Insurance Biller

100% on-site role in Lewisville, TX with StoneGate Senior Living, a leading provider of long-term care, skilled nursing, and rehabilitative care.

About the role

As the Insurance Biller, you will verify and facilitate insurance authorizations, bill via UB04s for skilled-nursing patients, communicate with clinical liaisons, insurance carriers, and facilities, and follow up on all claims—including appeals, cash posting, and balance resolution.

Responsibilities

• Understand SNF billing requirements and systems
• Bill insurance via UB04 detailed billing (non-episodic)
• Tie NOMNCs to insurance authorization for billing and appeals
• Full understanding of ISNP systems and ability to bill per guidelines
• Detailed UB04/837 knowledge
• Manage large volume of claims from multiple facilities within deadlines
• Work closely with team members to resolve billing issues
• Communicate effectively with clinical reimbursement staff
• Knowledge of pharmacy exclusions and related billing procedures
• Post incoming remits and balance books
• Apply basic accounting knowledge and processes
• Use national insurance clearing-house systems
• Contact patient’s insurance to confirm coverage, benefits, deductibles, length of stay, and authorization requirements
• Communicate authorization status electronically and verbally
• Maintain open communication with team members and clinical liaisons to ensure teamwork and mutual respect

Requirements

• High school diploma (college degree in business preferred)
• Basic accounting/bookkeeping skills
• UB04 experience required
• Managed-care insurance experience
• Skilled-nursing authorizations experience 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 use
• Fluent in written and spoken English

Benefits

• Competitive compensation
• Health, dental, and vision insurance
• Company-paid life insurance
• Holiday pay
• Paid time off
• Employee appreciation events