Cynthia Forbach
Hawthorne,FL
Summary
Adept at managing accounts receivable and excelling in claims resolution, my tenure at Blue Cross Blue Shield of Florida significantly enhanced operational efficiency by implementing workflow improvements. My expertise in Excel and effective verbal communication fostered strong relationships and ensured data accuracy, aligning with the latest industry practices.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Claims Examiner
Blue Cross Blue Shield of Florida
Jacksonville, FL
12.2004 - 11.2024
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
- Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
- Researched claims and incident information to deliver solutions and resolve problems.
- Maintained current knowledge of industry developments, regulations, and best practices through continuous professional development activities.
Accounts Receivable Clerk
Bank of America
Jacksonville, FL
08.1998 - 12.2003
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Submitted cash and check deposits and generated cash receipts to record money received.
- Maintained up-to-date customer contact information, enabling effective communication regarding account status and payment inquiries.
- Provided exceptional customer service when addressing client inquiries about their account status or billing concerns, building strong, long-lasting relationships.
- Used accounting software to reconcile accounts, track income, and generate invoices.
- Contributed to month-end closing procedures by preparing detailed accounts receivable aging reports for management review.
- Reconciled accounts receivable ledger to verify payments and resolve variances.
Education
High School Diploma -
ST. AUGUSTINE HIGH SCHOOL
ST. AUGUSTINE, FL06-1989
Skills
- Claims Resolution
- Accounts Receivable Management
- Effective Verbal Communication
- Invoice Reconciliation
- Data Accuracy Assurance
- Accurate Payment Posting
- Financial Deposit Handling
- Excel Proficiency
- Accounts Receivable Automation Tools
Accomplishments
- Achieved goals set by CMS (Centers for Medicare & Medicaid Services) introducing excel spreadsheets for medical claims processing.
- Achieved level 4 status through effectively helping with high dollar audits.
- Supervised team of 12 staff members for training.
- Achieved data entry goals, for electronic 30 days and mail 60 days into system for claims processing
Certification
- Florida Driver's License
Languages
English
Full Professional
Timeline
Claims Examiner
Blue Cross Blue Shield of Florida
12.2004 - 11.2024
Accounts Receivable Clerk
Bank of America
08.1998 - 12.2003
High School Diploma -
ST. AUGUSTINE HIGH SCHOOL
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