Zandy Candelaria Rivera
Tampa,FL
Summary
I am a self-starter, energetic, well organized professional who works independently or as team player and has effective "People Skills" with over 10 years in the Healthcare industry both in managed healthcare, commercial and exchange focusing in the operations of both provider operations, customer service Operations as well as Advocacy and Compliance. I am looking for an opportunity for advancement Within your organization. So, I can set fourth my professional, analytical and training skills.
Overview
13
13
years of professional experience
Work History
Accounting Clerk
Paychex Inc
St. Petersburg, FL
01.2025 - Current
- Processed invoices and expense reports to ensure timely payment and accuracy.
- Maintained financial records using accounting software for streamlined reporting.
- Reconciled accounts monthly, identifying discrepancies to enhance data integrity.
- Assisted in payroll preparation by verifying employee hours and deductions.
- Collaborated with team members to implement process improvements for efficiency.
- Developed standardized templates for financial reporting to improve consistency across departments.
- Maintained accounting records utilizing in-house and client systems.
- Maintained organized filing systems for accounting records, ensuring easy access to crucial financial information when needed.
- Facilitated timely month-end closing activities by completing accurate journal entries and account adjustments.
- Assisted in payroll processing tasks such as timesheet validation, overtime calculation, benefits administration, and tax deductions.
- Provided exceptional customer service when addressing client inquiries related to invoices, payments, or account balances.
- Collaborated with other accounting clerks to maintain a cohesive and supportive work environment, fostering knowledge sharing and continuous improvement efforts.
- Supported audit preparations through meticulous documentation review and prompt response to auditor inquiries.
- Identified and resolved internal accounting variances, promoting data accuracy.
- Processed payments and documents such as invoices, journal vouchers, employee reimbursements, and statements.
- Handled day-to-day accounting processes to drive financial accuracy.
- Reconciled accounts, managed audits and updated financial records with remarkable accuracy.
- Gathered, evaluated and summarized account data in detailed financial reports.
Claims Analyst
Maximus Federal Services
Tampa, FL
08.2022 - 11.2024
- Analyzed complex claims to ensure compliance with federal regulations and company policies.
- Facilitated communication between clients and internal departments to resolve claim discrepancies efficiently.
- Developed training materials for new analysts, enhancing onboarding process effectiveness and team knowledge.
- Reviewed and processed high-volume claims, maintaining accuracy and consistency in data entry procedures.
- Conducted audits of claims files to identify errors, resulting in improved accuracy rates across the department.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
ACCOUNTS RECEIVABLE
BP- SAED, LLC
St. Petersburg
06.2016 - 07.2022
- Keeping track of all payments and expenditures, including payroll, purchase orders, invoices, statements, etc.
- Reconciling processed work by verifying entries and comparing system reports to balances.
- Maintaining historical records.
- Paying employees by verifying expense reports and preparing pay checks.
- Paying vendors by scheduling pay checks and ensuring payment is received for outstanding credit; generally responding to all vendor enquiries regarding finance.
- Preparing analyses of accounts and producing monthly reports.
- Continuing to improve the payment process.
TALENT ADMIN
BARBIZON
Tampa
03.2014 - 05.2016
- Designing and delivering employee training programs (e.g. individual, team, skill-based and management training)
- Developing mentoring and coaching sessions.
- Building succession plans.
- Design employee promotion policies.
- Conduct skills gap analyses to determine personnel needs.
- Create organizational charts and define each position’s responsibilities.
- Provide team members with direction for leadership and development initiatives.
SR CSR PAYMENT DEPARTMENT
HEALTH PLAN SERVICES
Tampa
10.2012 - 02.2014
- Helping interested parties understand features and benefits of related programs.
- Responding to inquiries related to benefits, eligibility, customer material requests, physician look-up, authorization, explanation of benefits (EOB), caller information, status checks, claims and other related information.
- Handling incoming requests from customers in a professional and timely manner.
- Anticipating the customers' needs and providing recommendations in order to deliver appropriate solutions to the customer.
- Following through to ensure all questions and issues are resolved.
- Assisting an average of 45-55 callers per day.
- Performing additional duties as needed.
Education
Associate of Science - Computer Science
Pasco-Hernando State College
New Port Richey, FL04.2004
Skills
- MS Office Proficient
- Detail Oriented
- Computer Literate
- Customer Service
- Metrics Driven
- Payment processing
- Invoice processing
- Administrative support
- Recordkeeping
- Month-end reports
- Data processing
- Records management
- Document scanning
- Payroll processing
- Account reconciliation
- Data organization
Languages
Spanish
Native or Bilingual
Timeline
Accounting Clerk
Paychex Inc
01.2025 - Current
Claims Analyst
Maximus Federal Services
08.2022 - 11.2024
ACCOUNTS RECEIVABLE
BP- SAED, LLC
06.2016 - 07.2022
TALENT ADMIN
BARBIZON
03.2014 - 05.2016
SR CSR PAYMENT DEPARTMENT
HEALTH PLAN SERVICES
10.2012 - 02.2014
Associate of Science - Computer Science
Pasco-Hernando State College