Billing Operations Lead: Verification & Preauthorization

Caris Life Sciences; Irving (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Caris Life Sciences in Irving, TX is seeking a full-time Billing Operations Supervisor to lead the Verification Authorization function within the Billing Operations team. You will oversee daily operations for accurate insurance verification, prior authorizations, and benefit assessments, driving efficiency in the revenue cycle.

You will develop metrics, collaborate with payers, and ensure compliance with regulatory requirements while training and mentoring staff.

Qualifications

• 5–7 years of experience in healthcare billing operations, with at least 2–3 years in a supervisory or management role.
• Strong knowledge of CPT, ICD-10, HCPCS coding, payer regulations, and revenue cycle management.
• Ability to lead cross-functional initiatives and manage timelines, resources, and deliverables.
• Experience with Medicare Advantage plans and familiarity with Xifin is a plus.
• Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and healthcare billing systems.
• Strong interpersonal, communication, and problem-solving skills.

Responsibilities

• Lead and supervise the Verification Authorization team, ensuring accurate and timely insurance verification, prior authorizations, and benefit assessments.
• Develop and monitor team performance metrics, ensuring goals are met for turnaround time, accuracy, and payer compliance.
• Collaborate with payers to resolve eligibility discrepancies, denials, and escalations.
• Work closely with Revenue Cycle leadership to identify trends, gaps, and opportunities for process improvements.
• Implement and update policies and procedures to ensure compliance with regulatory and payer requirements.
• Train, coach, and mentor team members to enhance knowledge of payer guidelines, systems, and best practices.
• Provide regular reporting and analysis of eligibility performance, including KPIs, denial trends, and payer turnaround times.
• Manage staffing schedules, workload distribution, and productivity standards to ensure operational coverage and efficiency.

Skills

Healthcare billing

Leadership

Cross-functional collaboration

Problem solving

Communication

Education

Bachelor’s degree in Business, Healthcare Administration, or related field

Tools

Xifin

Microsoft Excel

Billing systems

Job description

Caris Life Sciences in Irving, TX is seeking a full-time Billing Operations Supervisor to lead the Verification Authorization function within the Billing Operations team. You will oversee daily operations for accurate insurance verification, prior authorizations, and benefit assessments, driving efficiency in the revenue cycle.

You will develop metrics, collaborate with payers, and ensure compliance with regulatory requirements while training and mentoring staff.