Payment Poster - Pharmacy

SHIFT:

Seeking Breakthrough Makers

Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.

CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.

A Brief Overview

Payment poster is responsible for applying government, commercial, international, and other payments accurately to accounts. They will perform a variety of accounting activities while safeguarding revenue collected to ensure all financial transactions are accurately accounted. Reconciliation of all manual and electronic payments including lockbox. For pharmacy payment posting, responsibilities also include reconciliation of cash, 935s, lockbox activity, and deposits, as well as retrieving and posting all pharmacy monies through manual posting or 835 retrievals. This position could be assigned to hospital, professional, or home care department. Supports the CHOP mission with efficient and effective revenue cycle management.

Why This Role Is Exciting

Build and Shape the Future

Your expertise will directly support CHOP's mission to deliver exceptional care to children and families-making a meaningful difference every day.

Growth & Development

CHOP is deeply invested in your growth! Beyond internal leadership development, you will receive a complimentary Healthcare Financial Management Association (HFMA) membership, providing access to nationally recognized certifications and a network of experts at the intersection of finance and technology.

Community & Purpose

Participate in enterprise-wide volunteer opportunities and patient-focused initiatives that allow you to contribute beyond your day-to-day work.

What you will do

• Timely payment posting, perform adjustment when appropriate, and complete cash transfers within multiple systems.
• Reconciliation of posted batches to ensure proper resolution of accounts. Inform collection teams when adjustments are causing credits or accounts are not closing.
• Research unidentified payments on accounts to resolve account discrepancies to resolution.
• Working experience with electronic remits and payment posting preferred.
• Basic understanding of Lock box processing including understanding of CHOP organizational structure and ensuring payments are posted under correct NPI to adhere with CHOP compliance guidelines.
• Posts all payments to the specified patient account in accordance with the current payment posting policy and procedure.
• Review scanned documentation to identify contractual amounts or payment that require posting to patient's accounts.
• Responsible for the collection, review, and posting of checks sent through the mail.
• Knowledge of current insurance rules and regulations.
• Proficient in interpreting EOBs.
• Ability to research, resolve and accurately document.
• Demonstrates quality and effectiveness in work habits in every interaction with colleagues and leadership.
• Provides training as assigned to new employees, as well as cross training.
• Interfaces well with all levels of staff and management.
• Meets established daily/weekly reasonable work expectation of productivity and quality requirements.
• Maintains all PHI in accordance with HIPAA, JACHO, third party contractual agreements along with CHOP policy and procedures.
• Ability to communicate effectively and collaborate with teams across Patient Financial Services and other departments around operational efficiencies.
• Provide recommendations for corrective action to management team to ensure efficiency of the revenue cycle.
• Demonstrated customer service skills, customer focus abilities and the ability to understand Children's Hospital of Philadelphia customer needs.
• Reports safety hazards, accidents and incidents, and unsafe working conditions promptly.
• Consistently supports compliance by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations.
• Other duties as assigned within scope of responsibilities.

Education Qualifications

• High School Diploma / GED - Required
• Associate's Degree - Preferred

Experience Qualifications

• At least one (1) year Accounts Receivables, Payment Posting, or Related Healthcare Billing experience - Required
• Experience with Epic systems - Preferred

Skills and Abilities

• HIPAA compliance standards (Required proficiency)
• Effective communication, interpersonal skills, analytical skills, and problem solving skills. (Required proficiency)
• Excellent organizational and time management skills. (Required proficiency)
• Detail and results oriented. (Required proficiency)
• High aptitude for math. (Required proficiency)
• Excellent writing and oral communication skills. (Required proficiency)
• Ability to work independently and prioritize work. (Required proficiency)
• Basic Computer skills (Required proficiency)
• High proficiency in Microsoft Excel. (Required proficiency)
• Ability to work cooperatively in a team environment. (Required proficiency)
• Demonstrated customer service skills, customer focus abilities and the ability to understand Children's Hospital of Philadelphia customer needs. (Required proficiency)
• Demonstrated effective interpersonal, verbal, and written communication skills. (Required proficiency)
• Must have 10-key by touch. (Required proficiency)
• Demonstrated experience with multiple computer applications. (Required proficiency)
• Knowledge of third-party reimbursement and physician/hospital billing. (Preferred proficiency)
• Experience in using commonly used electronic health records and healthcare revenue cycle financial management systems. (Preferred proficiency)
• Responsible for the full comprehension of CHOP revenue cycle work design including registration, billing, payment posting, account receivable follow-up, and compliance actions. (Preferred proficiency)

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.

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SALARY RANGE:

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

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At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.