Billing Operations Lead – Verification & Authorization

Scorpion Therapeutics; Irving (TX); On-site; USD 70,000 - 105,000; Full time

Job summary

Caris is seeking a Lead to manage the Verification Authorization function within Billing Operations, focusing on insurance verification, prior authorizations, and benefit assessments to optimize revenue cycle and patient access.

The role requires supervising staff, developing performance metrics, and resolving payer issues, with a strong emphasis on HIPAA compliance and regulatory adherence.

Qualifications

• 5–7 years healthcare billing experience with 2–3 years in supervisory roles.
• Strong knowledge of CPT, ICD-10, HCPCS coding.
• Experience with Medicare Advantage.
• Familiarity with billing systems like Xifin.

Responsibilities

• Supervise staff and develop performance metrics.
• Resolve payer issues and ensure regulatory compliance.
• Implement process improvements and optimize workflow.
• Collaborate cross-functionally with Revenue Cycle; support system enhancements.
• Maintain HIPAA and payer regulation adherence.

Skills

CPT coding

ICD-10 coding

HCPCS coding

Medicare Advantage

Leadership

Communication

Problem-solving

Staff supervision

Xifin

Education

High School diploma

Bachelor's in Business or Healthcare Administration

Tools

Xifin billing system

Job description

Caris is seeking a Lead to manage the Verification Authorization function within Billing Operations, focusing on insurance verification, prior authorizations, and benefit assessments to optimize revenue cycle and patient access.

The role requires supervising staff, developing performance metrics, and resolving payer issues, with a strong emphasis on HIPAA compliance and regulatory adherence.