Physician Billing Specialist, Perioperative Services

3 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 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

    3 weeks 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....

  • Ohip Medical Billing Admin

    2 weeks 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....

  • Perioperative Services Attendant

    3 weeks ago

    Toronto, Canada University Health Network Full time

    **CUPE POSTING - Perioperative Services OR Attendant** **Job Posting #: 928647** **Site: Toronto General Hospital** **Department: Perioperative Services Operating Room** **Reports to: Manager** **Salary: $26.55 - $27.37 per hour (Start rate is non-negotiable and in accordance with collective agreement requirements)** **Status: Permanent...

  • Perioperative Services Attendant

    2 weeks ago

    Toronto, Canada University Health Network Full time

    **CUPE POSTING - PERIOPERATIVE SERVICES OR ATTENDANT** **Job Posting #: 926727** **Site: Toronto General Hospital** **Department: Perioperative Services - Operating Room** **Reports to: Nurse Manager** **Hours: 37.5 hours per week; 1300-2100** **Salary: $26.55 - $27.37 per hour (start rate in accordance with collective agreement)** **Status: Temporary...

  • Perioperative Services Attendant

    1 week ago

    Toronto, Canada University Health Network Full time

    **CUPE POSTING - Perioperative Services OR Attendant** **Job Posting #: 928830** **Site: Toronto General Hospital** **Department: Perioperative Services Operating Room** **Reports to: Manager** **Salary: $26.55 - $27.37 per hour (Start rate is non-negotiable and in accordance with collective agreement requirements)** **Status: Permanent...

  • Perioperative Services or Attendant

    3 weeks ago

    Toronto, Canada University Health Network Full time

    Part-time - Department: Other (Not Listed) **Company Description**: - The University Health Network, where “above all else the needs of patients come first”, encompasses Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute and the Michener Institute of Education. The breadth of research,...

  • Perioperative Services or Attendant

    4 weeks ago

    Toronto, Canada University Health Network Full time

    Full-time - Department: Other (Not Listed) **Company Description**: - The University Health Network, where “above all else the needs of patients come first”, encompasses Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute and the Michener Institute of Education. The breadth of research,...

  • Perioperative Services Attendant

    3 weeks ago

    Toronto, Canada University Health Network Full time

    **CUPE POSTING - PERIOPERATIVE SERVICES OR ATTENDANT** **Job Posting #: 923724** **Site: Toronto General Hospital** **Department: Perioperative Services - Operating Room** **Reports to: Nurse Manager** **Hours: 37.5 hours per week; Monday to Friday** **Salary: $24.47 - $25.23 per hour (start rate: $24.47 per hour in accordance with collective...

  • Perioperative Services or Attendant

    4 weeks ago

    Toronto, Canada University Health Network Full time

    Full-time - Department: Other (Not Listed) **Company Description**: The University Health Network, where “above all else the needs of patients come first”, encompasses Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute and the Michener Institute of Education. The breadth of research, the...

  • Perioperative Services or Attendant

    3 days ago

    Toronto, Ontario, Canada University Health Network Full time

    Full-time Department: Other (Not Listed)Company Description: The University Health Network, where "above all else the needs of patients come first", encompasses Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute and the Michener Institute of Education. The breadth of research, the complexity...

  • Perioperative Services or Attendant

    3 days ago

    Toronto, Ontario, Canada University Health Network Full time

    Part-time Department: Other (Not Listed)Company Description: The University Health Network, where "above all else the needs of patients come first", encompasses Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute and the Michener Institute of Education. The breadth of research, the complexity...

  • Medical Billing Specialist

    3 days ago

    Toronto, Ontario, Canada DoctorCare Full time

    About the Company: DoctorCare was acquired by WELL Health Technologies Corp. in 2020 to establish a new division focused on Back Office and Billing Services. DoctorCare is the largest provider of billing support and practice optimization services in Canada, with over 3000 physicians using their services. As part of the WELL Health Family, DoctorCare...

  • Perioperative Services or Attendant

    3 days ago

    Toronto, Ontario, Canada University Health Network Full time

    Full-time Department: Other (Not Listed)Company Description:The University Health Network, where "above all else the needs of patients come first", encompasses Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute and the Michener Institute of Education. The breadth of research, the complexity...

  • Medical Billing Specialist

    3 weeks ago

    Toronto, Canada DoctorCare Full time

    About the Company:    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 has focused on the needs of physicians,...

  • Physician Billing Associate

    3 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 Services OR Attendant

    3 weeks ago

    Toronto, Canada University Health Network Full time

    Company Description The University Health Network, where “above all else the needs of patients come first”, encompasses Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute and the Michener Institute of Education. The breadth of research, the complexity of the cases treated, and the...

  • Perioperative Services OR Attendant

    3 days ago

    Toronto, Ontario, Canada University Health Network Full time

    Company Description The University Health Network, where "above all else the needs of patients come first", encompasses Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute and the Michener Institute of Education. The breadth of research, the complexity of the cases treated, and the...

  • Perioperative Services OR Attendant

    3 weeks ago

    Toronto, Ontario, Canada University Health Network Full time

    Company DescriptionThe University Health Network, where "above all else the needs of patients come first", encompasses Toronto General Hospital, Toronto Western Hospital, Princess Margaret Cancer Centre, Toronto Rehabilitation Institute and the Michener Institute of Education. The breadth of research, the complexity of the cases treated, and the magnitude of...

  • Perioperative Aide Cysto

    3 weeks 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...

  • Admin Assistant

    2 weeks ago

    Toronto, Canada North York General Hospital Full time

    Company Bio IMAGINE a hospital where everyone is committed to excellence. We did. We are. From boardroom to bedside, we go above and beyond to offer the best and safest patient care. At North York General Hospital (NYGH), we put our patients first in everything we do. We are achieving a new standard of excellence in integrated patient-centered care and as...