Debra Douglas Sotero
* **** ****** *** *******, CT 06776 860-***-**** **********@***.***
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SUMMARY OF QUALIFICATIONS:
●Well developed managerial abilities; deal equitably with all levels
●Excellent written and verbal communication skills
●Proven problem-solving skills
●Strong team player; equally effective working independently
●Proficient in Microsoft Word, Excel and Outlook
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EDUCATION:
Bernard M. Baruch College
Bachelor of Arts in Sociology
PROFESSIONAL EXPERIENCE:
Payment Variance Coordinator September 2002 – March 2010
New Milford Hospital, New Milford, CT
Responsible for overseeing functions of the Contract/Claims Management Analysis System to manage claims, contracts and payment compliance
Knowledge of all managed care contracts and CPT Codes (Current Procedural Terminology)
Generated Contract Analysis Reports for analyzing reimbursement with the negotiated terms of the managed care providers
Alerted Director of Managed Care system discrepancies related to payment methodology
Maintained and solidified working relationships with managed care Provider Service Representatives and Network Managers scheduling on-going conference calls, extensive written, verbal and fax communications to ensure timely resolution on reported issues
Designed and implemented internal spreadsheet tracking all reported variances detailing issues, expected revenue and final disposition
Reported to Management providing results on variance projects, percentage of claims requiring further internal departmental review, total revenue recouped; and recommendations to increase contract underpayment recoveries more efficiently and effectively
Lead and provided guidance to Patient Accounts staff to streamline workflow
Provided systems training to support users on module upgrades
Office Manager April 1999 – September 2002
Carol Bancroft & Friends, Bethel, CT
Responsible for overseeing daily operations for Agent representing illustrators specializing in art for children’s books
Reviewed and processed contracts
Tracked job assignments
Scheduled Agent’s appointments with publishers
Maintained office equipment including service contracts
Ordered supplies; monitored expenditures
Processed Cash Disbursements/Cash Receipts
Generated invoices and statements
Client follow up on overdue accounts
Trained Interns
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Curriculum Vitae
Debra Douglas Sotero
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Executive Office Manager December 1994 – July 1998
Hotel Martha Washington Corp.
DBA Martha Washington Hotel, New York, NY
Responsible for hiring, scheduling and training operations
Managed thirty employees: front desk, housekeeping, engineering and bellmen for a 451 room hotel
Developed and implemented training programs and procedures for front desk staff to ensure efficient customer service and increasing revenue
Instituted and led staff meetings to minimize staff/general administration conflicts and issues
Acted as liaison between hotel and Union Delegate in union employee conflicts
Acted as liaison between hotel and attorney in landlord/tenant disputes
Prepared and executed documents required for landlord/tenant court proceedings and provided testimony on behalf of the Corporation
Introduced cost effective medical coverage for front desk staff
Monitored and processed payroll, daily cash receipts, reconciliation of bank statements
Tracked and reduced expenditures
Accounts Receivable Coordinator December 1987 – December 1994
Assistant Operations Coordinator
American Agip Company, Inc., New York, NY
Accounts Receivable Coordinator
Responsible for daily cash receipts, cash applications and account reconciliations
Assisted with the implementation/enhancements of systems for accounts receivable processing, generating invoices, past due notices and reports
Collection calls to clients and scheduling payments
Worked closely with Sales Representatives relating to credit hold accounts
Generated reports for Credit Manager
Promoted from Assistant Operations Coordinator
Tracked movement of gasoline inventory with terminals
Responsible for advising customs broker of imports
Maintained liaison with banks relating to letters of credit
Reviewed and authorized purchases, insurance, storage facilities and payment of invoices