Payment Poster - Pharmacy

Purpose

The Payment Poster role at Children’s Hospital of Philadelphia (CHOP) involves applying government, commercial, international, and other payments accurately to accounts. Key responsibilities include:

• Timely payment posting, performing adjustments when necessary, and completing cash transfers within multiple systems.
• Reconciliation of posted batches to ensure proper resolution of accounts.
• Informing collection teams when adjustments cause credits or accounts are not closing.
• Researching unidentified payments on accounts to resolve discrepancies.
• Working experience with electronic remits and payment posting is preferred.
• Understanding and adhering to CHOP’s organizational structure and compliance guidelines for lockbox processing.
• Posts all payments to the specified patient account according to the current payment posting policy and procedure.
• Reviews scanned documentation to identify contractual amounts or payments requiring posting to patient accounts.
• Collects, reviews, and posts checks sent through the mail.
• Knowledge of current insurance rules and regulations.
• Proficiency in interpreting Explanation of Benefits (EOBs).
• Ability to research, resolve, and accurately document issues.
• Demonstrates quality and effectiveness in work habits in every interaction with colleagues and leadership.
• Provides training as assigned to new employees and cross-trains with other departments.
• Interfaces well with all levels of staff and management.
• Maintains all Protected Health Information (PHI) in accordance with HIPAA, JACHO, third-party contractual agreements, and CHOP policies and procedures.
• Communicates effectively and collaborates with teams across Patient Financial Services and other departments for operational efficiencies.
• Provides recommendations for corrective action to management team to ensure efficiency of the revenue cycle.
• 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.

Qualifications

• High School Diploma / GED
• Associate's Degree preferred
• At least one (1) year of Accounts Receivables, Payment Posting, or related healthcare billing experience
• 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-oriented and results-driven (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 (preferred 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)
• Comprehensive understanding of CHOP’s revenue cycle work design including registration, billing, payment posting, account receivable follow-up, and compliance actions (preferred proficiency)