Payment Posting Representative II

Do you want to work at one of the Top 100 Hospitals in the nation We are guided by our values ofLoveandExcellenceand are passionate about delivering health not just health care. Come join us at ChristianaCare!

PRIMARY FUNCTION:

Accurately post insurance and patient (guarantor) payments in a timely manner. Process Electronic Remittance Advice (ERA) files and reconcile EFT deposits. Manually post paper remittances into the Soarian/Cerner patient accounting system. Review Explanation of Benefits (EOBs) and payment vouchers to ensure proper reimbursement as well as identify and resolve discrepancies including PLBS issues (e.g. forwarding balances takebacks). Maintain accurate documentation and account notes within Soarian/Cerner.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Research and resolve EFT/ERA posting discrepancies to ensure accurate financial reporting

• Collaborate with billing and revenue cycle staff to resolve payment issues and denials

• Assist with web-based remittances (web prints) to ensure accurate posting tied to bank deposits

• Identify process delays and escalate to management when needed

• Support special projects and departmental initiatives assigned

SCOPE PURPOSE AND FREQUENCY OF CONTACTS:

Frequent contact with CCHS staff physician office staff patients and third-party payers.

DIRECTION/SUPERVISION OF OTHERS:

None

DIRECTION/SUPERVISION RECEIVED:

Cash & Collections Manager

EDUCATION AND EXPERIENCE REQUIREMENTS:

• High school diploma or equivalent required; Associate degree preferred

• Previous experience in payment posting medical billing or revenue cycle preferred

• Strong understanding of EOBs ERA/EFT processes and insurance payment workflows

• Experience with Soarian/Cerner/ Epic system a plus

• Strong attention to detail and accuracy

• Ability to meet productivity and quality KPIs in a fast-paced environment

• Excellent problem-solving and communication skills

KNOWLEDGE SKILL AND ABILITY REQUIREMENTS:

• Ability to handle various tasks simultaneously and self-manage project assignments and priorities

• Ability to report daily weekly KPIs as well as enter and maintain performance metrics

• Ability to work with various team members and management team leads

• Knowledge of Microsoft Office Word Excel Data spreadsheets strongly preferred

• Demonstrated strong verbal and written communication skills

• Ability to act independently within established guidelines.

• Ability to exercise judgment and tact.

SPECIAL REQUIREMENTS:

None.

PHYSICAL DEMANDS:

Intermittent sitting standing and walking.

Light lifting and moving.

Manual dexterity to initiate calls and provide computer entry.

Sight to dial numbers and read computer screens.

WORKING CONDITIONS:

Sits or stands most of the day in an office environment.

Christiana Care Health System is an equal opportunity employer firmly committed to prohibiting discrimination whose staff is reflective of its community and considers qualified applicants for open positions without regard to race color sex religion national origin sexual orientation genetic information gender identity or expression age veteran status disability pregnancy citizenship status or any other characteristic protected under applicable federal state or local law.

Post End Date

EEO Posting Statement

ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family including health insurance paid time off retirement an employee assistance program. To learn more about our benefits for eligible positions visit Experience:

Unclear Seniority