Accounting Operations, Advanced

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. 

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. 

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!  

Our Values: 

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short. 
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. 

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. 

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

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.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
 

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
   

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.