Skilled Nursing Insurance Biller - On Site

StoneGate Senior Living, LLC; 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

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.