StoneGate Senior Living · 10 hours ago
Insurance Biller (On Site)
Lewisville, TX
Full-time
Onsite
New Grad, Entry LevelStoneGate Senior Living is a leading provider of Long-Term Care, Skilled Nursing, and Rehabilitative Care in Lewisville, TX. They are seeking an Insurance Biller responsible for verifying and facilitating insurance authorizations for Skilled Nursing patients, as well as communicating with clinical liaisons and insurance carriers.
Elder CareElderlyHealth CareNon Profit
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
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
Qualification
Required
High school diploma
Basic Accounting/bookkeeping skills needed
UB04 experience required
Must have Managed Care Insurance experience
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
Preferred
College degree in Business preferred
Experience in Skilled Nursing authorizations preferred
Benefits
Competitive compensation
Health, dental, and vision insurance
Company paid life insurance
Holiday pay
Paid time off
Employee appreciation events
And much more
Company
StoneGate Senior Living
StoneGate Senior Living offers assisted living, memory care, alzheimer's care, and independent living to seniors.
Founded in 2001
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Paul Walters
Chief Financial Officer
James King (CISSP, ITIL v3, CCNA)
Vice President Information Technology (Healthcare/CIO/Security)
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