Physician Billing Specialist, Perioperative Services

1 week ago

Toronto, Canada SickKids Full time

**About SickKids**:
Dedicated exclusively to children and their families, The Hospital for Sick Children (SickKids) is one of the largest and most respected paediatric healthcare centres in the world. As innovators in child health, we lead and partner to improve the health of children through the integration of healthcare, leading-edge research and education. Our reputation would not have been built - nor could it be maintained - without the skills, knowledge and experience of the extraordinary people who come to work here every day. SickKids is committed to ongoing learning and development, and features a caring and supportive work environment that combines exceptionally high standards of practice.

When you join SickKids, you become part of our community. We share a commitment and determination to fulfill our vision of _Healthier Children. A Better World_.

Don’t miss out on the opportunity to work alongside the world’s best in paediatric healthcare.

**Position Description**:
**Physician Billing Specialist**

**Position Overview**: As a Physician Billing Specialist for Perioperative Services, you will be responsible for the training and development initiatives and reporting within billing and reimbursement processes associated with physician services related to surgery, anesthesia and pain medicine, critical care and psychiatry. You will work closely with your Manager and Director, the Perioperative Services physicians, and physician billing professionals to ensure accurate billing and timely reimbursement for services rendered, while also leading training efforts and facilitating reporting activities. This role requires strong knowledge of MOH Schedule of Benefits, regulations and billing practices, previous physician billing experience min 5 years (Surgical; Anesthesia or Critical Care preferred), great attention to detail, and the ability to collaborate effectively with the billing team.

**Here's What You¿ll Get To Do**:

- Review physician billing claims meticulously for completeness and accuracy, ensuring adherence to Ministry of Health submission deadlines.
- Validate claims by reviewing medical documentation and assigning appropriate billing codes to procedures and diagnoses in accordance with regulatory guidelines.
- Reconcile outstanding billing reports by cross-referencing pending visits with medical documentation, and proactively follow up with physicians to prevent outstanding claims from becoming stale dated.
- Investigate and resubmit errored and denied OHIP claims, initiate Remittance Advice Inquiries, and actively pursue maximizing revenue for departments. Monitor MOH responses and engage in follow-up communications to resolve outstanding issues.
- Offer billing expertise and provide educational support to inquiring physicians, and billers offering guidance on billing rules and general Epic physician workflows.
- Prepare billing claims for Reciprocal, IFHP, Quebec, International, Insurance, and Self-Pay categories.
- Lead and develop the training materials, manuals and responsible to keep it up to date, implement changes in Epic based on MOH Bulletins and changes.
- Assist manager in reviewing MOH Bulletins and implement changes on the internal billing processes. Reviewing Codes and updating it in EPIC if needed.

Participate in departmental meetings to review billing workflows and processes.
- Collaborate with the Ministry of Health and other insurance agencies on charges and payments, interpreting fee code schedules and providing advice and recommendations to faculty and Division Heads.
- Assist manager on weekly/monthly MOH claim submission, RA error reports when needed.
- Conduct regular audits and run reports to identify billing errors and implement

corrective actions, fostering working relationships with multiple physicians, Epic
- analysts, and clinical operations teams to support registration and billing workflows.
- Assist manager on monthly and adhoc billing reports submission and presentations.
- Analyze reports independently and follow up with faculty on findings and resolutions if needed, reconciling EPIC billings with Ministry of Health reports, and continually striving for process improvement as EPIC evolves.
- Assist manager with Month End and other billing reports and analyze key performance indicators to track departmental performance and identify areas for improvement.
- Support/Educate Physicians and Epic analysts in all billing matters if needed.
- Participate in divisional meetings, training sessions, and quality improvement initiatives as required.
- Maintain strict patient confidentiality and adhere to PIPEDA (Personal Information Protection and Electronic Documents Act) regulations.
- Other tasks and duties as assigned by manager.

