Blue Shield Of California

Accounting Operations, Advanced

Blue Shield Of California$75K — $95K *
Legal & Accounting
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • High School Diploma or GED required; BA/BS in Finance or Economics preferred.
  • Minimum of 5 years relevant experience required.
  • At least 1 year of claims experience required.
  • Strong oral and written communication skills essential.
  • Proficient research and analytical skills necessary.

Responsibilities

  • Maintain and reconcile account records and perform accounting activities.
  • Audit employee expense reports and issue payments for reimbursement.
  • Assist in preparing outstanding accounts reports and maintain databases.
  • Research, verify, and enter data into automated financial systems.
  • Prepare comparison and trend analysis reports for management.
  • Function independently under general supervision to produce quality results.
  • Support vendors and cross-functional teams effectively.

Benefits

  • Hybrid work model allowing flexible in-office and remote work.
  • Opportunity for purposeful in-person collaboration.
  • Access to ongoing professional development resources.
  • Engagement with cross-functional teams, enhancing networking opportunities.
Full Job Description
Job Description

Your Role

The Corporate Recovery team is responsible for the end-to-end lifecycle of claim overpayment recoveries including compliance and audit documentation. The Accounting Operations, Advanced will report to the Supervisor, Operations. In this role you will be validating and creating AR's, sending/monitoring provider letters, supporting vendors and supporting cross functional teams, performing recoupments and collections, and maintaining templates, data accuracy, and automation inputs.

Responsibilities

Your Work
In this role, you will:
  • Maintain and reconcile records, account files, and perform related accounting activities
  • Audit employee expense reports and purchase orders; issue checks to reimbursement expenses and make payments on invoices/purchase orders
  • Assist in preparation of outstanding accounts reports, gather credit and/or reference information, maintain database (enter, update, retrieve data; format and generate reports), perform clerical duties and mail information to customers
  • Research, verify and enter related information to automated financial systems; check accuracy of input and make corrections, as needed
  • Prepare comparison/trend analysis reports for management review; prepare monthly collection reports
  • Work under general supervision and be able to function independently to produce results that meet standards of quality, timeliness and acceptability
  • Maintain templates and automation inputs
  • Support Vendors and cross-functional teams


Qualifications

Your Knowledge and Experience
  • Requires a High School Diploma or GED, BA/BS degree in Finance, Economics, or related field preferred
  • Requires a minimum of 5 years of relevant experience
  • Requires at least 1 year of claims experience
  • Possess strong oral and written communications skills
  • Possess strong research and analytical skills


Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

About Blue Shield Of California

Blue Shield of California is a not-for-profit health plan provider that has been providing Californians with access to high-quality healthcare for over 80 years. The company offers a range of health insurance products and services to individuals, families, and employers. Blue Shield of California is committed to improving the health and wellbeing of its members and the communities it serves. The company is also committed to sustainability and has implemented a number of initiatives to reduce its environmental impact.
Learn more about Blue Shield Of California
Size
7,000 employees
Industry
Founded
1981

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