Insurance Biller

Insurance Biller 100% On Site StoneGate Senior Living, Lewisville, TX A leading provider of Long‑Term Care, Skilled Nursing and Rehabilitative Care, StoneGate Senior Living is seeking an experienced Insurance Biller with Managed Care insurance experience to join our team. 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, gather and record pertinent information, confirm insurance/payor benefits, review preauthorization and complete processes, bill inpatients to the Skilled Nursing Facilities, follow up on all claims, move copays, post cash, appeal non‑paid claims, and work all balances. We offer competitive compensation, health, dental, and vision insurance, company paid life insurance, holiday pay, paid time off, employee appreciation events and more. Responsibilities Understanding of SNF billing requirements and systems. Bills insurance via UB04 detailed billing, non‑episodic. Tie NOMNCs to insurance authorization for billing and appeals. Full understanding of ISNP systems and ability to bill per guidelines. Detailed UB04/837 understanding. Manage large load of claims from multiple facilities within deadlines. Work closely with team members and billing issue resolutions. Communicates effectively with clinical reimbursement. Knowledge/understanding of pharmacy exclusions and related billing procedures. Post incoming remits and balance books. Understand basic accounting knowledge and processes. Working knowledge of national insurance clearing house systems. Contact patient’s insurance to confirm and determine amount of coverage and benefits, deductible due, length of stay and if authorization is required. Communicate authorization status electronically and verbally if needed. Maintain open communication with team members and clinical liaisons to ensure teamwork, cooperation and mutual respect. Requirements High school diploma. College degree in business preferred. Basic accounting/bookkeeping skills needed. UB04 experience required. Must 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 skills. Excellent organizational skills. Uses a computer proficiently. Speaks and communicates English effectively, both in verbal and written format. #J-18808-Ljbffr