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Caris Life Sciences · 2 days ago

Accounts Receivable Associate

Irving, TX

Full-time

Onsite

Entry Level

1+ years exp

Caris Life Sciences is dedicated to transforming cancer care and improving lives through precision medicine. The Accounts Receivable Associate is responsible for reviewing outstanding denied claims and following up with insurance companies to resolve issues and ensure compliance with billing practices.

Artificial Intelligence (AI)BiopharmaBiotechnologyHealth CareLife Science

Responsibilities

Review insurance denials and take appropriate action

Check claims status via phone or poral

Submit Medical Records upon request and follow up on submission

Submit HCFA’s claims to insurance companies that do not accept electronic claims

Submit Retros authorization

Work closely with insurance companies to resolve claims disputes

Identifying and resolving billing errors and implementing processes to prevent future issues

Identifying and communicating process errors to optimize revenue cycle management

Utilize payor portals to gather claims status information

Respond promptly and professionally to inquiries from insurance companies, patient, and client’s representative with good customer service

Ensure billing practices comply with HIPAA, CMS guidelines and payor specific policies

Communicate with insurance companies daily

Must meet or exceed production and quality standards

Qualification

Medical billing softwareCPT knowledgeICD-10 knowledgeMicrosoft Office SuiteExplanation of Benefits (EOBs)Customer service focusCommunication skillsAttention to detailProblem-solving skillsOrganizational skillsTeamwork

Required

High School diploma or equivalent required

1-2 years of experience in a related industry

Strong understanding of Explanation of Benefits (EOBs) to determine denial reasons and appropriate actions

Strong communication and interpersonal skills

Ability to work independently and as part of a team

Attention to detail and strong organizational skills

Basic experience using computer software, including medical billing software

Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use

Strong Problem-Solving skills with attention to detail

Moderate knowledge of CPT, ICD-10

Ability to adapt to frequent changes and manage tasks efficiently

Conditions of Employment: Individuals must successfully complete the pre-employment process, which includes criminal background check, drug screening, and reference verification

Preferred

Associate's degree accounting, finance, healthcare administration, or a related field OR equivalent combination of education and experience

Must possess professionalism, superior organizational skills, communications skills that allow the ability to educate and influence, an unrelenting passion for persistent follow up, and a drive towards problem resolution

Drive for Results (Service, Quality, and Continuous Improvement) – Ensure procedures and processes are in place that will lead to delivery of quality results and continually reassess their effectiveness to achieve continuous improvement

Communication – Proficient verbal and written communication skills. Willingness to share and receive information and ideas from all levels of the organization to achieve the desired results

Teamwork – Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team

Customer Service Focus – Demonstrate a focus on listening to and understanding client/customer needs and then delighting the client/customer by exceeding service and quality expectations