Technician, Accounting II

About the role

Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries and logging items in accordance with standard procedures in one or more of the following areas; general accounting, accounts payable, accounts receivable or related financial area. May complete special projects. Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: This position will support the OPR Appeals Team by processing appeal effectuations accurately and efficiently. This role focuses on reviewing claim adjustments, updating accounts receivable, and issuing refunds in accordance with departmental guidelines and established timelines. Logistics: https://cgsadmin.com/ - one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This is a full-time position (40-hours/week) working an 8hr shift Monday-Friday within the hours of 6:00am-6:00pm central time at 26 Century Blvd Suite ST610 Nashville TN 37214 in an office environment. Qualified internal employees may remain in their W@H location if selected. SCA Benefit Requirements: SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act ( SCA ). Under the McNamara-O'Hara Service Contract Act (SCA), employees are required to enroll in health insurance benefits regardless of other insurance coverage. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. Sponsorship : This position is not eligible for sponsorship now or in the future.

Responsibilities

• Completes moderately difficult research using financial reporting systems, files, and other means to identify errors such as overpayments or misapplication of funds. Resolves routine questions and problems, referring complex issues to higher levels.
• Performs calculations on financial documents to ensure accuracy of bank deposits, receipts, disbursements, refunds, or other accounting-related items.
• Determines, prepares, and distributes correspondence regarding monies due or erroneously received. Issues refunds as appropriate.
• To Qualify for This Position, You'll Need:
• Required Education: Associate's or equivalent in a job-related field.
• Degree Equivalency: 2 years job related work experience.
• Required Software and tools : Microsoft Office to include proficiency in Excel.
• Required Skills and Abilities: Good oral and written communication. Excellent organization skills and attention to detail. Strong business math skills. Typical office environment.
• Process appeal effectuations by reviewing claim adjustments for accuracy and completeness.
• Update account receivables and ensure all financial records are current and compliant.
• Process refunds in accordance with organizational procedures and federal guidelines.
• Utilize MCS, OnBase, and HIGLAS applications for daily workload; cross-train and support VMS processing as needed.
• Maintain thorough documentation and ensure data integrity across all systems.
• Collaborate with the Appeals Team to resolve discrepancies and support workload priorities.
• Meet productivity and quality standards while adhering to audit and compliance requirements.
• Our comprehensive benefits package includes the following:
• We offer our employees great benefits and rewards. You will be eligible to participate in the benefi

Benefits

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