**Here¿s What You¿ll Need**:

- Bachelor¿s degree in healthcare administration, finance, business, or related field or combination of education and experience (enrolment in CPA or an MBA is considered an asset).
- Minimum of f

  • Ohip Medical Billing Admin

    1 week ago

    Toronto, Canada Ontario Medical Billing Services Inc. Full time

    **COMPANY PROFILE** OMBS Inc. is an established boutique company that has been providing fast, accurate, and reliable medical billing services for Ontario physicians since 2002. We are a small and dynamic office committed to maintaining the highest levels of integrity and professionalism while providing a friendly, supportive, and flexible work environment....

  • Physician Billing Associate

    2 weeks ago

    Toronto, Canada SickKids Full time

    **About SickKids**: Dedicated exclusively to children and their families, The Hospital for Sick Children (SickKids) is one of the largest and most respected paediatric healthcare centres in the world. As innovators in child health, we lead and partner to improve the health of children through the integration of healthcare, leading-edge research and...

  • Perioperative Aide Cysto

    1 week ago

    Toronto, Canada Unity Health Toronto Full time

    Job Description: - Union Affiliation: CUPE ServiceThe Perioperative Aide provides support and assistance to members of the Perioperative Team and their patients under the direction of the nurse/physician. The Perioperative Aide contributes to the efficient organization and the smooth flow of the surgical experience for the patient, maintains a neat, clean...

  • Medical Billing Specialist

    3 days ago

    Toronto, Canada DoctorCare Full time

    Position: Medical Billing Specialist Type: Full-Time Location: Toronto, ON (Hybrid) or Burlington, ON (Hybrid) Salary: $50,000 /yearCompany Overview: DoctorCarewas acquired by WELL Health Technologies Corp. (TSX: WELL) in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare has long been the largest provider of billing...

  • Medical Billing Specialist

    3 days ago

    Toronto, Canada DoctorCare Full time

    Position: Medical Billing Specialist Type: Full-Time Location: Toronto, ON (Hybrid) or Burlington, ON (Hybrid) Salary: $50,000 /year Company Overview: DoctorCare was acquired by WELL Health Technologies Corp. (TSX: WELL) in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare has long been the largest provider of...

  • Medical Billing

    3 days ago

    Toronto, ON, Canada DoctorCare Full time

    Position: Medical Billing Specialist   Type: Full-Time    DoctorCare was acquired by WELL Health Technologies Corp. (TSX: WELL) in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare has long been the largest provider of billing support and practice optimization services in Canada. Since our inception, DoctorCare...

  • Medical Billing

    3 days ago

    Toronto, ON, Canada DoctorCare Full time

    Position: Medical Billing Specialist   Type: Full-Time    DoctorCare was acquired by WELL Health Technologies Corp. (TSX: WELL) in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare has long been the largest provider of billing support and practice optimization services in Canada. Since our inception, DoctorCare...

  • Perioperative Nurse Specialist

    11 hours ago

    Toronto, Ontario, Canada CGI Njoyn Full time

    Job Description">As a Perioperative Nurse, you will provide perioperative care to patients throughout the surgical suite. Your responsibilities will include participating as a team member in the role of a perioperative nurse, maintaining patient safety through strict adherence to policies, procedures, and ORNAC standards of care.You will maintain knowledge...

  • Perioperative System Specialist Operating Rooms

    2 weeks ago

    Toronto, Canada St. Michael's Hospital Full time

    The Perioperative System Specialist resolves Perioperative system software related issues, coordinates and follows-up on client questions or problems, performs software maintenance and upgrades, as well as participates in corporate and operational projects. **Duties and Responsibilities**: - Supports, modifies and maintains various CPM front-end related...

  • Perioperative Nursing Specialist

    3 days ago

    Toronto, Ontario, Canada Sinai Health System Full time

    At Sinai Health System, we are seeking a skilled Perioperative Nursing Specialist to join our dynamic Operating Room team. As a key member of our interdisciplinary health care team, you will be responsible for delivering exceptional patient care and contributing to the smooth operation of our surgical services.About the Role:Provide direct nursing care to...

