Accountant II - Recovery Maintenance

About the role

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. This position is hybrid 3 days a week in the office, 2 days a week remote. 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.

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.

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 HCSC's 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