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.

Position Summary

The Director - Billing Operations - Front End is responsible for leading and overseeing all aspects of the upfront portion of the billing process, including benefit investigations, prior authorizations, financial clearance, and payer-specific requirements. This leader will work cross-functionally with clinical operations, payor relations, and revenue cycle teams to ensure timely, accurate, and compliant billing operations that support revenue optimization and a positive patient experience.

Job Responsibilities

• Lead and manage the Upfront Billing team responsible for insurance verifications, benefit investigations, and prior authorizations.

• Develop and optimize workflows to ensure timely and accurate submission of all upfront billing documentation and requirements.

• Collaborate with payor relations and contracting teams to ensure alignment between payer policies and authorization protocols.

• Identify and implement technology solutions and process improvements that enhance operational efficiency and reduce claim denials.

• Serve as the subject matter expert for payer requirements and authorization trends to support accurate billing and reduce downstream issues.

• Provide ongoing training, development, and performance management for team members.

• Develop and track KPIs to evaluate the effectiveness and efficiency of the upfront billing process.

• Partner with analytics to monitor trends in denials, turnaround times, and payer response rates.

• Act as a liaison with clinical and operational teams to resolve workflow issues and ensure alignment on authorization and eligibility processes.

Required Qualifications

• Bachelor’s degree in Healthcare Administration, Business, or a related field or equivalent experience.

• 5+ years of experience in revenue cycle management with a focus on benefit verification, prior authorization, or pre-billing activities or with accessioning within a lab environment.

• 5+ years of leadership experience in a healthcare or life sciences setting.

• Strong understanding of payer requirements, medical necessity guidelines, and billing regulations.

• Demonstrated success leading teams through process improvement and operational scaling.

• Experience working with laboratory services or molecular diagnostics preferred.

• Strong analytical, problem-solving, and interpersonal communication skills.

• Proficient in EHR, billing software, and revenue cycle platforms.

Preferred Qualifications

• Experience working in a precision medicine or laboratory environment.

• Knowledge of billing requirements specific to genomic testing and advanced diagnostics.

• Familiarity with commercial payer authorization workflows.

Physical Demands

• Must possess ability to sit and/or stand for long periods of time.

• Must possess 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 employee.

Other

• This position requires periodic travel and some evenings, weekends 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.

This job description reflects management’s assignment of essential functions. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Caris 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.