Claims Manager

3 days ago

Toronto, Ontario, Canada pt Health Full time
Job Title: PCVRS Claims Manager

Job Summary: We are seeking a highly skilled and experienced Claims Manager to join our team at Lifemark Health Group. The successful candidate will be responsible for overseeing the end-to-end Invoicing Process for PCVRS, including verifying accuracy of billing/invoicing data and ensuring that claims submission guidelines have been met.

Key Responsibilities:
  • 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.
  • Develop, manage, and nurture 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 a 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 welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process.

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.

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