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Caris Life Sciences · 2 days ago

Billing Operations Manager – Eligibility/ Verification Authorization

Irving, TX

Full-time

Onsite

Senior Level

5+ years exp

Caris Life Sciences is a company dedicated to transforming cancer care and improving lives through precision medicine. They are seeking a Billing Operations Manager to lead the Eligibility function within their Billing Operations team, ensuring accurate and timely verification of patient benefits while supporting revenue cycle efficiency.

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Responsibilities

Lead and manage the Eligibility team, ensuring accurate and timely insurance verification, prior authorizations, and benefit assessments

Develop and monitor team performance metrics, ensuring goals are met for turnaround time, accuracy, and payer compliance

Collaborate with payers to resolve eligibility discrepancies, denials, and escalations

Work closely with Revenue Cycle leadership to identify trends, gaps, and opportunities for process improvements

Implement and update policies and procedures to ensure compliance with regulatory and payer requirements

Train, coach, and mentor team members to enhance knowledge of payer guidelines, systems, and best practices

Partner with cross-functional teams Billing 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 a culture of 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 all relevant state and federal regulations

Stay current on industry best practices, regulatory updates, and payer changes impacting billing and date of service requirements

Qualification

Healthcare billing operationsCPT codingICD-10 codingHCPCS codingRevenue cycle managementMicrosoft Office SuiteData Analytics ToolsLeadershipCommunication skillsProblem-solving skills