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Medical Revenue

3 months ago


Winnipeg, Canada Winnipeg Clinic Full time

**Medical Revenue & Accounts Receivable Supervisor**

**Hours**: 8:00am-4:30pm Monday-Friday

(7.5 paid hours with 1-hour unpaid lunch and two 20 min coffee breaks)

**Union**: Non
- Union

**Position Summary**:
Within a multi-disciplinary team, the Medical Revenue & Accounts Receivable Supervisor provides support to the Accounts Department, performing a variety of billing related activities such as processing third party billings, and private patient billings all the while maintaining strict confidentiality.

**Daily duties**

Run summary report (P1 report) on Manitoba Health website to confirm successful transfer of previous day’s submission.

Prepare Invoices and take Cash/Credit payments for uninsured 3rd party pays. Follow up on receivables.

Prepare queries for claims rejected by Manitoba Health and provide clarification along with supporting documents.

Fix and resubmit claims rejected by Manitoba Health.

Fix any errors in the claims prepared by Doctor’s Assistants before submitting them to Manitoba Health at the end of the day.

Report, query and resubmit claims as a result of any errors reported by Doctor’s Assistants in the claims submitted by them earlier.

Fax Operative Reports to Manitoba Health as and when requested.

Provide relevant explanation and supporting documents as needed, to Manitoba Health in response to clarifications sought by them over the phone in respect of claims submitted earlier.

Follow up with patients whose health cards have been cancelled by Manitoba Health and help them renew their health cards.

Upload claims submission file on Manitoba Health website at the end of the day.

Accept deliveries for stores made after 3:00 pm.

Help patients by directing them to the appropriate department such as lab, doctor’s office, X-ray, PFT and EKG.

Close books of accounts end of day by matching all credit and cash payments.

**Weekly Duties**

Download remittance file from Manitoba Health website.

Check, reconcile and confirm the numbers in the downloaded remittances file match with the EMR data.

Submit remittance report to CFO after downloading the file.

Run un-submitted reports for all doctors and provide print-outs of un-submitted reports to the respective Doctor’s Assistants for further action.

Follow up with Doctor’s Assistants on un-submitted reports.

Prepare invoices for CFB, RCMP, and Refugee & Veterans programs and submit them to Medavie Blue Cross.

Follow up with the patients covered under CFB or RCMP, and with Medavie in case of any claim rejections by the latter.

Prepare and submit invoices to Workers Compensation Board (WCB).

Resubmit visit codes rejected by WCB to Manitoba Health.

In case of claims rejected by Manitoba Health as a result of cancelled health cards, resubmit claims for those cards that have been reactivated subsequently.

Invoice and collect payments for uninsured 3rd party pays.

**Month end Duties**

Follow up on bills receivable from third party pending for more than 60 days.

Write off payments not received from patients or rejections from third party that are pending for more than 90 days.

Prepare and submit invoices for the entire month to Manitoba Cancercare.

Refund and write off Toric lens payments in EMR after the doctors have been paid for the same.

Keep track of de-enrollment of patients under Home Clinic program of Shared Health.

**Miscellaneous Duties**:
Register new doctors for billing under various insurance programs (Medavie, WCB and Manitoba Blue Cross).

Year end follow ups with Manitoba Health and Doctor’s Manitoba for any tariff updates.

Act as a liaison between Doctor’s Manitoba and doctors at the clinic with regard to grievances on payment policies.

Record special deposits for payments received by doctors from other locations in EMR, as and when given by CFO.

Act as primary contact person for all billing queries by third parties.

Provide reports regarding payments as and when requested by admin staff or doctors.

Deposit daily cheques and cash collections with the bank.

Educate Doctor’s Assistants on new billing processes introduced by Manitoba Health, by providing screenshots and instructions.

Pay: $21.45-$25.47 per hour

Expected hours: 37.5 per week

**Benefits**:

- Company pension
- Dental care
- Disability insurance
- Extended health care
- Life insurance
- On-site parking
- Paid time off

Schedule:

- Day shift
- Monday to Friday
- No weekends

**Experience**:

- Customer service: 1 year (required)
- Medical Billings: 1 year (preferred)

**Language**:

- English (required)

Work Location: In person