Manager Accounts Receivable and Patient Accounts

4 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 Manager Accounts Receivable and Patient Accounts.

The Manager, Accounts Receivable and Patient Accounts is responsible for managing and overseeing the accounts receivable and patient accounts areas including the development of organizational policies and procedures, insurance and ministry guidelines and industry practices while facilitating the provision of outstanding service delivery and patient experience. As a member of the Corporate Service team this position administers services within the mandate and the scope of the department.

The Manager is responsible for supporting the development of high-performance teams, ensuring the delivery of high quality service to client departments, patients and families, and a healthy work environment for staff and volunteers. The Manager brings a high level of operational expertise and leadership skills to a diverse team. Collaboration with other departmental and hospital staff, medical staff and leaders is a key success factor for the Manager role.

Reporting to the Senior Director, Finance, the Manager, Accounts Receivable (AR) and Patient Accounts (PA) is responsible for the following areas:

- Customer Service (Patient, Patient Representatives, Physicians, Employees, Corporate Services)
- Invoicing/ Billing (Patient, Non Patient, Ministry of Health, Insurance, Out of Province, WSIB, etc.)Collections and Management of Bad Debt expenses/Write offs
- Compliance with MOH Directives and Internal policies
- Month end / Year end Accounting and Reporting
- Revenue Generation
- Harmonization of Business Processes and Procedures including Business Systems among 3 sites
- Special Projects
- Management and Development of team members

Delivery of excellent customer service through the management of all focus areas including Invoicing / Billing, executing and enforcement of Unity AR collections, minimizing bad debt expense/write offs while acting as a lead/partner with Operations to generate/increase revenues. Working with Operations to analyze and identify opportunities, enable new and special reporting requirements as required by Executive management and/or MOH Directives. Providing accurate and transparent financial accounting and reporting reflecting all financial transactions while demonstrating a high level of operational expertise and leadership.

The Manager, Accounts Receivable (AR) and Patient Accounts (PA) is expected to collaborate with key internal and external stakeholders to manage the financial needs of Unity Health Toronto.

**DUTIES & RESPONSIBILITIES**:

- Key point of contact for accounts receivable and patient account concerns with the ability to demonstrate a high level of patient & client/customer focus;
- Responsible for resolving conflicts and negotiating with Physicians, Patients, Insurance companies, Ministry and all other non-patients (conflict: for example, amounts to be invoiced, price of service, units of service etc.);
- Lead consolidation and harmonization of business process and policies among 3 sites; and regularly review and update the business processes and policies.
- Work within the policies outlined by Ministry, LHIN/OH, Unity Health and be reflective of requirements of the clients/customers;
- Managing invoicing and issuance of Invoices:

- Responsible for ensuring all invoicing are accurate, complete and timely (OHIP, WSIB, Insurance, Federal Refugee Program, Self-Pay, Non Residents, No Fixed Address etc.;
- Monitors processing/issuance of invoices;
- Responsible for keeping the billing rates (e.g. OHIP and all Non-OHIP including Out of Province and Out of Country) up to date by staying informed and sharing the changes made by the relevant governing bodies e.g. Ministry, Province, other Healthcare providers etc.
- Works with teams and stakeholders (including clinical) to determine potential impacts to patient care related to billing, e.g., compassionate care write-offs;
- Works with all stakeholders including clinical and administrative business units on financial aspects related to invoicing / billing;
- Ensures the AR & PA team manages the balance between compassionate patient care and sound financial management;
- Regularly review existing Invoicing/Billing processes for efficiency and effectiveness improvements and implement new processes, preparing documented standard operating procedures for staff. Review the correspo

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