Billing Operations Supervisor – Verification Authorization
Caris Life Sciences
5 hours ago
Remote friendly (Irving, TX)
United States
Operations
Position Summary
Caris Life Sciences is seeking a full-time Billing Operations Supervisor to lead and manage the Verification Authorization function within our Billing Operations team. Oversee daily operations to ensure timely and accurate verification and preauthorization of patient benefits. Lead, train, and manage team performance, partnering cross-functionally to optimize workflows and resolve payer issues.
Job Responsibilities
- Lead and supervise the Verification Authorization team to ensure accurate insurance verification, prior authorizations, and benefit assessments.
- Develop and monitor team performance metrics (turnaround time, accuracy, payer compliance).
- Collaborate with payers to resolve eligibility discrepancies, denials, and escalations.
- Identify trends, gaps, and process improvement opportunities with Revenue Cycle leadership.
- Implement and update policies/procedures for regulatory and payer compliance.
- Train, coach, and mentor staff on payer guidelines, systems, and best practices.
- Partner with Billing teams to support a seamless patient and provider experience.
- Provide reporting/analysis on eligibility performance (KPIs, denial trends, payer turnaround times).
- Manage staffing schedules, workload distribution, and productivity standards.
- Support system implementations, testing, and enhancements for eligibility processes.
- Lead a culture of accountability and continuous improvement; standardize procedures/documentation.
- Evaluate and implement technology solutions and reporting tools for automation/performance tracking.
- Ensure adherence to HIPAA, payer rules, and state/federal regulations.
Required Qualifications
- High school diploma or equivalent.
- 5–7 years healthcare billing operations; 2–3 years in supervisory/management role.
- Strong knowledge of CPT, ICD-10, HCPCS, payer regulations, and revenue cycle management.
- Ability to lead cross-functional initiatives and manage timelines/resources.
- Medicare Advantage experience; Xifin familiarity is a plus.
- Proficiency in Microsoft Office (Excel, Word, Outlook, Access) and healthcare billing systems.
- Strong interpersonal, communication, and problem-solving skills.
Preferred Qualifications
- Bachelor’s degree (Business/Healthcare Administration or related).
- Lab workflows and billing system integration experience.
- Data analytics tools experience.
- Experience in Precision Medicine/Oncology Billing.
Other
- May require some evenings, weekends and/or holidays.
- Pre-employment process includes criminal background check, drug screening, credit check (certain positions), and reference verification.
Caris Life Sciences is seeking a full-time Billing Operations Supervisor to lead and manage the Verification Authorization function within our Billing Operations team. Oversee daily operations to ensure timely and accurate verification and preauthorization of patient benefits. Lead, train, and manage team performance, partnering cross-functionally to optimize workflows and resolve payer issues.
Job Responsibilities
- Lead and supervise the Verification Authorization team to ensure accurate insurance verification, prior authorizations, and benefit assessments.
- Develop and monitor team performance metrics (turnaround time, accuracy, payer compliance).
- Collaborate with payers to resolve eligibility discrepancies, denials, and escalations.
- Identify trends, gaps, and process improvement opportunities with Revenue Cycle leadership.
- Implement and update policies/procedures for regulatory and payer compliance.
- Train, coach, and mentor staff on payer guidelines, systems, and best practices.
- Partner with Billing teams to support a seamless patient and provider experience.
- Provide reporting/analysis on eligibility performance (KPIs, denial trends, payer turnaround times).
- Manage staffing schedules, workload distribution, and productivity standards.
- Support system implementations, testing, and enhancements for eligibility processes.
- Lead a culture of accountability and continuous improvement; standardize procedures/documentation.
- Evaluate and implement technology solutions and reporting tools for automation/performance tracking.
- Ensure adherence to HIPAA, payer rules, and state/federal regulations.
Required Qualifications
- High school diploma or equivalent.
- 5–7 years healthcare billing operations; 2–3 years in supervisory/management role.
- Strong knowledge of CPT, ICD-10, HCPCS, payer regulations, and revenue cycle management.
- Ability to lead cross-functional initiatives and manage timelines/resources.
- Medicare Advantage experience; Xifin familiarity is a plus.
- Proficiency in Microsoft Office (Excel, Word, Outlook, Access) and healthcare billing systems.
- Strong interpersonal, communication, and problem-solving skills.
Preferred Qualifications
- Bachelor’s degree (Business/Healthcare Administration or related).
- Lab workflows and billing system integration experience.
- Data analytics tools experience.
- Experience in Precision Medicine/Oncology Billing.
Other
- May require some evenings, weekends and/or holidays.
- Pre-employment process includes criminal background check, drug screening, credit check (certain positions), and reference verification.