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Pcvrs Claims Manager

1 month ago

Toronto, Canada Lifemark Health Group Full time

**PCVRS Claims Manager**

**Status**: Permanent Full-Time

**Mandatory Requirement**: This position supports a contract with the Government of Canada and requires Reliability Status Clearance for Protected B level data.

Lifemark Health Group (“Lifemark”) is a diversified healthcare company in business since 1998 and has grown by acquisition over the past 20 years to include over 300 facilities across Canada. Lifemark has facilities in nine provinces providing integrated health, employer services, medical assessments, and rehabilitation services across Canada. Lifemark employs over 5,000 clinical practitioners and client service support staff.

The Claims Manager is responsible for the Invoicing and Collections team for the PCVRS partnership with WCG as part of the revenue management cycle. Invoicing will be based on postings completed at the clinic level and will include generating, reviewing and sending invoices to funders based on a specific time frame established internally or externally by the funder.

The role requires an eye for detail, time management and self-discipline to ensure regular, and timely invoices and follow up on outstanding invoices. Accuracy is key as well as the ability to work independently. Excellent communication and negotiation skills are required as efforts are focused on resolving customer billing problems to reduce accounts receivable delinquency. The role requires a balance between maintaining trustful relationships and ensuring timely payments.

This role will provide strategic direction, expertise, and guidance to drive excellence in claims management process. Success in this role hinges on dedication and fostering positive experiences for all stake holders.

**Responsibilities include**:

- Oversee the end-to-end Invoicing Process for PCVRS, including verifying accuracy of billing/invoicing data and ensuring that claims submission guidelines have been met.
- Oversee the end-to-end accounts receivable process for PCVRS, including credit management, collections, and reconciliation
- Developing, managing and nurturing the claims team
- Administration and organization of all claims team related activities
- Develop and generate Claims team efficiency reports on a weekly basis.
- Identify issues attributing to account delinquency and discuss them with management.
- Maintain accurate account records and update status and collection efforts.
- Report on collection activity and accounts receivable status.
- Report on Invoicing activity and pending invoices status

**Qualifications**:

- At least 5+ years’ experience working in similar role
- Minimum Grade 12 diploma, bachelor's degree an asset but not required.
- Clinical/rehabilitation or insurance industry background
- Excellent relationship building, communication, problem solving and analytical skills, ability to resolve complex issues or problems surfaced by partners and/or the internal team

**Additional attributes**:

- Function at a high level of autonomy in setting objectives, expectations, and tracking performance
- Demonstrate methodical problem-solving skills and techniques
- Working knowledge of MS Office such as Word, Excel, Outlook and SharePoint.

Lifemark promotes equal employment opportunities for all job applicants, including those self-identifying as a member of the following groups: Indigenous peoples, Newcomers to Canada, and Visible minorities.