Patient Accounts Reprsentative

2 weeks ago

Toronto, Canada St. Michael's Hospital Full time

Unity Health Toronto, comprised of Providence Healthcare, St. Joseph’s Health Centre and St. Michael’s Hospital, works to advance the health of everyone in our urban communities and beyond. Our health network serves patients, residents and clients across the full spectrum of care, spanning primary care, secondary community care, tertiary and quaternary care services to post-acute through rehabilitation, palliative care and long-term care, while investing in world-class research and education. Join our team in our mission to continue to put patients and families at the centre of everything we do, in the role of Patient Accounts Reprsentative.

The Accounts Receivable and Collections Department, which includes the cash office, is responsible for the timely billing and collection of revenues from government entities, insurance companies, other healthcare institutions, patients, and non-patients. The majority of payments are processed through the cash office, with the exception of the direct deposits from the Ministry of Health and LHIN for global funding.

The primary role of the Patient Account Representative (PAR) is to ensure that hospitalization charges incurred by patients at SMH are billed in a timely manner to the appropriate financially responsible agency. The role also includes liaising with Physicians and other Hospital units regarding rates and billing procedures as well as providing cost estimates.

**DUTIES & RESPONSIBILITIES**:
Responsible for billing and collection of Out-Of-Country and Uninsured patient accounts;
- First point of contact related to cost estimate enquiry from Physicians, Patients, Hospital Units, Insurance companies, etc.;
- Interacting directly with patients to discuss their account and charges, following up for collections, payment options, etc.;
- Ensures charges are appropriately applied to patient accounts;
- Inputs manual charges to billing system, where required;
- Bills/invoices patient or responsible agency;
- Follow-up and collection of unpaid accounts;
- Liaises with Health Records Department, Clinical Teams, or other hospital units as required to address patient account issues and facilitate billing and collections;
- Liaises with insurance companies to coordinate payment and settlement of patient accounts;
- Investigates and rectifies rejected claims;
- Reporting and accountable to Management - status updates, Aged Trial Balance & high risk accounts;
- Navigating clinical and accounts receivable computer systems - correcting errors to facilitate billing and collections, where necessary;
- Collecting pre-payment on elective procedures not covered by OHIP or insurance;
- Documents/notes all activities in Revenue Cycle Management (Accounts Receivable system) related to billing and collection of patient accounts;
- Maintaining up-to-date filing and document management systems;
- Provide assistance to AR & Cash Office staff;
- Other duties as required

**Qualifications**
- Community College Diploma in Accounting or Business (2 year), or equivalent work experience.
- 3 years hospital accounts receivable and collections experience is required.
- Demonstrated proficiency with computer systems, including clinical systems, accounts receivable systems (Revenue Cycle Management system experience an asset)
- Demonstrated proficiency with Microsoft Office Excel;
- Strong communication both in written and verbal;
- Excellent organizational skills and attention to detail;
- Excellent customer service skills;
- Ability to multi-task in a fast-paced environment;
- Team player

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