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Insurance Specialist

Stonegate Senior Living
Lewisville, TX Full Time
POSTED ON 4/14/2025
AVAILABLE BEFORE 5/5/2025

Stonegate Senior Living -

Insurance Specialist

Stonegate Senior Living

Lewisville, TX

StoneGate Senior Living,  a premier provider of support services to senior care facilities, is seeking a n Insurance Specialist .    If you are an experienced  Insurance Specialist, we have a great opportunity for you.

Headquartered in Lewisville, Texas,  StoneGate Senior Living  provides management services to 32 healthcare facilities, which employ a total of more than 4,200 employees.  As a member of  StoneGate Senior Living’s  Central Intake Center, the  Insurance Specialist  is responsible for verifying and facilitating insurance authorizations for skilled nursing patients. Duties may also include communicating with clinical liaisons, insurance carriers, and our supported skilled nursing facilities. The Insurance Specialist will assist in the intake process for all patients by receiving referrals, gathering and recording pertinent information, verifying insurance / payor benefits, obtaining preauthorization and completing process to admit inpatients to our supported skilled nursing facilities.   This position will be based out of the Lewisville, Texas management office and is a fully on-site position.

StoneGate Senior Living  offers a competitive compensation package and a great Paid Time Off plan with lots of flexibility to help you balance your work and home life. Comprehensive medical, dental, vision and life insurance plans are available, as well as a 401(k) retirement plan.

We look forward to you joining our team!

Responsibilities :

  • Processes referrals and coordinates admissions of all skilled nursing patients in an efficient, responsive manner.
  • Coordinates the flow of information through the verification and authorization process and forwards to appropriate departments for the successful completion of admissions.
  • Collect and record all insurance / payor information necessary for obtaining authorization to admit skilled nursing patients.
  • Completes insurance verification process with benefit and billing information.
  • 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 StoneGate and supported facility team members and facility Clinical Liaisons to ensure teamwork, cooperation and mutual respect.

Requirements :

  • High school diploma or GED certification required.
  • One year experience with verifying and obtaining authorization of insurances / health-related field preferred
  • 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
  • Excellent organizational skills.
  • Uses computer proficiently
  • Speaks and communicates English effectively, both in verbal and written format.
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