Claris Vision was formed in 2011, uniting top eye care practices in New England to provide a comprehensive spectrum of vision care services. The team is dedicated to best clinical care, using leading technology for individualized, high-quality patient care.

As a Billing Specialist, you will handle billing of paper and electronic claims for primary and secondary payers, ensuring claims are submitted timely and accurately on the same day received. Monitor outstanding accounts, apply late charges, answer billing inquiries, and prepare daily billing and balancing reports.

Duties include collection actions such as patient phone contacts, resubmitting claims to insurers including Medicare and Medicaid, managing payment denials, claim reconsiderations, and appeals. Collaborate with team leads to obtain insurance referrals, pre-authorizations, and verifications related to denied claims. Facilitate private pay collections and help patients with self-pay arrangements, CareCredit, and other financial solutions.

Additional responsibilities involve posting insurance and patient payments, processing electronic remits, credit card payments, following up on outstanding claims, and payment reconciliation. You will work closely with billing management and medical directors to streamline processes for patient care continuity and reimbursement maximization.

Maintain secure, accessible, and accurate medical data for billing and reimbursement, keep current on payer requirements, adhere strictly to HIPAA guidelines, and comply with company policies.

Knowledge, skills, and abilities required include exceptional customer experience, proactive communication, continuous improvement focus, teamwork, receptiveness to change, organizational skills, knowledge of denial management, insurance rules, coding guidelines, and business office procedures. Ophthalmology experience preferred.

Education: Associate's degree plus 2-5 years in medical billing, office collections, or insurance verification. CPC/HIT certification required; COPC certification or willingness to obtain within 3 months.

Physical demands: Sitting, standing, bending, reaching, stooping, walking, lifting; sensory capabilities sufficient for tasks; computer and EMR software use.

Equal opportunity employer committed to diversity and nondiscrimination in all aspects of employment.