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Medical Billing Specialist/clerk

2 weeks ago

King, Canada ImprovedCare Medical Clinic Full time

**Primary Care OHIP Billing Specialist/Clerk**

Our Family Health Team is seeking an OHIP Billing Specialist/Clerk to support our large primary care practice.

**Responsibilities**:

- Daily data entry submissions of OHIP claims to the Ministry of Health for Family Practice and Walk-In Clinics
- Reconciliation of error reports and relevant reports from Ministry of Health
- Monthly remittance advice reports from Ministry of Health
- Creation of monthly spreadsheets/invoices distributed to clinics/physicians summarizing payments received
- Family Health Organization (FHO) rostering
- Liaise with Ministry of Health - forms, queries, etc.
- Monitoring of OHIP and Non-OHIP billing rules through various communication platforms (Ministry of Health, Ontario Medical Association)
- Month-end OHIP and Third-Party reconciliations
- Ensure completion of physician daily billing sheets and billing submissions
- Resolve errors and corrections in a timely fashion
- Setting up OHIP/EDT accounts with Ministry of Health
- Prepare Transfer of Medical Records requests
- Prepare and process Third party requests (Lawyers, Insurance Companies etc.)

Qualifications and Desired Skills
- Minimum 5 years' experience in similar role - primary care clinic preferred.
- Experience with EMRs (preferably Telus Practice Solutions)
- Strong understanding of OHIP Schedule of Benefits, including FHO payment models.
- Strong organizational and time-management skills.
- Ability to work independently with mínimal supervision.

**Job Types**: Full-time, Part-time, Permanent, Casual

Pay: $16.55-$20.00 per hour

Expected hours: 30 - 32 per week

Schedule:

- 8 hour shift

Work Location: In person