Director - Credit & Payment Management

4 weeks ago


Irving, United States Caris Life Sciences Full time

**Position Summary**

We are seeking an experienced and effective Credit & Payment Director to oversee assigned processes within the billing operations group. Key areas of responsibility include secondary payer and patient billing, cash applications, and payer audit responses. This role requires strong leadership skills, analytical abilities, extensive knowledge of healthcare billing practices, and a commitment to process improvements.

**Job Responsibilities**

+ Lead and manage billing and appeals specialists and support staff, providing guidance, training, and performance feedback as needed.

+ Provide leadership to the cash applications, secondary claims, and patient billing teams.

+ Oversee the processing of secondary claims and patient invoices and identify trends, patterns, and opportunities for improvement.

+ Manage employees and vendors engaged in patient billing activities to include patient billers, outsourced patient invoicing print vendor, and collection agencies. Manage escalated patient billing related calls and correspondence.

+ Monitor the status of secondary claims, including denials, rejections, and pending payments, and follow up as needed to resolve issues and ensure timely reimbursement.

+ Provide oversight to the team responsible for posting payments, adjustments, denials, and transactions in the billing system.

+ Identify and correct posting errors and underpayments; research and resolve payment posting discrepancies.

+ Generate and distribute e reports summarizing payment posting activities, account reconciliation, and credit balances.

+ Verify the validity of refund requests by comparing payment records, billing statements, and documentation to determine if overpayment exists.

+ Effectively appeal/respond to invalid refund requests, SIU documentation requests, and payer audits.

+ Develop and implement policies, procedures, and workflows with an eye towards continuous improvement.

+ Ensure compliance with all relevant regulations, including HIPAA, CMS guidelines, and payer requirements, and implement strategies to minimize denials and optimize reimbursement.

+ Collaborate with other departments resolve billing-related issues and streamline processes.

+ Monitor key performance indicators (KPIs) related to productivity and develop strategies to achieve departmental goals.

**Required Qualifications**

+ Minimum of 5 years of experience in medical billing/revenue operations with at least 2 years in a supervisory or managerial role.

+ In-depth knowledge of medical coding guidelines, regulations, and compliance standards, including ICD-10, CPT, and HCPCS.

+ Strong leadership, communication, and interpersonal skills, with the ability to effectively manage a team and collaborate with internal and external stakeholders.

+ Excellent analytical and problem-solving abilities, with a focus on accuracy, attention to detail, and process improvement.

+ Ability to adapt to changing priorities and work effectively in a fast-paced, dynamic environment.

+ Commitment to maintaining confidentiality and integrity in handling sensitive patient information.

+ Familiarity with healthcare reimbursement methodologies and revenue cycle management principles.

+ Proficiency in using billing software and electronic health record (EHR) systems (Xifin preferred).

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

**Preferred Qualifications**

+ Bachelor's degree in healthcare administration, business administration, or a related field preferred.

+ Medical billing/revenue operations experience in an Oncology or Laboratory setting.

**Physical Demands**

+ Must possess ability to sit and/or stand for long periods of time.

+ Must possess ability to perform repetitive motion.

+ Ability to lift up to 25 pounds.

+ Majority of work is performed in a desk/cubicle environment.

**Training**

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

**Other**

+ Willingness to work shift work and overtime is required.

+ Travel Required: Rarely

+ Weekends/Evenings/Holidays: No

_This job description reflects managements assignment of essential functions. Nothing in this job description restricts managements 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.

Caris Life Sciences is a leading innovator in molecular science and artificial intelligence focused on fulfilling the promise of precision medicine through quality and innovation.

Our laboratory is the heart of what we do. Learn more about our laboratory and the team of histologists who help fulfill our purpose everyday.



  • Irving, United States Caris Life Sciences Full time

    Position Summary We are seeking an experienced and effective Credit & Payment Director to oversee assigned processes within the billing operations group. Key areas of responsibility include secondary payer and patient billing, cash applications, and payer audit responses. This role requires strong leadership skills, analytical abilities, extensive knowledge...


  • Irving, United States Heidelberg Materials Full time

    Job Posting The Role and the Company Heidelberg Materials provides the materials to build our future. Our future is sustainable. Our future is digital. And it goes way beyond cement, aggregates and ready-mixed concrete. Heidelberg Materials North America, previously known as Lehigh Hanson, operates more than 450 locations with approximately 9,000 employees...


  • Irving, United States Heidelberg Materials Full time

    Job Posting The Role and the Company Heidelberg Materials provides the materials to build our future. Our future is sustainable. Our future is digital. And it goes way beyond cement, aggregates and ready-mixed concrete. Heidelberg Materials North America, previously known as Lehigh Hanson, operates more than 450 locations with approximately 9,000 employees...


  • Irving, United States The Ladders Full time

    Job Posting The Role and the Company Heidelberg Materials provides the materials to build our future. Our future is sustainable. Our future is digital. And it goes way beyond cement, aggregates and ready-mixed concrete. Heidelberg Materials North America, previously known as Lehigh Hanson, operates more than 450 locations with approximately 9,000 employees...


  • Irving, United States Heidelberg Materials Full time

    Job Posting The Role and the Company Heidelberg Materials provides the materials to build our future. Our future is sustainable. Our future is digital. And it goes way beyond cement, aggregates and ready-mixed concrete. Heidelberg Materials North America, previously known as Lehigh Hanson, operates more than 450 locations with approximately 9,000 employees...

