifying insurance coverage before submission.
- Maintained strict compliance with HIPAA regulations, ensuring the confidentiality of sensitive patient information.
- Provided compassionate support to patients during check-in/check-out process, addressing concerns and answering questions as needed.
- Supported administrative tasks such as ordering supplies, inventory management, and filing medical documents for streamlined office workflow.
- Ensured smooth daily operations by managing incoming calls professionally while addressing inquiries or directing them to appropriate personnel.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Updated patient information and insurance details for accurate electronic medical records.
- Obtained pre-authorization from insurance companies ahead of medical services.
- Reconciled daily payments received and prepared deposits for smooth office finances.
- Assisted with medical coding and billing tasks.
- Answered phone calls and messages for one Infectious Disease Practice, scheduling appointments, and handling patient inquiries.
Education
Medical Billing and Coding -
Career Training Academy
Monroeville, PA2008
Certification - Transcription
West Virginia University
Online2005
Microsoft Office Products -
Community College of Allegheny County
West Mifflin, PA2005
High School Diploma -
Gateway Senior High School
Monroeville, PA2002
Skills
- Root Cause Analysis
- Problem Solving
- Attention to Detail
- Documentation Review
- Project Management
- Risk Assessment
- Internal Auditing
- Time Management
- Analytical Skills
- Computer Literacy
- Statistical Analysis
- Decision Making
- Organizational Skills
- Process Improvement
- Audit Process Management
- Workflow Planning
- Process Implementation
- Performance Improvement
- Policy and Procedure Modification
- Performance Monitoring
- Mathematical Calculation
- Reporting and Analysis
- Word Processing
- Decision-Making
- Critical Thinking
- Presentation Skills
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software
Timeline
Internal Quality Auditor
ZOLL Lifecor Corp
03.2017 - Current
Senior Reauthorization Specialist
ZOLL Lifecor Corp
10.2014 - 03.2017
Reauthorization Specialist
ZOLL Lifecor Corp
01.2013 - 10.2014
Program Representative
Theracom/Amerisource Bergen
03.2011 - 01.2013
Medical Office Assistant
Steel Valley Infectious Diseases
03.2009 - 03.2011
Medical Billing and Coding -
Career Training Academy
Certification - Transcription
West Virginia University
Microsoft Office Products -
Community College of Allegheny County
High School Diploma -
Gateway Senior High School