Reconciliation Specialist Resume Example

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Here is the Reconciliation Specialist Resume example:

Nathan Monroe

2209 Melm Street

Warren, RI 2885



Job Objective Seeking a position with a growing company where my training as a Reconciliation Specialist, education and experiences can be put to good use.

Highlights of Qualifications:

  • Hands on experience on analyzing data, identifying root cause for all issues and managed reconciliations tools
  • Through knowledge of general ledger packages
  • Operational knowledge of accounting softwares
  • Immense ability to multitask and prioritized work
  • Exceptional ability to resolve all problems
  • Amazing communication skills in both oral and written forms
  • Skilled in understanding in cost accounting theory
  • Proficient in supervising work of a team

Professional Experience:

Reconciliation Specialist

BlueCross BlueShield of Tennessee, Warren, RI

May 2006 – Present

  • Performed research and resolved all membership discrepancies for various prescription drug events.
  • Managed all reconciliation activities according to timeframe as specified in Medicare Managed Care Manual.
  • Analyzed root causes and assisted in improving various reconciliation process.
  • Maintained good knowledge and understanding of CMS payments.
  • Administered Medicare reconciliation process and ensured timely payment of all premiums.
  • Ensued outstanding receivable receipts from CMS system.
  • Coordinated with MA enrollment and risk management teams and reconciled CMS payments.
  • Established good relationships with all external contacts.

Reconciliation Specialist

HealthSpring, Inc., Warren, RI

March 2003 – April 2006

  • Maintained records of Medicare membership and assisted in coordinating all benefit related information.
  • Assisted various departments in performed monthly reconciliation for monthly membership reports and internal database.
  • Monitored process and resolved all prescription drug event related issues.
  • Maintained State and County Codes and provided status information.
  • Coordinated with enrollment staff for all transactions.


Bachelor’s Degree in Business

Southern Utah University, Cedar City, UT

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  • March 1, 2023Create Date
  • March 1, 2023Last Updated