Accounts Receivable - Specialist

About Us

At Caris, we understand that cancer is an ugly word—a word no one wants to hear, but one that connects us all. That’s why we’re not just transforming cancer care—we’re changing lives. We 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. But our mission doesn’t stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare—driven by innovation, compassion, and purpose. Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.

Responsibilities

• Review insurance denials and take appropriate action.
• Check claims status via phone or portal.
• Submit Medical Records upon request and follow up on submission.
• Submit HCFA's claims to insurance companies that do not accept electronic claims.
• Submit Retros authorization.
• Work closely with insurance companies to resolve claims disputes.
• Identify and resolve billing errors and implement processes to prevent future issues.
• Identify and communicate process improvements to optimize revenue cycle management.
• Utilize payor portals to gather claims status information.
• Respond promptly and professionally to inquiries from insurance companies, patients, and client's representatives with good customer service.
• Ensure billing practices comply with HIPAA, CMS guidelines, and payor-specific policies.
• Communicate with insurance companies daily.
• Meet or exceed production and quality standards.
• Review insurance rejections and make necessary corrections.
• Prepare and submit appeals with supporting documentation within timely filing.
• Submit corrected claims to insurance companies.

Requirements

• High School diploma or equivalent required.
• 2-4 years of experience in a related industry.
• Strong understanding of Explanation of Benefits (EOBs) to determine denial reasons and appropriate actions.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Attention to detail and strong organizational skills.
• Strong experience using computer software, including medical billing software.
• Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of the Internet for business use.
• Strong problem-solving skills with attention to detail.
• Strong knowledge of CPT, ICD-10.
• Ability to adapt to frequent changes and manage tasks efficiently.

Preferred Qualifications

• Associate's degree in accounting, finance, healthcare administration, or a related field OR equivalent combination of education and experience.
• 2+ years of experience in a medical billing-related position, with experience in AR.
• Professionalism, superior organizational skills, and communication skills that allow the ability to educate and influence.
• Unrelenting passion for persistent follow-up and a drive towards problem resolution.
• Drive 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.
• 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.
• Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team.
• Customer 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.

Physical Demands

• Must possess the ability to sit and/or stand for long periods of time.
• Must possess the ability to perform repetitive motion.
• Ability to lift up to 15 pounds.
• The majority of work is performed in a desk/cubicle environment.

Training

All job-specific, safety, and compliance training are assigned based on the job functions associated with this role.

Schedule

• Willingness to work shift work and overtime.
• Job may require occasional weekends, evenings, and/or holidays.

Conditions 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.