  • Medical Billing Specialist

    4 days ago

    toronto, Canada DoctorCare Full time

    Position: Medical Billing Specialist Type: Full-Time  Location: Toronto, ON (Hybrid) or Burlington, ON (Hybrid)Salary: $50,000 /year Company Overview:  DoctorCare was acquired by WELL Health Technologies Corp. (TSX: WELL) in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare has long been the largest provider of...

  • Medical Billing Specialist

    3 days ago

    toronto, Canada DoctorCare Full time

    Position: Medical Billing Specialist Type: Full-Time  Location: Toronto, ON (Hybrid) or Burlington, ON (Hybrid)Salary: $50,000 /year Company Overview:  DoctorCare was acquired by WELL Health Technologies Corp. (TSX: WELL) in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare has long been the largest provider of...

  • Medical Billing Specialist

    3 days ago

    Toronto, Canada DoctorCare Full time

    Position: Medical Billing Specialist Type: Full-Time  Location: Toronto, ON (Hybrid) or Burlington, ON (Hybrid)Salary: $50,000 /year Company Overview:  DoctorCare was acquired by WELL Health Technologies Corp. (TSX: WELL) in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare has long been the largest provider of...

  • Medical Billing Specialist

    3 days ago

    Toronto, Canada DoctorCare Full time

    Position: Medical Billing Specialist   Type: Full-Time    Location: Toronto, ON (Hybrid) or Burlington, ON (Hybrid) Salary: $50,000 /year   Company Overview:    DoctorCare was acquired by WELL Health Technologies Corp. (TSX: WELL) in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare has long been the largest...

  • Medical Billing Specialist

    2 days ago

    Toronto, Canada DoctorCare Full time

    Position: Medical Billing Specialist Type: Full-Time  Location: Toronto, ON (Hybrid) or Burlington, ON (Hybrid)Salary: $50,000 /year Company Overview:  DoctorCare was acquired by WELL Health Technologies Corp. (TSX: WELL) in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare has long been the largest provider of...

  • Medical Billing Specialist

    3 days ago

    Toronto, Canada DoctorCare Full time

    Position: Medical Billing Specialist Type: Full-Time  Location: Toronto, ON (Hybrid) or Burlington, ON (Hybrid)Salary: $50,000 /year Company Overview:  DoctorCare was acquired by WELL Health Technologies Corp. (TSX: WELL) in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare has long been the largest provider of...

  • Admin Assistant Physician

    4 weeks ago

    Toronto, Canada St. Michael's Hospital Full time

    The Administrative Assistant formally reports to the Perioperative Program Director and Anesthetist-in-Chief while providing day-to-day clinical and administrative support to a group of physicians. The Administrative Assistant coordinates daily activities in the department and ensures smooth functioning of the clinical and academic activities of the...

  • Perioperative Services Attendant

    4 weeks ago

    Toronto, Canada Sinai Health Full time

    Sinai Health is a leading academic health science centre with a provincial, national and international reputation for discovering and delivering life-changing care. Since 2015, we have provided excellent and compassionate care in hospital, community and home. Comprised of Mount Sinai Hospital, Bridgepoint Active Healthcare, the Lunenfeld-Tanenbaum Research...

  • Medical Billing Specialist

    3 days ago

    Toronto, ON, Canada DoctorCare Full time

    Position: Medical Billing Specialist   Type: Full-Time    Location: Toronto, ON (Hybrid) or Burlington, ON (Hybrid) Salary: $50,000 /year   Company Overview:    DoctorCare was acquired by WELL Health Technologies Corp. (TSX: WELL) in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare has long been the largest...

  • Medical Billing Specialist

    3 days ago

    Toronto, ON, Canada DoctorCare Full time

    Position: Medical Billing Specialist   Type: Full-Time    Location: Toronto, ON (Hybrid) or Burlington, ON (Hybrid) Salary: $50,000 /year   Company Overview:    DoctorCare was acquired by WELL Health Technologies Corp. (TSX: WELL) in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare has long been the largest...