Diane Soto
Director Of Operations
Magna,Utah
Summary
Talented Director with excellent attention to detail, customer service and facility oversight skills coupled with more than 25 years of experience. Highly effective and comfortable working with people at all organizational levels.
Overview
21
21
years of professional experience
Work History
Director, Insurance Verification
Byram Healthcare
Salt Lake City, UT
10.2017 - Current
- Hired and directed teams to achieve daily and long-term operations and business goals.
- Developed processes and procedures to enhance efficiencies.
- Trained and managed team leaders and discussed issues to provide resolution and apply best practices.
- Optimized operational processes by developing company-wide analytics tool to address client-specific metrics.
- Worked with team leaders to arrange schedules based on production requirements and available resources.
- Monitored office workflow and administrative processes to keep operations running smoothly.
- Assisted company executives during decision-making process by compiling daily reports to suggest corrective action.
- Managed daily operations while overseeing multiple locations to foster increased productivity.
- Determined appropriateness of payers to protect organization and minimize risk.
- Managed Outsourced team of 60 in both India and Philippines.
Assistant Manager
Byram Healthcare
Salt Lake City, UT
04.2016 - 10.2017
- Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies.
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Generated repeat business through exceptional customer service and responded to customer concerns with friendly and knowledgeable service.
- Assessed job applications and made hiring recommendations to bring in top candidates for key vacancies.
- Conducted weekly staff meetings to motivate staff members, address concerns and questions, plan improvements, and evaluate progress toward goals.
- Planned team-building exercises to increase employee performance and job satisfaction.
Collections Supervisor
Byram Healthcare
Salt Lake City, UT
06.2014 - 04.2016
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Handled customer complaints, resolved issues and adjusted policies to meet changing needs.
- Evaluated employee performance and coached and trained to improve weak areas.
- Maintained compliance with company policies, objectives and communication goals.
- Worked with management team to implement proper division of responsibilities.
- Interviewed, hired and trained new employees for production positions.
- Supervised and coordinated activities of collections employees attempting to gather monies owed from Insurance Companies.
- Processed payments and applied to customer balances.
Appeals Coordinator
Intermountain Healthcare
Ogden, Utah
04.2006 - 05.2014
- Created, composed and maintained appeal response templates.
- Acted as a departmental resource on appeals matters.
- Developed appeals functions, policies and procedures, and documentation.
- Generated, posted and attached information to claim files.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Appeals Supervisor
PacifiCare Of California
Cypress, CA
03.1998 - 06.2003
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Handled customer complaints, resolved issues and adjusted policies to meet changing needs.
- Evaluated employee performance and coached and trained to improve weak areas.
- Maintained compliance with company policies, objectives and communication goals.
- Set overall vision and provided team leadership.
- Created successful work schedules for each team member to maintain deadlines and fully staff shifts.
- Identified individual employee's unique work styles and adapted management methods.
Education
Bachelor's - Business Management
University of Phoenix
Layton, UT06.2008
Skills
- Office Management
- Staff Leadership
- Teamwork and Collaboration
- Patient Eligibility Requirements
- Customer Service
- Coverage and Authorizations
- Insurance Coverage Verification
- Customer Relationship Management
- Organization and Time Management
- Medical Billing
- Medicare Knowledge
- Insurance Terminology
- Electronic Medical Record
- Benefits Verifications
- Organizational Policies
Timeline
Director, Insurance Verification
Byram Healthcare
10.2017 - Current
Assistant Manager
Byram Healthcare
04.2016 - 10.2017
Collections Supervisor
Byram Healthcare
06.2014 - 04.2016
Appeals Coordinator
Intermountain Healthcare
04.2006 - 05.2014
Appeals Supervisor
PacifiCare Of California
03.1998 - 06.2003
Bachelor's - Business Management
University of Phoenix
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