About The Position

Caris Life Sciences is seeking a full-time Billing Operations Supervisor to lead and manage the Verification Authorization function within the Billing Operations team. The role oversees daily operations and ensures timely, accurate verification and preauthorization of patient benefits. It supports revenue cycle efficiency and patient access by maintaining compliant, efficient, and patient-focused insurance eligibility processes. The supervisor provides leadership, training, and performance management to staff and partners cross-functionally to optimize workflows and resolve payer issues. The position also supports process improvements, technology and reporting enhancements, regulatory compliance, and a high-performance culture.

Requirements

  • High school diploma or equivalent required.
  • 5–7 years of experience in healthcare billing operations, including at least 2–3 years in a supervisory or management role.
  • Strong knowledge of CPT, ICD-10, and HCPCS coding, payer regulations, and revenue cycle management.
  • Ability to lead cross-functional initiatives and manage timelines, resources, and deliverables.
  • Demonstrated ability to lead teams, manage change, and drive performance in a fast-paced environment.
  • Proficiency in Microsoft Office Suite (Excel, Word, Outlook, Access) and healthcare billing systems.
  • Strong interpersonal, communication, and problem-solving skills.
  • Ability to analyze complex issues and develop effective solutions.
  • Ability to work effectively across departments to achieve shared goals.
  • Ability to understand and exceed internal and external client expectations.
  • Ability to thrive in a dynamic environment with evolving priorities.
  • Ability to sit and/or stand for extended periods, perform repetitive motions, and lift up to 15 pounds.

Nice To Haves

  • Experience with Medicare Advantage plans and familiarity with Xifin.
  • Bachelor’s degree in Business, Healthcare Administration, or a related field.
  • Familiarity with lab workflows and integration with billing systems.
  • Experience with data analytics tools.
  • Ability to navigate diverse payer requirements and regulatory environments.
  • Proven ability to lead teams through organizational or system transitions.
  • Experience in precision medicine or oncology billing.
  • Focus on service, quality, and continuous improvement.

Responsibilities

  • Lead and supervise the Verification Authorization team to ensure accurate and timely insurance verification, prior authorizations, and benefit assessments.
  • Develop and monitor team performance metrics for turnaround time, accuracy, and payer compliance.
  • Collaborate with payers to resolve eligibility discrepancies, denials, and escalations.
  • Work with Revenue Cycle leadership to identify trends, gaps, and process improvement opportunities.
  • Implement and update policies and procedures to ensure compliance with regulatory and payer requirements.
  • Train, coach, and mentor team members on payer guidelines, systems, and best practices.
  • Partner with cross-functional Billing teams to support a seamless patient and provider experience.
  • Provide regular reporting and analysis of eligibility performance, including KPIs, denial trends, and payer turnaround times.
  • Manage staffing schedules, workload distribution, and productivity standards to ensure operational coverage and efficiency.
  • Support system implementations, testing, and enhancements related to eligibility processes.
  • Provide strategic direction, coaching, and professional development to foster a high-performance culture.
  • Lead by example and promote accountability and continuous improvement.
  • Identify and implement process enhancements to improve efficiency, reduce error rates, and support scalability.
  • Standardize procedures and documentation across the department.
  • Evaluate and implement technology solutions and reporting tools to support automation and performance tracking.
  • Ensure adherence to HIPAA, payer rules, and applicable state and federal regulations.
  • Stay current on industry best practices, regulatory updates, and payer changes affecting billing and date-of-service requirements.
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