Payment Posting Representative

Job Requisition #: JR66324

End Date: 2/27/2023

Location: Elkton, Maryland

Position Type: Professional

Shift: Day Shift, No Rotation

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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!

ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals" by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®.

Primary Function:

We are currently seeking a Full-Time Payment Posting Rep who will be responsible for payment postings & rejections into Soarian financials in an accurate and timely manner. This individual will take appropriate action to quickly research and resolve unposted payments.

Principal Duties and Responsibilities:

  • Assist team leads with Trintech reconcialtions product as well as daily reconcilement of EFT ERA payer postings

  • Post EFT /ACH payments received from various Insurance and guarantor payers assigned

  • Responsible for ERA payment corrections for non posted insurance payments

  • Assist team with reconcilement into workday, accounting, and treasury reporting software daily and as ad hoc

  • Post payer patient adjustments daily which are submitted by various PFS staff members through the transmittals process

  • Report within Cash department log, daily performance entries such as transfers, deposits, batch, time, etc.

  • Post remittances obtained from various web sites (eft web prints) to ensure complete and accurate daily postings to Bank deposits receipts

  • Post paper remittance - manually entered into Soarian for all payers assigned

  • Utilizes the Soarian/Cerner billing system for payment posting account notes, follow-up, updates and documentation

  • Post ERA Files for all payers in a timely and accurate manner with verification & accuracy of > 95%

  • Interacts directly with CCHS staff to resolve account discrepancies, postings, PLBS, credits, variances

  • Responsible for posting into Soarian (patient accounting system) all zero cash, Payment denials, or other denials such as medical necessity within 1 day of receipt

  • Review's payment vouchers corresponded and denials to ensure proper reimbursement prior to posting and approach billing staff for clarification or concerns for billing resolution

  • Responsible for disposal of all paper processed and confirmed in OnBase in secured manner per policy and procedure of department

Education and Experience Requirements:

  • High school graduate or equivalent, associate degree or bachelors preferred

  • 3-5 years of experience in A/R Cash and Collection processing, preferably within a hospital or physician office setting

  • Demonstrated strong verbal and written communication skills

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

Christianacare Offers:

  • Collaborative and team focused environment

  • Management Incentive Plan (annual)

  • Full Medical, Dental, Vision, Life Insurance, etc.

  • 403(b) with company match!

  • Generous paid time off

EEO Statement: 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.

UPDATE: ChristianaCare is committed to prioritizing the health and safety of our patients and caregivers. As we continue to meet the needs of our caregivers and our community through the COVID-19 pandemic, our commitment to health and safety requires that we take new steps to ensure a safe environment for medical care for our patients and a workplace that avoids preventable harm for our caregivers. For this reason, vaccination for COVID-19 is required for all caregivers at ChristianaCare and is considered a safety standard that is job-related and consistent with business necessity for all caregivers.

Why do WE offer careers full of possibilities?

For the Love of Health.

Inclusion & Diversity

At ChristianaCare, we’re committed to treating everyone with dignity and respect. We believe in a safe, inclusive work environment that fosters collaboration between caregivers from all walks of life. We know that each unique viewpoint is vital in delivering high-quality, safe patient care to everyone who walks through our doors. Our policies, benefits, hiring practices, employee resource groups, and corporate citizenship demonstrate our commitment to inclusion and diversity throughout our system.

Why do we embrace inclusion and diversity? For the Love of Health.

Our Values

We serve together in Love and Excellence. Our unique values, Love and Excellence are bold and powerful, and they are the reason why working for ChristianaCare is special. The behaviors associated with our values guide how caregivers interact with everyone they work with and make for an exceptional work experience. We believe that when you lead with Love, Excellence is inevitable.


ChristianaCare’s comprehensive total rewards package is one of the most competitive in the region. We are proud to offer excellent benefits that reflect the organization’s commitment to being exceptional today and even better tomorrow.

At ChristianaCare, we provide access to high-quality and affordable benefits designed to meet our caregivers where they are. You can tailor your benefits to meet your needs now and adjust them as your priorities change.

Take advantage of ChristianaCare’s wide-ranging benefit offerings from supporting optimal health through medical, prescription, dental and vision coverage to valuable wellness and work/life programs, which include paid parental leave, coverage for infertility and assisted reproductive technologies, an employer-funded short-term disability program, and more.

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Our Region

A Great Place To Live

Our region offers a diversity of cultures, lifestyles, sports and entertainment events, housing options and educational opportunities. Located between Philadelphia and Washington, D.C., our locations provide easy access to two international airports, employment opportunities in a tri-state area, and proximity to some of the nation's top universities and colleges, as well as beaches in MD, DE and NJ!

Why Delaware? Why Maryland?

We Serve Together

For the Love of Health

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