Accounts Receivable Associate (Hybrid)

Caris Life Sciences; Texas; Sur place; USD 42 000 - 56 000; Plein temps

Résumé du poste

Caris Life Sciences is seeking an Accounts Receivable Associate to review outstanding insurance denials and verify claim status with Medicare, Medicaid, and commercial payors. You will prepare and submit documentation to payors and help resolve disputes to keep revenue cycle on track.

The role requires 1–2 years in a related field, a high school diploma, and strong communication, attention to detail, and teamwork skills. HIPAA-compliant practices are essential.

Qualifications

• High School diploma or equivalent required.
• 1–2 years of experience in a related industry.
• Strong understanding of EOBs to determine denial reasons and 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 with medical billing software and Microsoft Office.
• Knowledge of CPT and ICD-10; HIPAA compliant billing.

Responsabilités

• Review insurance denials and take appropriate action.
• Check claims status via phone or portal.
• Submit Medical Records upon request and follow up.
• Submit HCFA claims to insurers that do not accept electronic claims.
• Submit Retros authorization and resolve disputes with payors.
• Collaborate with insurers to resolve billing disputes.
• Identify and correct billing errors to improve revenue cycle.
• Communicate process issues to drive improvements.
• Use payor portals to gather claim status information.
• Respond promptly to inquiries from insurers, patients, and clients.

Connaissances

Strong communication

Interpersonal skills

Teamwork

Independent work

Attention to detail

Organizational skills

Problem solving

Customer service focus

Adaptability

Formation

High School diploma

Associate's degree in accounting/finance/healthcare administration

Outils

Microsoft Office

Medical billing software

Description du poste

At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives.We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: "What would I do if this patient were my mom?" That question drives everything we do.But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose.Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.

Position Summary

The Account Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role involves following up with insurance companies to check claim status, reviewing medical records request and submitting required documentation to payors.

Job Responsibilities

• Review insurance denials and take appropriate action.
• Check claims status via phone or portal.
• 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 andresolving 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.

Required Qualifications

• 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

Preferred Qualifications

• 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.

Physical Demands

• Must possess ability to sit and/or stand for long periods of time.
• Must possess ability to perform repetitive motion.
• Ability to liftupto 15 pounds.
• The 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.
• Job may require occasional weekends, evenings, and/or holidays.

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 descr