Accountant II - Recovery Maintenance

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Job Summary

(Accounts Receivables -Recovery Maintenance) This position is responsible in accordance with departmental policies for researching, reconciling, and resolving claim overpayment and recovery-related account balances. This role supports the recovery process by performing financial analysis, account adjustments, reconciliations, and payment processing activities while ensuring accuracy, compliance, and outstanding customer service. The position partners with internal departments, providers, and external customers to investigate and resolve complex financial issues and contributes to reporting, process improvement, and operational excellence.

JOB RESPONSIBILITIES:

• Research, analyze, and resolve claim overpayment inventory discrepancies in accordance with departmental policies and procedures.
• Perform account reconciliations and financial analysis to identify and resolve outstanding balances, payment discrepancies, and recovery-related issues by collaborating with internal business partners and external stakeholders.
• Review and process manual account adjustments, corrections, and recovery transactions as appropriate.
• Respond to provider, customer, and internal inquiries through phone, email, and written correspondence in a timely, accurate, and professional manner.
• Process, track, and balance returned checks, stop payments, recoupment cash transactions, advance payments, and settlement checks.
• Generate and distribute monthly, quarterly, and semi-annual reports for management and external customers.
• Utilize financial and claims systems to conduct research, validate transactions, and support issue resolution.
• Monitor and coordinate assigned activities performed by offshore staff to ensure quality, accuracy, and adherence to established procedures.
• Document processes, procedures, findings, and resolutions to support operational consistency and compliance requirements.
• Identify process improvement opportunities and recommend solutions to increase efficiency and accuracy.

• Support special projects, audits, account reviews, reconciliations, and ad hoc financial analyses as assigned.

JOB REQUIREMENTS:

• Degree in business and 2 years accounting experience, or 6 years accounting experience.

• Analytical skills.

• Clear, concise written and oral communication with good grammar and word choice.

• Read and interpret financial and membership reports.

• Knowledge of National and state health insurance portability laws.

• Knowledge of HCSCs refund procedures.

• Knowledge of HCSC structure, functions, and responsibilities of Marketing, Underwriting, Cash Receipts, Financial Reporting, etc.

• Membership system experience.

• Blue Star billing system experience.

• MS Word and Excel

PREFERRED REQUIREMENTS:

• Degree in Accounting.

• Knowledge of FSS Database, IMNU, BlueChip, Claims GUI, Financial Payment Database, and banking systems.

• Knowledge of HCSC refund procedures and related recovery processes.

• Understanding of organizational financial operations, including Cash Receipts and Financial Reporting functions.

• Strong analytical skills with a track record of identifying and resolving complex financial discrepancies.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

Exact compensation may vary based on skills, experience, and location.