Insurance Verification & Authorization Specialist

Caris Life Sciences; Irving (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

Caris Life Sciences is seeking a Verification Authorization Associate to verify active insurance coverage, gather facility and specimen collection information, and secure preauthorizations under CMS regulations. You will contact providers and facilities for records, ensuring data accuracy and compliance with Medicare, Medicaid, and other payers.

The role requires strong knowledge of CPT/ICD-10, HIPAA compliance, and ability to manage multiple tasks with minimal guidance.

Qualifications

• 2+ years of office setting experience.
• Proficient in MS Office (Word, Excel, Outlook)
• Demonstrates solid time management skills and organization
• Strong knowledge of insurance processing, guidelines and general laws related to all payers.
• Proficient in clinical documentation review for alignment with insurance authorization requirements
• Strong Problem-Solving skills
• Maintains compliance with HIPAA and other healthcare regulations
• Moderate knowledge of CPT, ICD-10

Responsibilities

• Proficient in and exceeding job responsibilities of Verification/ Authorization Personnel - Specialist either through Caris or with a former employer in a similar industry.
• Identify ways to improve and promote quality and monitor your own work to ensure quality standards are met.
• Answers provider, facility and staff questions surrounding insurance authorization requirements.
• Manage and assign daily/weekly tasks based on business need.
• Occasional peer-to-peer training.

Skills

MS Office proficiency

Time management

Problem solving

HIPAA compliance

Insurance processing knowledge

Education

High School diploma or equivalent

Bachelor’s degree

Tools

MS Office (Word, Excel, Outlook)

Job description

Caris Life Sciences is seeking a Verification Authorization Associate to verify active insurance coverage, gather facility and specimen collection information, and secure preauthorizations under CMS regulations. You will contact providers and facilities for records, ensuring data accuracy and compliance with Medicare, Medicaid, and other payers.

The role requires strong knowledge of CPT/ICD-10, HIPAA compliance, and ability to manage multiple tasks with minimal guidance.