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 of Love and Excellence and 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 reportingCollaborate with billing and revenue cycle staff to resolve payment issues and denialsAssist with web-based remittances (web prints) to ensure accurate posting tied to bank depositsIdentify process delays and escalate to management when neededSupport special projects and departmental initiatives assignedSCOPE, PURPOSE, AND FREQUENCY OF CONTACTS:Frequent contact with CCHS staff, physician office staff, patients, and third-party payers.DIRECTION/SUPERVISION OF OTHERS:NoneDIRECTION/SUPERVISION RECEIVED:Cash & Collections ManagerEDUCATION AND EXPERIENCE REQUIREMENTS:High school diploma or equivalent required; Associate degree preferredPrevious experience in payment posting, medical billing, or revenue cycle preferredStrong understanding of EOBs, ERA/EFT processes, and insurance payment workflowsExperience with Soarian/Cerner/ Epic system a plusStrong attention to detail and accuracyAbility to meet productivity and quality KPIs in a fast-paced environmentExcellent problem-solving and communication skillsKNOWLEDGE, SKILL, AND ABILITY REQUIREMENTS:Ability to handle various tasks simultaneously and self-manage project assignments and prioritiesAbility to report daily, weekly KPI’s as well as enter and maintain performance metricsAbility to work with various team members and management team leadsKnowledge of Microsoft, Office, Word, Excel, Data spreadsheets, strongly preferredDemonstrated strong verbal and written communication skillsAbility 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.Hourly Pay Range: $19.10 - $27.69This pay rate/range represents ChristianaCare’s good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements.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.