Accountant II - Recovery Maintenance

Health Care Service Corp.; Chicago (IL); Hybrid; USD 42,000 - 93,000; Full time

Job summary

Health Care Service Corporation in Chicago, IL seeks a hybrid Accounts Receivable (Recovery Maintenance) specialist. You will research, reconcile, and resolve claim overpayments and related balances, supporting internal departments and external customers for accurate financial processing.

You will perform detailed analysis, adjustments, and reporting, while coordinating with offshore staff and maintaining high service standards. A background in accounting and healthcare billing is preferred.

Qualifications

• 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

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.

Skills

Analytical skills

Communication skills

Financial analysis

Reading reports

Education

Degree in business

Degree in Accounting

Tools

MS Word

Excel

Blue Star billing

Job description

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.

Job Summary

This position is hybrid 3 days a week in the office, 2 days a week remote. (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.

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 plan subject to the terms and the conditions of the plan.

Base Pay Range $41,700.00 - $92,800.00 Exact compensation may vary based on skills, experience, and location.

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.

We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.