Claims Administrator

3 weeks ago

Winnipeg, Canada Anderson Orthopedics Full time

The **AO Claims Administrator **is responsible for the administration of all day to day clinic accounts payables and accounts receivables. The major focus of this position is to ensure that all financial matters are properly completed within general accounting practices and established guidelines.

Our company has grown and the need for a second claims administrator now exists.

**TASKS & RESPONSIBILITIES**
- **Accounting**:

- Using Xero, MS Excel, OPIE Purchasing & Inventory, OPIE Clinical and Reporting Software and manual forms, processes and submit clinical billing to MB Health as well as all other receivables (ADP, NIHB, DVA, Blue Cross, WCB, MPI, The War Amps) on a scheduled and as needed basis to ensure prompt, accurate submission and payment. Submits pre-approvals as required, investigates discrepancies and initiates corrective action as required. Liaises with claim representatives to obtain billing information and to correct billing discrepancies.
- Using applicable software programs tracks changes, investigates discrepancies, and clears out old/unfinished files. Ensures Work
- in-progress is up-to-date and accurate.
- Sets-up and maintains purchasing accounts with external vendors.
- Stays up-to-date on MB Health, ADP, NIHB, DVA, coverage for Clinic devices; provides coverage info to Winnipeg Office staff, Clinicians and patients
- Maintains inventory level count, purchases supplies as required and tracks in MS Excel and OPIE Purchasing and Inventory software. Assists with yearly physical inventory counts and compiles inventory reports using MS Excel.
- Types a variety of confidential correspondence, i.e. letters to patients, physicians, and organizations such as MB Health, NIHB, MPI, WCB, Blue Cross, DVA and other health insurers. Maintains and is accountable for office contingency fund (petty cash).
- Calculates costs of materials, and other expenses based on estimates, quotations, and price lists.
- Analyzes accounts payables, works to reduce spending where possible.
- Prepares reports as required.
- Upload invoices through to Dext and/or Opie as needed.
- Reconciles all payments received through OPIE.
- **Patient Service and Administrative Duties**:

- Responds to patient inquiries, processes patient payments, maintains good patient relations and solves patient problems.
- As needed, Using Customer Appointment Scheduler, works in conjunction with Medical Receptionist and Clinicians to ensure appropriate clinical and hospital coverage. Ensures Customer Appointment Scheduler is up-to-date, Clinician hospital calls and vacation time is entered and accurate.
- Performs related clerical duties, such as word processing, maintaining filing and record systems, faxing and photocopying.
- Maintains and updates filing system for patient records, invoices, and work orders. Adheres to all PHIA principles and CRA document maintenance requirements.
- Maintain POS system and account.
- Working with the Winnipeg and Brandon Practice Coordinators, provides training to Front Office Staff, ensures Front Office staff are trained to be able to complete Medical Receptionist tasks.
- Prepares reports as required.

**QUALIFICATIONS**
- Formal post secondary education in business administration or medical office management.
- Keyboarding speed of 40-65 wpm required.
- 1-3 years’ Bookkeeping experience, administrative experience in a medical clinic would be an asset.
- Extensive knowledge of MS Office Suite and QuickBooks or accounting software.
- Able to stay up-to-date with current billing procedures, accounting software updates, and other relevant legislation.
- Excellent command of the English language (both oral and written).
- Demonstrated problem-solving skills.
- Bondable and trustworthy, proven ability to maintain confidential information and integrity while working with cash and bank accounts.
- Ability to prioritize a large workload and independently complete a variety of administrative duties.
- Ability to work in a fast paced environment and work effectively under pressure to meet deadlines.
- Proven ability accurately answer patient inquiries, maintain good customer relations and solve problems.
- Strong familiarity with general office equipment such as fax, photocopier, scanner, and POS machine.
- Working knowledge of PHIA and CRA document storage requirements.

**COMPETENCIES**
- Intermediate bookkeeping/accounting skills. Proficient in reconciliation, price coding, and general ledger entries. Able to ensure the accuracy and reliability of financial information.
- Customer service; the ability to meet and exceed customer expectations.
- Demonstrated ability to effectively contribute to a team environment.
- Strong sense of ethics and accountability. Reliable and trust worthy.
- Able to adapt to change and the ability to self-manage, take initiative and add value through independent observation.

**Job Types**: Full-time, Permanent

Pay: $18.38-$24.13 per hour

Expected hours: 40 per week

**Benefits**:

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