Billing Operations Team Lead

2 weeks ago

Austin, Texas, United States Caris Life Sciences Full time

Position Overview

The Billing Operations Team Lead plays a crucial role in addressing un-billable claims, as well as managing issues related to claim denials and underpayments. This position utilizes advanced billing software and requires a keen ability to scrutinize denials for discrepancies while comprehending group plan documents and benefits language to effectively appeal claim denials.

Key Responsibilities

+ Conducts thorough analysis of un-billable accounts to ascertain the reasons behind their status. Identifies underlying causes, formulates corrective measures, and resolves associated issues to facilitate the release of claims for billing.

+ Engages with clients, sales teams, or other internal stakeholders to gather necessary information and determines the appropriate correspondence to dispatch.

+ Evaluates responses to information requests to ensure the completeness and appropriateness of the information provided for accurate claim filing.

+ Updates and codes the system as required.

+ Manages specialized processes for accounts lacking essential billing information. Investigates multiple systems and reviews historical data to retrieve missing details.

+ Recognizes patterns and devises strategies to mitigate billing exceptions.

+ Provides assistance as needed for related tasks and special projects.

+ Accepts additional responsibilities as assigned.

Qualifications Required

+ High School Diploma or equivalent is mandatory.

+ 5-7 years of pertinent experience in a healthcare billing, admissions, or customer service setting.

+ Proficient in 10-key and alpha/numeric data entry.

+ Skilled in Microsoft Office Suite, particularly Word, Excel, and Outlook, along with a general understanding of Internet usage for business purposes.

+ Employment conditions include successful completion of a pre-employment process, which encompasses a criminal background check, drug screening, and reference verification.

Preferred Qualifications

+ Ability to thrive in a fast-paced, deadline-oriented environment.

+ Commitment to achieving results through a focus on service, quality, and continuous improvement, ensuring effective procedures and processes are in place.

+ Strong verbal and written communication skills, with a willingness to share and receive information across all organizational levels to attain desired outcomes.

+ Team-oriented mindset, dedicated to contributing to the success of team and organizational objectives.

+ Customer service-oriented approach, emphasizing the importance of understanding client needs and exceeding service expectations.

Physical Requirements

+ Capability to sit and/or stand for extended periods.

+ Ability to perform repetitive motions.

+ Capacity to lift up to 15 pounds.

+ Majority of work is conducted in a desk or cubicle environment.

Additional Information

+ Willingness to work shifts and overtime is essential.

+ Travel is rarely required.

This job description outlines essential functions as assigned by management. It does not restrict management's right to assign or reassign duties and responsibilities 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, or status as a qualified individual with a disability.

Caris Life Sciences is a leading innovator in molecular science and artificial intelligence, dedicated to advancing precision medicine through quality and innovation.

Caris is committed to excellence at our state-of-the-art laboratories, focusing on technologies that enhance the lives of cancer patients.

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