Lead Payment Poster

Job Description

Job Description

A career that changes lives.

SightMD is a rapidly growing integrated ophthalmic provider group, extending the reach of exceptional eye care to patients across New York, New Jersey, Pennsylvania, and Connecticut. With over 127 eye care providers and the convenience of 60 locations, our commitment to delivering unparalleled services is at the heart of everything we do. As we embark on our mission, we are actively seeking teammates who are eager to contribute to our legacy of eye excellence, a tradition that spans more than 50 years.

Position Summary:

The Lead Payment Poster plays a crucial role in ensuring the accurate and timely posting of payments, adjustments, and denials. This position serves as a senior team member, acting as a resource for troubleshooting complex payment issues, training team members, and maintaining accuracy in financial reconciliations. The Lead Payment Poster works closely with the Payment Posting Supervisor, AR team, and Accounting to ensure compliance with payer policies and internal financial procedures.

Job Duties & Essential Functions:

• Ensure timely and accurate posting of ERA, EFT, check, and credit card payments
• Monitor batch balancing and reconcile daily and monthly payment logs
• Identify and resolve posting errors, unapplied payments, and misallocated funds
• Verify and process adjustments, write-offs, and refunds based on payer contracts
• Assist in denial and underpayment analysis, collaborating with the AR team to resolve discrepancies
• Perform routine audits to ensure accuracy and compliance with payer and regulatory guidelines
• Maintain and update payment tracking grids and reports for leadership review
• Ensure adherence to contractual adjustments and prevent incorrect write-offs
• Work with the Accounting team to ensure payment reconciliation aligns with financial statements
• Serve as the subject matter expert for payment posting processes and workflows
• Train new and existing team members on best practices, payer-specific requirements, and system updates.
• Provide process oversight and ensure team compliance with policies and procedures.
• Assist in the documentation and updating of Standard Operating Procedures (SOPs).
• Act as the first point of escalation for complex payment posting issues after involving the supervisor.
• Identify workflow inefficiencies and propose process improvements.
• Assist in the implementation of automation tools for payment posting and reconciliation.
• Support system upgrades and contributes to testing and troubleshooting payment posting software.
• Work closely with the AR, billing, and authorization teams to ensure accurate claim adjudication.
• Assist in month-end and year-end financial reconciliation efforts.
• Provide weekly/monthly reports on payment trends, denials, and posting accuracy.
• Support leadership in identifying payer trends and potential financial risks.
• Special projects and other duties may be assigned as needed

Required Qualifications:

• High School diploma or equivalent required
• Minimum of 3 years of experience in medical payment posting or revenue cycle management.
• Proficient in working with Electronic Health Records (EHR), Practice Management (PM) systems, clearinghouses, and payment reconciliation software.
• In-depth knowledge of Medicare, Medicaid, and commercial payer payment processes.
• Exceptional attention to detail with the ability to identify and correct posting errors.
• Strong understanding of payer remittance advice, including Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and denial codes.
• Proven ability to troubleshoot payment discrepancies and resolve unapplied cash issues.
• Strong analytical and problem-solving skills in financial reconciliation.
• Proficient in Microsoft Excel, banking reconciliation tools, and clearinghouse portals.
• Excellent communication skills, with the ability to train and mentor team members effectively.
• Ability to work independently while collaborating with cross-functional teams.
• Familiarity with HIPAA compliance and financial regulatory standards.

Preferred Qualifications:

• Associate’s or Bachelor’s degree in Business, Finance, or Healthcare Administration.
• Prior experience in ophthalmology, optometry, or multi-specialty healthcare billing environments.

Work Schedule:

• Rotating Schedule – including days, evenings, and weekends

Hourly Ray Rate:

• $26.06

Benefits:

We aim to take care of our teammates the same way we take care of our patients. All SightMD employees receive the following benefits:

• Medical/Dental/Vision Insurance
• Prescription Drug Coverage
• Company Paid Term Life Insurance & Long-Term Disability
• Supplemental Insurance Benefits
• Employee Assistance Program (EAP)
• Retirement Plan - 401(k)
• Paid Time Off (PTO)
• Paid Holidays
• Career Development Programs

* All benefits are subject to eligibility requirements.

Equal Employment Opportunity Statement:

SightMD is an equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal, state and local laws.

If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact People Services at peopleservices@sightgrowthpartners.com