Position Title : Billing Clerk

Department : Finance

Job Location : Ontario Newmarket (In Office)

Reports to : Controller

Date Last Updated : June 2024

JOB PURPOSE :

Reporting to the Controller, the Billing Clerk is responsible for supporting the Medicentres billing process, including but not limited to supporting Ontario physician payment and OHIP billing.

JOB DIMENSIONS :

Direct Reports : N / A

Financial : Supports the reconciliation of all billing and payment activity, billing investigations, and billing analysis.

Other : N / A

N / A

PRINCIPAL RESPONSIBILITIES :

Physician Support / Billing :

• Provide physicians with billing support and training as required.
• Review and assist newly hired physicians in completing required documentation for credentialing and enrollment with OHIP group billing.
• Identify trends or patterns in coding errors or billing discrepancies and recommend process improvements or corrective actions as needed.
• Responsible for developing automated algorithms to continuously monitor physician billing habits to assist this position in providing communication plans to physicians.
• Continuous learning for changes to billing rules around provincial health
• Meets with individual physicians to discuss opportunities to improve billing.
• Provides communication to physicians and operations regarding billing changes and updates.
• Backup for vacation coverage, focusing specifically on Physician payroll, WCB claim submission and third-party invoice processing.
• Perform other duties and special projects as assigned

Other :

• Build and maintain strong working relationships with the Ontario Physicians.
• Support physician onboarding and training on billing procedures.
• And other duties as assigned.

KNOWLEDGE, SKILLS AND EXPERIENCE :

• Experience and understanding of OHIP billing is required.
• Basic understanding of the flow of healthcare billing methods is considered an asset.
• Fluent in Microsoft Office Software.
• Professional and mature approach to customer service.
• Strong organizational skills and aptitude in numbers / statistics.
• Detail oriented and analytical.
• Ability to manage and prioritize project work.
• Aptitude for understanding databases, system flows and processes.

Education / Certifications

Post-Secondary degree or diploma in finance or a related field.

CONTEXT AND ENVIRONMENT :

Fast paced, ever changing environment, where attention to detail, ability to multi-task, meet stringent deadlines, and focus among distractions is essential.

All aspects of the job require a high degree of confidentiality, discretion and accuracy.

INTERNAL COMMUNICATIONS :

• All levels / departments of Medicentres
• Physicians
• Clinic Support Office (IT, Accounting, HR)

EXTERNAL COMMUNICATIONS :

• Vendors
• Suppliers
• Health System Stakeholders (government and private sector)