Patient Accounts Billing Clerk
at Grand River Hospital
Kitchener, ON, Canada -
Start Date | Expiry Date | Salary | Posted On | Experience | Skills | Telecommute | Sponsor Visa |
---|---|---|---|---|---|---|---|
Immediate | 16 Nov, 2024 | Not Specified | 16 Aug, 2024 | 2 year(s) or above | Outlook,Communication Skills,Codes,Excel,Secondary Education,Internet,Privacy Act | No | No |
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Description:
JOB SUMMARY:
- Daily processing of all billing consents for both admitted and discharged patients.
- Review of daily admission, discharge report and late charge report to ensure charges are billed correctly in HRCM before weekly billing run is produced
- Follow-up with bed allocation team on outstanding forms related to billing and collection of payment
- Correct financial class inaccuracies following registration process
- Perform billing for WSIB, IFH , out of province, Ambulance charges, landed immigrant status, invalid health card and out of county residents and perform patient interviews related to the above.
- Adding patient transfer costs to patient bills and refund generation
- Sort and file correspondence, and perform miscellaneous clerical duties such as answering correspondence, returned mail and writing reports to assist in reconciliation of the receivable accounts.
- Perform address changes for guarantor accounts and returned mail
- Contact insurance companies to check on status of claims payments and write appeal letters for denial on claims.
- Follow up on all outstanding claims from aged trial balance
- Assist In follow-up call to account for payment collection purposes
- Answers questions and concerns presented by patients, physicians, insurance companies and other hospital staff.
- Performs research of accounts that may need additional charges or adjustments.
- Enters late charges into HRCM in a timely manner
- Create timely claim submission files and submit to the MOHLTC according to Patient Accounts department schedule
- Apply OHIP clinic payments to accounts on a timely basis and balance to bank deposit
- Electronic Data Transfer analysis of accounts at time of application for any missing information. .
- Coordinates and contacts the physician or clinic to resolve the rejections and discrepancies
- Assist with error reports on a monthly basis
- Reconcile billing remittances against claims on a monthly basis
- Maintain regulations and standards affecting patient confidentiality.
- Research medical documentation when needed, to confirm the use of billing codes
- Correct OHIP rejections on a timely basis, resubmit electronic and manual submissions as required
- Examine, correct & edit missing reading & referring physicians by contacting depts., referencing SOB(schedule of benefits) & listing of physician billing errors
- Coordinate with and contacts the physician or clinic to resolve OHIP discrepancies
- Follow up on physician and management inquiries Other duties as assigned
QUALIFICATIONS:
- 2 years community college or post-secondary education in Accounting preferred
- Mandatory 2 years prior receivable experience
- Knowledgeable on OHIP billing codes and diagnostic error codes
- Be proficient in meeting regular deadlines
- Proficiency in interpretation of MOH Schedule of Benefits codes and Preamble
- Excellent data entry, keyboard and excel skills required
- Demonstrated ability to organize and prioritize duties
- Excellent communication skills at all levels
- Proficient in MSWord, Excel, Outlook , Internet required
- Previous OHIP/Accounts Receivable experience required
- High degree of accuracy and attention to detail required
- Knowledge of Privacy Act required
- Good attendance record required
As part of our commitment to the health and safety of our patients, staff and community from COVID-19, subject to any accommodation required by applicable human rights legislation, Grand River Hospital requires that all staff have received all required doses of a COVID-19 vaccine approved by Health Canada.
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Responsibilities:
Please refer the Job description for details
REQUIREMENT SUMMARY
Min:2.0Max:7.0 year(s)
Hospital/Health Care
Pharma / Biotech / Healthcare / Medical / R&D
Administration
Diploma
Accounting preferred
Proficient
1
Kitchener, ON, Canada