Insurance Biller

StoneGate Senior Living; Lewisville (TX); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Company paid life insurance

Holiday pay

Paid time off

Employee appreciation events

Job summary

StoneGate Senior Living in Lewisville, TX is seeking an Insurance Biller with Managed Care experience to join our on-site team. This role focuses on verifying, authorizing, and billing for Skilled Nursing patients using UB04 forms, coordinating with insurers and clinical liaisons.

The ideal candidate will handle preauthorizations, denials, and remits, while maintaining accurate patient demographics and billings per guidelines.

Qualifications

• High school diploma; college degree in Business preferred.
• UB04 experience is required.
• Managed Care Insurance experience is essential.
• Knowledge of Medicare, HMO/PPO plans and authorization requirements.
• Strong Excel skills and ability to multi-task.

Responsibilities

• Understand SNF billing requirements and systems.
• Bills Insurance via UB04 detailed billing.
• Tie NOMNCs to Insurance Authorization for billing and appeals.
• Understand ISNP systems and billing per guidelines.
• UB04/837 billing knowledge.
• Manage large claims load from multiple facilities within deadlines.
• Collaborate with team and resolve billing issues.
• Communicate with clinical reimbursement teams.
• Know Pharmacy exclusions and related billing procedures.
• Post remits and balance books.
• Understand basic accounting concepts.
• Know national insurance clearing house systems.
• Contact insurance to confirm coverage, deductibles, and authorization needs.
• Communicate authorization status clearly.

Skills

Insurance billing

Managed Care

UB04 billing

Excel skills

English communication

Education

High school diploma

Business degree preferred

Job description

Lewisville, TX

100% On Site

StoneGate Senior Living

Lewisville, TX

StoneGate 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-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*****