Billing Operations Specialist I

Position Summary

The Billing Department is at the center and forefront of our financial operations.  This position would involve team members working together, maximizing efforts, and educating payers to address their questions so we can receive proper payments for our transformative and critical health care service for oncology patients. 

Because our services are on the cutting edge of medicine, our employees are charged with educating insurance providers on the necessity of our services, and we are interested in speaking with candidates who have the capacity to learn our business and who have the communication skills to explain the value of our offering to third party payers---with a goal of obtaining proper and timely payment for services rendered.   We need individuals who have a balance of tenacity to not take “no” for an answer and relationship building skills to maintain long-term associations with third party payer representatives.   

Job Responsibilities

• With focus on data integrity and precision:

  • Process claims in an automated billing system

  • Collect and review all patient insurance information needed to complete the billing, collections, appeal, and/or cash processes

  • Demonstrate a balance of persistent follow up and decorum with a goal of collecting on unpaid claims (from both insurance providers and patients) 

• Rely upon ingenuity and analytical skills to:

  • Identify trends and identify root cause of claims not paid by insurance providers and/or patients

  • Swiftly resolve acute issues

  • Propose solutions for systemic trends in unpaid claims

Required Qualifications

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

Preferred Qualifications

• Entry-level position from college or graduate school or with prior business 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. 

• Overall responsibility will be to follow-up on all claims from billing through final resolution, and reduce delinquent accounts to achieve maximum collections from all sources.

Required Training

• All job specific, safety, and compliance training are assigned based on the job functions associated with this employee.

Conditions of Employment:  Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification.

This job description reflects management’s assignment of essential functions. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.