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Medical Claims Clerk

3 months ago

Ottawa, Ontario, Canada The Ottawa Hospital Full time

Position Information:


The Medical Claims Clerk will process OHIP, RAMQ, RSMO, reciprocal, and uninsured medical claims on behalf of Partners (physicians) of The University of Ottawa Medical Associates (UMA).

Core duties will include processing fee-for-service claims, associated claim submissions and corresponding with physicians and their staff.

  • Temporary position until July 5, 2024 approximately

Rotation/Shifts:

Days, 8 hour shifts.

Responsibilities:

(includes but not limited to):

  • The Medical Claims Clerk will process OHIP, RAMQ, reciprocal, and uninsured medical claims on behalf of Partners (physicians) of UMA;
  • Using EPIC software to process claims, both manual entry and reviewing electronic submitted claims;
  • Checking dropped charges to ensure accuracy and completeness before electronic submission;
  • Correcting claim errors and resubmitting claims;
  • Submitting RSMO claims via their portal;
  • Completing relevant paperwork, i.e. manual claim reviews;
  • Ensuring claims are submitted by the monthly OHIP submission deadline;

Basic Requirements:

  • Postsecondary education in Medical Office Assistant, is preferred, or equivalent work experience;
  • 23 years' relevant experience;
  • Certificate in medical terminology from a recognized educational institution is preferred;
  • Knowledge of OHIP Schedule of Benefits, RAMQ, Reciprocal, and Third Party billing;
  • Ability to work independently and as a team member;
  • Strong interpersonal and verbal communication skills;
  • Excellent organization, prioritisation, and timemanagement skills;
  • Initiative, dedication, and attention to detail;
  • Able to handle multiple priorities with mínimal supervision.

Preferred Qualifications:

  • Experience using EPIC;
  • Proficiency in speaking and comprehending both English and French (Level B+) is an asset.
The Ottawa Hospital is an equal opportunity employer. Upon request, accommodations due to a disability are available throughout the recruitment process.