Recovery & AR Analyst - Hybrid (Overpayments)

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

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.