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Physician Billing Accounts Clerk

6 months ago

Kitchener, Canada Grand River Hospital Full time

**Position: Patient Accounts**

**Union**:UNIFOR Clerical

**Location**:Forty Green

**Work Type**:Full Time

**Shift**:UNIFOR FT

**Hours of Work**:Days (Monday - Friday)

**Summary**:

- Collecting Physician encounters and Pre-Admits from specified locations
- Enter data in INFOR-HRCM system in a timely manner, with a high level of accuracy and cross-referencing entry to source data.
- Accurately applies appropriate diagnostic codes based on information provided
- Responsible for processing physician billings for assigned clinics
- Perform monthly electronic billings
- Electronic and manual payments submissions between INFOR-HRCM and Ministry of Health
- Prepare monthly billing summary information
- Monitor encounter billings received by physician, in relation to schedule worked and adjust as required
- Perform billing follow up as required
- Prepare physician payment requisition
- Research medical documentation for billing purposes
- Correct OHIP professional fees rejections for a specific clinic on a timely basis
- Prepare and retain copies of physician billing reports
- Examine, correct & edit missing reading & referring physicians by contacting depts., referencing SOB(schedule of benefits) & listing of physician billing errors
- Follow up on physician, management an other concerned parties inquiries
- Create Client Billing Invoices from various depts., create Reports for outstanding payments, Answer vendor inquiries
- Submitting reports and bills to WSIB, HC validation
- Act as an advisor and liaison to physicians relaying information on MOH rejected claims and reasoning for incompatible codes

**Qualifications**:

- Post secondary education in Accounting preferred
- Mandatory 3 years prior Healthcare 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).