Insurance Biller

Insurance BillerStoneGate Senior Living, a leading provider of Long-Term Care, Skilled Nursing and Rehabilitative Care in Lewisville, TX has an opportunity for an Insurance Biller with Managed Care Insurance experience to join our team! A rewarding career is waiting for you with a company that specializes in long-term and rehabilitative care! If you are an experienced Insurance Biller with Managed Care experience, we have the opportunity for you. This is not a remote position.As the Insurance Biller you are responsible for verifying, facilitating insurance authorizations, and billing via UB04s for Skilled Nursing patients. Duties may also include communicating with clinical liaisons, insurance carriers, and Skilled Nursing Facilities. The specialist will verify patients' demographics, gathering and recording pertinent information, conform insurance/payor benefits, review preauthorization and complete processes and bill inpatients to the Skilled Nursing Facilities. Follow-up on all claims, moving copays, posting cash, appeals for non-paid claims and work all balances.Come be a part of our mission to provide superior clinical care, rehabilitation, wellness, and supportive services that meet the wants, needs, and expectations of our patients and residents. We offer competitive compensation, health, dental, and vision insurance, company paid life insurance, holiday pay, paid time off, employee appreciation events and much more. We look forward to you joining our team!Responsibilities:Understanding of SNF billing requirements and systems.Bills Insurance via UB04 detailed billing, non-episodicTie NOMNCs to Insurance Authorization for billing and appeals.Full understand of ISNP systems and ability to bill per guidelinesDetailed UB04/837 understandingManage large load of claims from multiple facilities within deadlinesWork closely with Team Members and billing issue resolutionsCommunicates effectively with clinical reimbursementKnowledge/understanding of Pharmacy exclusions and related billing proceduresPost incoming remits and balance booksUnderstand basic accounting knowledge and processesWorking knowledge of national insurance clearing house systemsContact patient's insurance to confirm and determine amount of coverage and benefits, deductible due, length of stay and if authorization is required.Communicates authorization status electronically and verbally if needed.Maintains open communication with Team Members and Clinical Liaisons to ensure teamwork, cooperation and mutual respect.*****This is not a Coder position*******Requirements:High school diploma. College degree in Business preferredBasic Accounting/bookkeeping skills needed.UB04 experience requiredMust have Managed Care Insurance experience.Experience in Skilled Nursing authorizations preferred.Strong knowledge and understanding of Medicare, Managed Care, HMO/PPO plans and authorization/referral requirements.Ability to understand medical terminology.Ability to multi-task and prioritize duties.Strong Excel skillsExcellent organizational skills.Uses a computer proficiently.Speaks and communicates English effectively, both in verbal and written format.*****Note: this is NOT a coder position*****