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Patient Accounts Billing Clerk
1 month ago
**Union**:UNIFOR Clerical
**Location**:Forty Green
**Work Type**:Unscheduled Part Time
**Shift**:UNIFOR PT
**Responsibilities**:
Daily processing of all billing consents for both admitted and discharged patients.
Review of daily admission, discharge report and late charge report to ensure charges are billed correctly in STAR before weekly billing run is produced
Follow-up with bed allocation team on outstanding forms related to billing and collection of payment
Correct financial class inaccuracies following registration process
Perform billing for WSIB, IFH, out of province, Ambulance charges, landed immigrant status, invalid health card and out of county residents and perform patient interviews related to the above.
Adding patient transfer costs to patient bills and refund generation
Sort and file correspondence, and perform miscellaneous clerical duties such as answering correspondence, returned mail and writing reports to assist in reconciliation of the receivable accounts.
Perform address changes for guarantor accounts and returned mail
Contact insurance companies to check on status of claims payments and write appeal letters for denial on claims.
Follow up on all outstanding claims from aged trial balance
Assist In follow-up call to account for payment collection purposes
Answers questions and concerns presented by patients, physicians, insurance companies and other hospital staff.
Performs research of accounts that may need additional charges or adjustments.
Enters late charges into STAR in a timely manner
Create timely claim submission files and submit to the MOHLTC according to Patient Accounts department schedule
Coordinates and contacts the physician or clinic to resolve the rejections and discrepancies
Assist with error reports on a monthly basis
Reconcile billing remittances against claims on a monthly basis
Maintain regulations and standards affecting patient confidentiality.
Research medical documentation when needed, confirm use of billing codes
Correct OHIP rejections on a timely basis, resubmit electronic and manual submissions as required
Examine, correct & edit missing reading & referring physicians by contacting depts., referencing SOB(schedule of benefits) & listing of physician billing errors
Coordinate with and contacts the physician or clinic to resolve OHIP discrepancies
Follow up on physician and management inquiries
Other duties as assigned
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Other information:
2 years community college or post-secondary education in Accounting preferred
Mandatory 2 years prior receivable experience
Knowledgeable on OHIP billing codes and diagnostic error codes
Be proficient in meeting regular deadlines
Proficiency in interpretation of MOH Schedule of Benefits codes and Preamble
Excellent data entry, keyboard and excel skills required
Demonstrated ability to organize and prioritize duties
Excellent communication skills at all levels
Proficient in MSWord, Excel, Outlook, Internet required
Previous OHIP/Accounts Receivable experience required
High degree of accuracy and attention to detail required
Knowledge of Privacy Act required
Good attendance record required
'**APPLICATIONS WILL BE RECEIVED UNTIL THE POSTING IS CLOSED.**
Grand River Hospital is committed to fair and equitable employment and in our recruitment and selection practices. We strongly believe in inclusion and diversity within our organization, and welcome all applicants including, but not limited to: racialized communities, all religions and ethnicities, persons with disabilities, LGBTQ2S+ persons, Indigenous people, and all others who may contribute to the further diversification of our Hospital community. We are committed to providing and fostering a respectful workplace for all employees, free from violence and harassment. Grand River Hospital is a proud member of the Canadian Centre for Diversity and Inclusion (CCDI).