  • Credit Analyst

    4 days ago


    Irving, United States Everest Search Partners Full time

    Job DescriptionJob DescriptionCredit Analyst will build rapport with customers and is savvy in payment negotiation. A team player with a proven track record that knows how to be a solutions-based collector to our customers. Must have an eye for detail for credit analysis combined with proven success negotiating payment arrangements.Responsibilities:Evaluate...

  • Credit Analyst

    3 days ago


    Irving, United States Everest Search Partners Full time

    Job DescriptionJob DescriptionCredit Analyst will build rapport with customers and is savvy in payment negotiation. A team player with a proven track record that knows how to be a solutions-based collector to our customers. Must have an eye for detail for credit analysis combined with proven success negotiating payment arrangements.Responsibilities:Evaluate...

  • Credit Representative

    4 weeks ago


    Irving, United States MATHESON Full time

    Utilize judgment in scheduling collection and follow-ups on delinquent accounts. Must maintain detailed, neat, and accurate credit files. Respond to all customer inquiries both verbal and written. Investigate and resolve payment discrepancies and disputed billings. Apply payments to customer accounts. Review credit worthiness of existing customers and...

  • Credit Representative

    1 month ago


    Irving, United States MATHESON Full time

    Utilize judgment in scheduling collection and follow-ups on delinquent accounts. Must maintain detailed, neat, and accurate credit files. Respond to all customer inquiries both verbal and written. Investigate and resolve payment discrepancies and disputed billings. Apply payments to customer accounts. Review credit worthiness of existing customers and...


  • Irving, United States MATHESON Full time

    Utilize judgment in scheduling collection and follow-ups on delinquent accounts. Must maintain detailed, neat, and accurate credit files. Respond to all customer inquiries both verbal and written. Investigate and resolve payment discrepancies and disputed billings. Apply payments to customer accounts. Review credit worthiness of existing customers and...

  • Credit Admin

    1 month ago


    Irving, United States Matheson Tri-Gas, Inc. Full time

    typing minimum 50 wpm Ten key by touch Knowledge of hot key based systems Experience level of average/above average with Microsoft Office Products Professional written and verbal communication skills Self-Motivator Process the Bad Debt File; Bad Debts and Bad Debt Recovery Write-offs Process the requests from the collection agency including the checks...

  • Credit Admin

    4 weeks ago


    Irving, United States Matheson Tri-Gas, Inc. Full time

    typing minimum 50 wpm Ten key by touch Knowledge of hot key based systems Experience level of average/above average with Microsoft Office Products Professional written and verbal communication skills Self-Motivator Process the Bad Debt File; Bad Debts and Bad Debt Recovery Write-offs Process the requests from the collection agency including the checks...

  • Credit Admin

    3 weeks ago


    Irving, United States CareerBuilder Full time

    typing minimum 50 wpm Ten key by touch Knowledge of hot key based systems Experience level of average/above average with Microsoft Office Products Professional written and verbal communication skills Self-Motivator Process the Bad Debt File; Bad Debts and Bad Debt Recovery Write-offs Process the requests from the collection agency including the checks and...

  • Credit Admin

    1 week ago


    Irving, Texas, United States Matheson Tri-Gas, Inc. Full time

    typing minimum 50 wpmTen key by touchKnowledge of hot key based systemsExperience level of average/above average with Microsoft Office ProductsProfessional written and verbal communication skillsSelf-MotivatorProcess the Bad Debt File; Bad Debts and Bad Debt Recovery Write-offsProcess the requests from the collection agency including the checks and...

  • Credit Coordinator

    1 month ago


    Irving, United States AutoNation Business Operations Support Full time

    Overview: Position Summary: The Credit Associate is responsible for making credit limit decisions based on analysis of relevant data. The credit team responds to Credit Desk phones and emails to handle tasks such as releasing orders, customer set-up/master data, and sales tax exemption. Organizational Relationships: Interacts with internal customers and...

  • Payment Processor

    4 weeks ago


    Irving, Texas, United States Randstad USA Full time

    Our client, a large Real Estate Firm, is looking for a payment processor to assist with mailroom operations. Candidates who wish to be considered will need to be within driving distance of Irving, TX to accomodate the onsite role. Please ensure that all resumes are updated with previous employment and contact information. salary: $17 - $18 per hourshift:...

  • Payment Processor

    1 month ago


    Irving, Texas, United States Randstad USA Full time

    Our client, a large Real Estate Firm, is looking for a payment processor to assist with mailroom operations. Candidates who wish to be considered will need to be within driving distance of Irving, TX to accomodate the onsite role. Please ensure that all resumes are updated with previous employment and contact information. salary: $17 - $18 per hourshift:...

  • Credit Processor

    1 month ago


    Irving, United States AutoNation Full time

    AutoNation Business Operations Support Position Summary: The Credit Associate is responsible for making credit limit decisions based on analysis of relevant data. The credit team responds to Credit Desk phones and emails to handle tasks such as releasing orders, customer set-up/master data, and sales tax exemption. Organizational Relationships: Interacts...

  • Credit Processor

    2 weeks ago


    Irving, United States AutoNation Full time

    AutoNation Business Operations Support Position Summary: The Credit Associate is responsible for making credit limit decisions based on analysis of relevant data. The credit team responds to Credit Desk phones and emails to handle tasks such as releasing orders, customer set-up/master data, and sales tax exemption. Organizational Relationships: Interacts...

  • Credit Associate

    1 month ago


    Irving, United States AutoNation, Inc. Full time

    AutoNation Business Operations Support Position Summary: The Credit Associate is responsible for making credit limit decisions based on analysis of relevant data. The credit team responds to Credit Desk phones and emails to handle tasks such as releasing orders, customer set-up/master data, and sales tax exemption. Organizational Relationships: Interacts...