Accounting Technician III

CGS Administrators, LLC

Medicare Claims Overpayment Claims Processor identifying and recovering incorrectly paid claims at BlueCross BlueShield. Requires analytical skills, communication, and accounting knowledge.

Posted 7/21/2026full-timeNashville • Tennessee • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing payment data and resolving discrepancies in medical claims, with a strong focus on accuracy in financial reporting and compliance with Medicare guidelines. Proficient in preparing journal entries, account reconciliations, and providing customer support in accounting and finance operations.

Highest-signal resume keywords

Claims ProcessingHIGLASFinancial Reporting SystemsJournal EntriesAccount Reconciliations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AccountingFinanceBusiness MathData AnalysisPayment VerificationFinancial CalculationsAccounts ReceivablesDocumenting FindingsResearch SkillsProblem Resolution

Soft Skills

Communication SkillsCustomer ServiceOrganization SkillsAttention to Detail

Tools & Technologies

Microsoft Office

Industry Keywords

Medicare GuidelinesFinancial OperationsOverpaymentsInventory Management

About the role

Key responsibilities & impact

Identify, investigate, and recover incorrectly paid medical claims by analyzing payment data.
Verify overpayments from sources like duplicate payments or system errors.
Document findings and coordinate with providers for reimbursement or adjustments according to Medicare guidelines.
Prepare correspondence, create, and update accounts receivables.
Review reports.
Complete moderately difficult to complex research using financial reporting systems.
Resolve most questions and problems, referring most complex issues to higher levels.
Perform calculations on financial documents to ensure accuracy of bank deposits, receipts, disbursements, refunds, or other accounting-related items.
Provide other support duties related to the accounting/finance function including monitoring financial systems, tracking funds, and maintaining inventory.
Assist less experienced accounting clerks as needed.
Prepare journal entries and account reconciliations and respond to inquiries from internal and external customers.

Requirements

What you’ll need

Bachelor's degree in Accounting/Finance.
Associate’s degree in Accounting/Finance plus 2 years of experience supporting accounting or financial operations OR 4 years of experience supporting accounting or financial operations.
Good oral and written communication and customer service skills.
Excellent organization skills and attention to detail.
Strong business math skills.
Microsoft Office.
Experience in Claims Processing and HIGLAS, highly preferred.

Benefits

Comp & perks

Subsidized health plans
Dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more