Insurance Biller

StoneGate Senior Living, LLC; Lewisville (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

StoneGate Senior Living, Lewisville, TX is seeking an Insurance Biller with Managed Care experience to join our on-site team. You will verify patient information, process UB04 billing for Skilled Nursing, and communicate with insurance carriers and clinical staff to secure timely payments.

This role focuses on SNF billing requirements, authorizations, denials management and accurate posting of remits. Strong Excel skills and attention to detail are essential; 100% on-site position.

Qualifications

• High school diploma required; college degree in Business preferred.
• UB04 experience required; knowledge of managed care billing.
• Strong Excel skills and ability to multi-task in a fast-paced SNF billing environment.

Responsibilities

• Billing Insurance via UB04 for Skilled Nursing patients.
• Verify patient demographics and eligibility; confirm coverage and benefits.
• Follow up on all claims, appeals for non-payment, and posting remits.

Skills

Excel skills

Multitasking

Organizational skills

English communication

Education

High school diploma

College degree in Business

Tools

UB04 billing

SNF billing systems

Medicare/Managed Care familiarity

Job description

Insurance Biller

100% On Site

StoneGate Senior Living

Lewisville, TX

StoneGate Senior Living, a leading provider of Long-Term Care, Skilled Nursing and Rehabilitative Care inLewisville, TXhas an opportunity for anInsurance 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 experiencedInsurance Biller with Managed Care experience, we have the opportunity for you.This is not a remote position.

As theInsurance 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-episodic

• Tie NOMNCs to Insurance Authorization for billing and appeals.

• Full understand 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.

• 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 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.

• *****Note: this is NOT a coder position*****