Insurance Verification & Authorization Specialist

Caris MPI, Inc.; Irving (TX); On-site; USD 36,000 - 54,000; Full time

Job summary

Caris Life Sciences is seeking a Verification Authorization Associate to verify insurance coverage, obtain preauthorizations, and coordinate with facilities for Medical Records. You will ensure information is complete and accurate, following CMS regulations and payer guidelines.

The role requires 2+ years in an office setting, strong MS Office skills, and proactive problem-solving. You may work shift schedules and overtime, and compliance with HIPAA is essential.

Qualifications

• High School degree or equivalent required.
• 2+ years of office setting experience.
• Proficient in MS Office (Word, Excel, Outlook).
• Strong knowledge of insurance processing, guidelines and general laws related to all payers.
• Proficient in clinical documentation review for alignment with insurance authorization requirements.
• Moderate knowledge of CPT, ICD-10.
• Maintains compliance with HIPAA and other healthcare regulations.

Responsibilities

• Verify active insurance coverage and obtain preauthorization.
• Contact facilities for Medical Records when needed.
• Answer provider, facility and staff questions about authorization requirements.
• Manage and assign daily/weekly tasks based on business needs.
• Promote quality and monitor work to meet standards.

Skills

MS Office Suite

Time management

Communication skills

HIPAA compliance

Insurance processing knowledge

CPT/ICD-10 knowledge

Proactive / self-starter

Teamwork

Attention to detail

Education

High School diploma

Bachelor’s degree preferred

Tools

MS Office Suite

Job description

Caris Life Sciences is seeking a Verification Authorization Associate to verify insurance coverage, obtain preauthorizations, and coordinate with facilities for Medical Records. You will ensure information is complete and accurate, following CMS regulations and payer guidelines.

The role requires 2+ years in an office setting, strong MS Office skills, and proactive problem-solving. You may work shift schedules and overtime, and compliance with HIPAA is essential.