Patient Accounts Billing Clerk

4 days ago

Kitchener, Canada Grand River Hospital Full time

**Union**:UNIFOR Clerical

**Location**:Forty Green

**Work Type**:Unscheduled Part Time

**Shift**:8am - 4pm, Monday to Friday

**Summary**:

- 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 HRCM before weekly billing run is produce
- 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 HRCM 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, to confirm the 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

**Qualifications:
- 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).

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