About The Position

Caris Life Sciences is seeking a full-time Billing Operations Supervisor to lead and manage the Verification Authorization function within its 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 leads, trains, and manages staff and partners across functions to improve workflows and resolve payer issues. The position may require some evenings, weekends, and/or holidays. Work is primarily performed in a desk or cubicle environment. The role may involve sitting and/or standing for extended periods, repetitive motions, and lifting up to 15 pounds. Job-specific, safety, and compliance training is assigned based on the employee’s functions. Employment is contingent on successfully completing the pre-employment process, which may include a criminal background check, drug screening, a credit check for certain positions, and reference verification.

Requirements

  • High school diploma or equivalent.
  • 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, including Excel, Word, Outlook, and Access, and healthcare billing systems.
  • Strong interpersonal, communication, and problem-solving skills.
  • Ability to sit and/or stand for extended periods, perform repetitive motions, and lift up to 15 pounds.
  • Ability to work some evenings, weekends, and/or holidays may be required.
  • Successful completion of the applicable pre-employment process, including required background, drug, credit, and reference checks.

Nice To Haves

  • Experience with Medicare Advantage plans.
  • Familiarity with Xifin.
  • Bachelor’s degree in Business, Healthcare Administration, or a related field.
  • Familiarity with laboratory workflows and their 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.
  • 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.

Responsibilities

  • Lead and supervise the Verification Authorization team, ensuring 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 comply 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 maintain 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.
  • Promote accountability and continuous improvement by leading by example.
  • Identify and implement process enhancements to improve efficiency, reduce errors, 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 relevant 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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