Loyda Soto
Lititz, PA *********@*****.***
SUMMARY OF QUALIFICATIONS
• Experienced, very proactive business professional known for partnering very well with all levels of management, staff, and public, excelling in healthcare services.
• Expertise with healthcare files auditing, healthcare documentation, insurance contracts, credentialing for physicians and healthcare employees, regulatory and compliance,, and leadership for nonprofit ministry organizations.
• Computer skills, MS Office 365 ~ Word, Excel, Access, PowerPoint, Project Management (P3/Primavera), Munis, NetClaim, SharePoint, Visio, Google Calendar, Google Suite, Outlook, EPIC, Paylocity, CAQH, State Credentialing.
• Proficiently fluent in the Spanish language (speak, read, and write). EMPLOYMENT HISTORY
TotalCare - LHC, New Haven, CT
Business Manager 2019-2021
• Managed, reviewed applications, and scheduled interviews for clinical candidates for open positions.
• Onboarding for new hires, I-9 verification, training, and benefits.
• Processed visits, insurance claims, billing, supplies, procurement, and charges for office.
• Created, reviewed, sent and processes Medicare referrals.
• Managed and provided support using SharePoint, CAQH, (HCHB) HomeCare HomeBase, Word, Excel spreadsheets, PowerPoint presentations.
New Haven Board of Education, New Haven, CT
Administrative Assistant II 2015–2018
• Managed and audited office HR files, clinician schedules, timesheets, and payroll.
• Provided support to new hires on benefits and assisted with benefits entry.
• Credentialing for clinicians and physicians managing state and CAQH information.
• Processed visits, insurance claims, billing, supplies, procurement, and charges for office.
• Created, reviewed, sent and processes Medicare referrals.
• Managed and provided support using SharePoint, CAQH, (HCHB) HomeCare HomeBase, Word, Excel spreadsheets, PowerPoint presentations.
Loyda Soto Page 2
Northeast Utilities, Berlin, CT
Analyst 2001–2012
• Managed employee compensation and benefits for Planning Department.
• Intermediary with key State and Federal officials supporting regulatory and compliance.
• Analyzed projected budgets and forecast for cost areas of Transmission.
• Managed data reporting for key performance indicator results with presentation to the executive team.
• Administered the effort from inception to end of the Business Continuity Plans.
• IT Administrator of operations and tools of Primavera (PbViews). Meriden-Wallingford Hospital, Meriden, CT
Data Librarian Analyst, Office Manager 1995–2000
• Administered the accreditation process between the hospital, American Diabetes Association and State to ensure accreditation.
• Gathered and analyzed data for submission to the American Diabetes Association for certification approval
• Collaborated with team that developed and administered database of patient information
• Managed the process (information and checks disbursements), data and the reports of the Good Health Medical population.
• Provided administrative and technical support to Management and Physicians
EDUCATION
● Bachelor of Science in Management, University of Phoenix, AZ
● SHRM Certification, in progress
VOLUNTEER
Good News Christian Church, Wallingford, CT
Leadership Group 2003–2019
● Liaison with the retreat organization and ministry administering retreat outings.
● Leader over 10 volunteers for Visitor's Ministry staff from 2003 - 2005 and Nursery Director from 2011-2019.
● Leader of 15 volunteers "Servant Leaders" that taught and mentored Infants and Preschool children