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OPOP/OPIP Claim Coordinator
3 months ago
About Us
The Department of Health and Wellness offers opportunities to grow and advance in a dynamic sector that touches the lives of all Nova Scotians. Along with our partners, including the Nova Scotia Health Authority and the IWK Health Centre, we're committed to continually improving our health care system. With a focus on collaborative primary health care, improved supports for mental health and addictions, digital health, capital infrastructure, and more, the department is thinking differently about how to plan, fund, legislate and monitor to improve access and service delivery. To do this, we need leaders at all levels of the organization who embrace a challenge and believe in their ability to make a difference.
About Our Opportunity
Working in accordance with the terms of the Interprovincial Reciprocal Billing Agreement, you will be responsible for processing claims for Nova Scotia residents who have received insured in-patient and out-patient services in other Canadian Provinces and Territories.
Primary Accountabilities
More specifically, in this position you will be investigating and processing claims and claim adjustments on behalf of residents and hospitals in other provinces and territories, as well as ensuring proper investigation and adjudication of all claims and maintaining appropriate records. In addition, you will provide detailed reports to the Manager/Director of Insured Services relating to this information.
Qualifications and Experience
To be successful within this position, you will have four years of related experience in a computerized accounting environment or an equivalent combination of training and experience.
In addition to the above, you will have a working knowledge of generally accepted accounting principles, bookkeeping and audit procedures and the ability to adhere to strict month end and fiscal year end deadlines. Prior experience in billing, processing claims, working with hospital reciprocal billing systems (outpatient/inpatient services) are considered an asset. Experience with Microsoft Outlook, Word and Excel, and Internet Explorer is mandatory. You will be an excellent communicator with strong interpersonal and organizational skills. An aptitude for data entry and a keen sense for attention to detail are required to maintain demands of the role as well as a strong customer service focus which includes the ability to deal diplomatically with telephone/e-mail inquiries.
You must be able to work effectively independently and in a team environment and exercise initiative while demonstrating sound judgment when solving problems. Confidentiality is mandatory in all claim information processes as well as accuracy and timing to ensure we pay all accounts appropriately and refund requests are complete (adjustments) for services billed in error or at improper billing rates.
Knowledge of the Corporate Financial Management System (CFMS/SAP) will be considered an asset.
We will assess the above qualifications and competencies using one or more of the following tools: written examination, standardized tests, oral presentations, interview(s), and reference checks.
Equivalency
An equivalent combination of training, education and experience will be considered. Applicants relying on education and experience equivalencies must demonstrate such equivalencies in their application.
Benefits
Based on the employment status and union agreement, the Government of Nova Scotia offers its employees a wide range of benefits such as a Defined Benefit Pension Plan, Health, Dental, Life Insurance, General illness, Short and Long Term Disability, Vacation and Employee and Family Assistance Programs. For information on all our Benefit program offerings, click here: Benefits for government employees.
Working Conditions
This position works in a comfortable office environment.
What We Offer
Career Development where you have access to career guidance, tools, resources, and ongoing training for every stage of your career. Engaging workplace. Our Employees feel valued, respected, connected, and tuned in. We have forward-thinking policies and strategies. Countless Career Paths. Department Specific Flexible working schedules. Pay Grade: CL 18 Salary Range: $1,;- $1,;Bi-Weekly