Cynthia Sellers
Detroit,MI
Summary
Accomplished Reconciliation Specialist with a proven track record at Health Alliance Plan, adept in financial reconciliation and fostering teamwork. Excelled in reducing financial discrepancies and enhancing inter-departmental communication, demonstrating exceptional problem-solving and organizational skills. Achieved significant improvements in process efficiency and customer satisfaction without compromising quality.
Overview
17
17
years of professional experience
Work History
Reconciliation Specialist
Health Alliance Plan
01.2017 - 05.2024
- Reduced financial discrepancies by consistently monitoring and resolving account variances.
- Developed custom reports for management review, highlighting significant findings from the reconciliation process.
- Ensured timely completion of reconciliations by adhering to strict deadlines and prioritizing tasks effectively.
- Assisted in periodic reviews of existing policies and procedures, suggesting updates as needed for optimal effectiveness.
- Conducted root cause analysis for recurring discrepancies, implementing corrective actions to prevent future occurrences.
- Improved communication between departments through regular collaboration on reconciliation matters.
- Effectively communicated with clients about payment needs and kept updated, detailed and accurate ledgers.
- Managed and responded to correspondence and inquiries from customers and vendors.
- Supported management by processing invoices and documents with consistent on-time delivery.
- Maintained account accuracy by reviewing and reconciling checks monthly.
Claims Processor II
Health Alliance Plan
02.2013 - 01.2017
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Managed workload and priorities to meet claims processing meet deadlines.
- Maintained detailed records of all processed claims for easy retrieval during audits or disputes.
- Participated in various professional development opportunities to stay current on industry regulations, best practices, and emerging technologies relevant to claim processing activities.
- Reduced backlog of pending claims, prioritizing tasks effectively and efficiently.
- Generated, posted and attached information to claim files.
Claims Processor I
Henry Ford Health Systems
01.2007 - 02.2013
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Managed workload and priorities to meet claims processing meet deadlines.
- Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
- Followed up with customers on unresolved issues.
- Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
Education
High School Diploma -
Mumford High
Detroit, MI06-1978
Skills
- Transaction monitoring
- Financial reconciliation
- Data reconciliation
- Teamwork and collaboration
- Customer service
- Problem-solving
- Multitasking
- Reliability
- Excellent communication
- Organizational skills
- Microsoft Excel
- Microsoft office
- Financial records and reporting
- Data entry
- Professionalism
Timeline
Reconciliation Specialist
Health Alliance Plan
01.2017 - 05.2024
Claims Processor II
Health Alliance Plan
02.2013 - 01.2017
Claims Processor I
Henry Ford Health Systems
01.2007 - 02.2013
High School Diploma -
Mumford High
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