REPOST Eligibility Specialist I / 61012726
State of South Carolina
Posted: February 5, 2026 (1 day ago)
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State of South Carolina
Public Employee Benefit Authority
Location
South Carolina, 29210
Salary
$45,300 - $77,000
per year
Type
Full Time
More Finance & Accounting jobs →Closes
Base salary range: $147,649 - $221,900
Typical requirements: Executive-level leadership experience. Senior executive qualifications required.
Note: Actual salary includes locality pay (15-40%+ depending on location).
This job involves managing and analyzing financial records for insurance benefits programs, handling billing, payments, and account adjustments for thousands of public employees and retirees in South Carolina.
You'll investigate discrepancies, resolve issues with employers and members, and ensure everything complies with policies and guidelines.
It's a good fit for someone detail-oriented with strong accounting skills who enjoys problem-solving and customer service in a government setting.
*NOTE: This is a REPOST - Previous applicants are still being considered and do not need to re-apply for this position.Overseeing and conducting comprehensive analysis of both employer and member accounts to ensure accurate processing.
Identifying discrepancies using detailed A/R status and Retro Failed reports, which highlight balances that require investigation across multiple systems such as Unix, accounting, CRIS, and IA Folder.
This includes reconciling enrollment forms with transactions in the operational history to ensure accuracy, reviewing payment history, determining appropriate action required to resolve the balance, such as generating refunds for over payments, transferring balances, or calculating complex billing adjustments.
Collaborating closely with PEBA Enrollment Department, employers, and members to facilitate timely resolutions of complex issues. Serving as a point of contact for disputes and ensures that policy decisions are clearly communicated to members.
Evaluating delinquent Accounts Receivable (A/R) balances for individual members, ensuring compliance with PEBA policy and Accounting Monthly Cycle guidelines, to include, generating A/R status reports, reconciling accounts against source documents (contact log, imaging folders, and operational history), and taking necessary actions to include, generating refunds, initiating balance transfers, and identifying partial or delinquent payments.
Managing accounts for various subscriber types, including pending new subscribers, retirees, COBRA subscribers, survivors, and third-party paid accounts, in accordance with PEBA policies and federal and state guidelines.
When necessary, facilitates account terminations and communicates explanations to affected members, to include advising members on their appeal options.
Additionally, calculating the determination of effective dates for terminations and reinstatements, ensuring that retroactive billing is accurately calculated for each insurance product.
Identifying and resolving delinquent employer accounts by reviewing A/R status reports. Communicating with employers to ensure compliance and resolution of outstanding accounts.
Providing exceptional service by responding promptly to a high volume of inquiries from employers and members. Handling complex issues related to billing, payments, and account status with professionalism and clarity.
Resolving South Carolina Enterprise Information System (SCEIS) billing and payroll discrepancies by analyzing the monthly Accumulator report to identify accounts with variances.
Collaborating closely with employers to identify the reason for the discrepancy and determine the appropriate corrective action needed to resolve the balance, to include billing or balance transfer adjustments, contacting SCEIS to adjust payroll or correcting the insurance coverage.
Cross-trained to reconcile and post daily cash receipts using highly automated, integrated accounting systems and ensures deposits are collected, assimilated and accurately completed by the deadline on a daily basis. Performing liaison duties with the bank's service team.
Performing voids, reissues, stop payments and creation of special checks in accordance with check maintenance guidelines.
Contributing to the continuous improvement of accounting functions by assisting in the design, testing, and implementation of system enhancements. Working with the team to streamline workflows and improve efficiency across accounting processes.
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