StoneGate Senior Living
Insurance Biller (On Site)
StoneGate Senior Living, a leading provider of Long‑Term Care, Skilled Nursing and Rehabilitative Care in Lewisville, TX, is seeking an experienced Insurance Biller with Managed Care Insurance experience to join our team. This is a 100% on‑site position.
As an Insurance Biller, you will verify and facilitate insurance authorizations for Skilled Nursing patients, communicate with clinical liaisons, insurance carriers, and Skilled Nursing Facilities, assist with the intake process for all patients, and manage claims from multiple facilities.
We offer competitive compensation, health, dental, and vision insurance, company‑paid life insurance, holiday pay, paid time off, employee appreciation events, and much more.
Responsibilities
Understand SNF billing requirements and systems.
Bills insurance via UB04 detailed billing, non‑episodic.
Tie NOMNCs to insurance authorization for billing and appeals.
Have a full understanding of ISNP systems and ability to bill per guidelines.
Detailed UB04/837 understanding.
Manage a large load of claims from multiple facilities within deadlines.
Work closely with team members and resolve billing issues.
Communicate effectively with clinical reimbursement personnel.
Knowledge of pharmacy exclusions and related billing procedures.
Working knowledge of national insurance clearing house systems.
Contact patients’ insurance to confirm coverage, benefits, deductible, length of stay, and authorization requirements.
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.
UB04 experience required.
Must have managed care insurance experience.
Experience in skilled nursing authorizations preferred.
Strong knowledge 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.
Proficient computer skills.
Effective English communication, both verbal and written.
Note THIS IS NOT A CODER POSITION.
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As an Insurance Biller, you will verify and facilitate insurance authorizations for Skilled Nursing patients, communicate with clinical liaisons, insurance carriers, and Skilled Nursing Facilities, assist with the intake process for all patients, and manage claims from multiple facilities.
We offer competitive compensation, health, dental, and vision insurance, company‑paid life insurance, holiday pay, paid time off, employee appreciation events, and much more.
Responsibilities
Understand SNF billing requirements and systems.
Bills insurance via UB04 detailed billing, non‑episodic.
Tie NOMNCs to insurance authorization for billing and appeals.
Have a full understanding of ISNP systems and ability to bill per guidelines.
Detailed UB04/837 understanding.
Manage a large load of claims from multiple facilities within deadlines.
Work closely with team members and resolve billing issues.
Communicate effectively with clinical reimbursement personnel.
Knowledge of pharmacy exclusions and related billing procedures.
Working knowledge of national insurance clearing house systems.
Contact patients’ insurance to confirm coverage, benefits, deductible, length of stay, and authorization requirements.
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.
UB04 experience required.
Must have managed care insurance experience.
Experience in skilled nursing authorizations preferred.
Strong knowledge 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.
Proficient computer skills.
Effective English communication, both verbal and written.
Note THIS IS NOT A CODER POSITION.
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