Accounts Receivable Associate (Hybrid)

divh2Caris Life Sciences Account Receivable Associate/h2pAt Caris, we understand that cancer is an ugly worda word no one wants to hear, but one that connects us all. Thats why were not just transforming cancer carewere changing lives./ppWe 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./ppBut our mission doesnt stop with cancer. Were pushing the frontiers of medicine and leading a revolution in healthcaredriven by innovation, compassion, and purpose./ppJoin us in our mission to improve the human condition across multiple diseases. If youre passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins./ph3Position Summary/h3pThe 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./ph3Job Responsibilities/h3ulliReview insurance denials and take appropriate action./liliCheck claims status via phone or portal./liliSubmit medical records upon request and follow up on submission./liliSubmit HCFAs claims to insurance companies that do not accept electronic claims./liliSubmit retros authorization./liliWork closely with insurance companies to resolve claims disputes./liliIdentifying and resolving billing errors and implementing processes to prevent future issues./liliIdentifying and communicating process errors to optimize revenue cycle management./liliUtilize payor portals to gather claims status information./liliRespond promptly and professionally to inquiries from insurance companies, patients, and clients representatives with good customer service./liliEnsure billing practices comply with HIPAA, CMS guidelines, and payor specific policies./liliCommunicate with insurance companies daily./liliMust meet or exceed production and quality standards./li/ulh3Required Qualifications/h3ulliHigh School diploma or equivalent required./lili1-2 years of experience in a related industry./liliStrong understanding of Explanation of Benefits (EOBs) to determine denial reasons and appropriate actions./liliStrong communication and interpersonal skills./liliAbility to work independently and as part of a team./liliAttention to detail and strong organizational skills./liliBasic experience using computer software, including medical billing software./liliProficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use./liliStrong problem-solving skills with attention to detail./liliModerate knowledge of CPT, ICD-10./liliAbility to adapt to frequent changes and manage tasks efficiently./li/ulh3Preferred Qualifications/h3ulliAssociates degree in accounting, finance, healthcare administration, or a related field OR equivalent combination of education and experience./liliMust 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./liliDrive 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./liliCommunication 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./liliTeamwork Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team./liliCustomer 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./li/ulh3Physical Demands/h3ulliMust possess ability to sit and/or stand for long periods of time./liliMust possess ability to perform repetitive motion./liliAbility to lift up to 15 pounds./liliThe majority of work is performed in a desk/cubicle environment./li/ulh3Training/h3ulliAll job specific, safety, and compliance training are assigned based on the job functions associated with this employee./li/ulh3Other/h3ulliWillingness to work shift work and overtime./liliJob may require occasional weekends, evenings, and/or holidays./liliConditions 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./liliThis job description reflects managements assignment of essential functions. Nothing in this job description restricts managements right to assign or reassign duties and responsibilities to this job at any time./liliCaris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability./li/ul/div