Medical Billing Specialist/Medical Biller

3 days ago

Hamilton, Ontario, Canada TEEMA Full time

**Job Title:** Medical Billing Specialist/Medical Biller- Part Time- 10-15 hours a week.

**Location:** Hamilton, ON

**Job Overview:** TEEMA is seeking an experienced and detail-oriented Part-Time, Medical Billing Specialist to join our dynamic sports medicine/pain clinic in Hamilton. As a Medical Billing Specialist, you will play a vital role in ensuring the accuracy and efficiency of our billing processes, working closely with our healthcare team to optimize patient care through accurate financial management.

**Key Responsibilities:**

  • Process claims for reimbursement through the Ontario Health Insurance Plan (OHIP) and Workplace Safety and Insurance Board (WSIB).
  • Ensure accurate billing using ICD-9 and ICD-10 coding systems, as well as other applicable medical codes.
  • Review, verify, and correct patient billing records and insurance claims.
  • Update patient accounts with accurate billing information and resolve discrepancies.
  • Track, follow up, and appeal unpaid or denied claims with appropriate agencies.
  • Maintain compliance with privacy regulations and patient confidentiality (PHIPA).
  • Collaborate with administrative and medical staff to ensure timely billing submissions and address any billing inquiries.
  • Reconcile accounts, ensure proper documentation, and maintain detailed financial records for clinic billing.

**Qualifications:**

  • Minimum 2 years of experience in medical billing, including experience with OHIP and WSIB claims.
  • Strong knowledge of ICD-9 and ICD-10 coding.
  • Familiarity with electronic medical record (EMR) systems and medical billing software.
  • Attention to detail and excellent organizational skills.
  • Strong communication and interpersonal skills for liaising with patients, healthcare providers, and insurance companies.
  • Ability to work independently, meet deadlines, and manage multiple billing tasks simultaneously.
  • Knowledge of Ontario's healthcare billing regulations and medical insurance processes.

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