Accounts Receivable Analyst

2 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, Hennick Bridgepoint Hospital, the Lunenfeld-Tanenbaum Research Institute and our system partner Circle of Care, we translate scientific breakthroughs, push boundaries for health solutions, and educates future clinical and scientific leaders.

At Sinai Health, we care, create possibilities and offer hope. Sinai Health is looking for an experienced Accounts Receivable Analyst to join its team.

The AR Analyst will support the Manager, Revenue Cycles and Accounts Receivable in the creation and implementation of automated customer analytics reporting. Your goal will be to ensure the highest return on claims to OHIP and other insurers. This position will oversee the OHIP submission and claim correction processes and ensure reconciliation of remittances along with providing reliable financial reporting based on understanding of the Ministry of Health and Long Term (MoHLTC) and other insurers’ Schedule of Benefits. You will work closely with other hospital departments as the main contact for their billing issues, and be responsible for management of the OHIP Schedule of Benefits to ensure current healthcare industry regulations and policies are adhered to.
Mount Sinai Hospital is committed to improving our revenue-generating streams that will assist in supporting the Hospital’s ongoing commitment to provide the best patient care. The incumbent will identify, understand and address key business problems and work towards the best analytical approach to address these challenges and opportunities to improve processes and controls. The analyst will provide notation of performance deviations and anomalies with the use of various sources of patient data and advanced analytical tools and practices.
- Key Responsibilities and Accountabilities:
- Implement new guidelines from the Ministry based on changes in the Schedule of Benefits and Bulletins
- Liaise with systems support regarding systems issues and to ensure billing tables are updated with the correct fees and codes
- Validate data to ensure accuracy, quality and integrity of data in subsidiary ledgers (Oracle) and the general ledger (SAP)
- Interpret results of MoH and other revenue sources using a variety of techniques, ranging from simple data aggregation to complex data mining.
- Create and publish periodic reports as well as adhoc reports of claims and preferred revenue
- Perform AR month end related activity, including journal entries, accruals and balance sheet accounts reconciliations
- Customized periodic statistical reports tracking business activity and productivity
- Reconcile monthly MoHLTC remittance advice and update the accounting records
- Provide comprehensive reporting of claim submissions and reconciliation to departments
- Work closely with internal partners and stakeholders using a variety of data based skillsets to create and present a wide array of patient analytics to improve revenue performance metrics
- With a certain degree of creativity and latitude, design, develop, implement and maintain business solutions that may require taking operational issues and devising the best way to develop appropriate diagnostic/tracking of data into usable decision support tools
- Execute projects to automate, maintain and enhance reports based on ongoing business needs as they evolve
- Provide training and education of billing requirements and present performance improvement opportunities to reduce rejected submissions or incomplete information to insurers.
- Job Requirements- CPA student ( finalist or in progress ) with minimum 2-3 years of Accounts Receivable experience, preferably within a Healthcare or Insurance environment
- Bachelor in Computer Science, Business Administration, Healthcare Administration or related discipline
- Minimum 3 years’ experience working with complex customer based data in advanced analytical function - ideally within the healthcare or insurance industry
- Experience in financial accounting and financial modeling
- Understanding of customer data in a hospital environment and patient and service centric metrics and performance indicators
- Solid understanding of healthcare revenue cycle, and applicable rules and regulations affecting reimbursement of healthcare services
- Strong skills in analytical/problem solving, communication, presentations, organization, initiative, working independently as well as in teams, and managing and completing multiple tasks with tight deadlines
- Willingness to work through and contribute to new department processes, structure and methods
- Commitment to continued professional development

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