Verification Authorization Associate (Hybrid)

Caris Life Sciences • Irving, TX

1d • Hybrid

About The Position

Verification/Authorization Associates verify active insurance coverage and obtain the facility and specimen collection information needed to bill in accordance with CMS regulations. They contact insurance companies to secure required preauthorization for patients receiving Caris services and contact facilities for medical records when necessary. The role requires ensuring information is complete and accurate, following up on requests, and applying knowledge of Medicare, Medicaid, and other third-party payer requirements.

The position operates primarily in a desk or cubicle environment and may involve shift work, overtime, and occasional weekends, evenings, or holidays. Job-specific, safety, and compliance training is assigned based on the employee’s functions.

Requirements

• High school degree or equivalent.
• At least 6 months of experience in a medical office setting.
• Proficiency in Microsoft Office, including Word, Excel, and Outlook.
• Strong organization and attention to detail.
• Solid time-management and organizational skills.
• Flexibility and ability to manage frequent changes effectively and efficiently.
• Basic knowledge of insurance processing, payer guidelines, and general laws related to payers.
• Basic knowledge of clinical documentation review for alignment with insurance authorization requirements.
• Basic knowledge of CPT and ICD-10.
• Ability to sit and/or stand for long periods, perform repetitive motions, and lift up to 15 pounds.
• Willingness to work shift work and overtime; the job may require occasional weekends, evenings, and/or holidays.
• Successful completion of the pre-employment process, which includes a criminal background check, drug screening, a credit check where applicable, and reference verification.

Nice To Haves

• Prior experience working with insurance providers in a payer setting.
• Professionalism, superior organizational and communication skills, ability to educate and influence, persistent follow-up, and a drive toward problem resolution.
• Drive for results, service, quality, and continuous improvement.
• Proficient verbal and written communication and willingness to share and receive information and ideas across the organization.
• Commitment to teamwork and helping achieve team and organizational goals.
• Customer-service focus, including listening to and understanding client/customer needs and exceeding service and quality expectations.

Responsibilities

• Adhere to company policies and procedures.
• Review patient insurance information needed to complete coverage verification.
• Verify insurance eligibility so claims are billed accurately and in accordance with payer guidelines.
• Ensure timely and accurate insurance authorizations are in place before services are rendered.
• Submit and manage prior authorizations.
• Maintain compliance with HIPAA and other healthcare regulations.
• Obtain medical records from facilities when necessary.
• Provide payers with information needed to determine benefits, including medical records and/or letters of medical necessity.
• Meet productivity and performance standards established by management.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED