Claris Vision was formed in 2011, bringing together some of New England’s top eye care practices to provide the most comprehensive spectrum of vision care services available in the region. Claris Vision’s team of leading physicians are dedicated to providing the best clinical care, utilizing leading technology, and ensuring an individualized experience and high-quality care plan for each patient.
The Ophthalmology Payment Poster is responsible for overseeing and performing accurate, timely posting of insurance and patient payments for ophthalmology and optometry services. This role is responsible for payment posting, contractual adjustments, and reconciliation. The payment poster ensures compliance with payer contracts, identifies posting discrepancies, and supports overall revenue cycle performance.
Key Responsibilities
Payment Posting & Reconciliation
- Leverage available technology to assist with payment posting, monitoring and reviewing payments that are auto posted for accuracy.
- Accurately post insurance payments, patient payments, refunds, and contractual adjustments in accordance with payer contracts and internal policies
- Reconcile Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs)
- dentify and resolve posting discrepancies, underpayments, overpayments, and unapplied balances
- Perform daily balancing to ensure the Practice Management Systems reflect the work performed.
- Participate in education performed for charge entry and AR functions to ensure a full understanding
Oversight Responsibilities
- Monitor daily and monthly posting productivity, accuracy, and turnaround times
- Conduct quality audits to ensure compliance with posting standards and payer rules
- Assist with onboarding and training of new payment posting staff
- Develop and maintain payment posting workflows, job aids, and standard operating procedures
- Complete daily payment reporting as assigned.
Revenue Cycle Support
- Collaborate with AR, coding, and denial teams to resolve posting-related issues impacting collections
- Identify trends in underpayments or payer inconsistencies and escalate as needed
- Support month-end close activities, balancing, and reporting
- Assist with payer contract interpretation related to payment application
Compliance & Process Improvement
- Ensure compliance with HIPAA, payer regulations, and internal controls
- Recommend process improvements to enhance efficiency, accuracy, and cash flow
- Participate in revenue cycle meetings and special projects as assigned
Required Qualifications
- High school diploma or equivalent required; associate’s degree preferred
- Minimum 3–5 years of medical payment posting experience, preferably in ophthalmology or surgical specialties
- Demonstrated knowledge of EOBs, ERAs, CPT/HCPCS codes, modifiers, and payer contracts
- Strong attention to detail with proven accuracy in high-volume environments
- Experience leading, training, or mentoring staff preferred
- Experience with ophthalmology billing, including global surgery and ASC-related payments
- Familiarity with ophthalmic EHR and practice management systemsÂ
- Understanding of Medicare, Medicaid, and commercial payer payment methodologies
- Prior experience with audits, reporting, or revenue cycle metrics
- Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making.Â
Physical & Work Requirements
- Prolonged periods of sitting and computer use
- Ability to handle confidential financial and patient information
We are committed to a policy of nondiscrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of our clinical groups will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation, and gender identity and/or expression, other dimensions of diversity or common human decency. We value diversity in thought and culture and welcome highly skilled, capable, competent, collegial members to our team.
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