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Medical OHIP Biller: Primary Care

3 weeks ago

Toronto, Ontario, Canada MedPros Full time

MedPros is a healthcare management company that supports a network of family medicine and specialist clinics across Ontario. We specialize in clinic operations, billing management, physician recruitment, and start-up consulting. We are currently seeking an experienced Medical OHIP Biller with a strong background in Primary Care billing (FHO/FHG) to join our growing team.

Position Overview

As a Medical OHIP Biller, you will be responsible for full-cycle medical billing for multiple family practice and walk-in clinic physicians. You'll ensure claims are submitted accurately and efficiently, rejections and errors are resolved promptly, and physicians are provided with clear, detailed reporting. The ideal candidate is detail-oriented, highly organized, and has deep familiarity with OHIP billing workflows, codes, and payment schedules.

Key Responsibilities:

  • Manage 
    full-cycle OHIP billing
     for multiple physicians across FHO, FHG, and walk-in models.
  • Review, reconcile, and submit claims accurately through MCEDT or EMR-integrated platforms.
  • Identify and correct rejected claims and billing errors to ensure timely resubmissions.
  • Maintain up-to-date knowledge of 
    MOH, FHO/FHG billing rules, fee codes, and premiums.
  • Generate detailed monthly financial and reconciliation reports for physicians and management.
  • Communicate with clinic managers and physicians to clarify billing issues and optimize workflows.
  • Track outstanding claims, maintain organized billing records, and ensure compliance with Ministry guidelines.
  • Support the billing team and management with other administrative tasks as needed.

Qualifications:

  • Minimum 
    2 years of OHIP billing experience
    , preferably in 
    Primary Care (FHO/FHG)
     settings.
  • Strong knowledge of MOH fee codes, shadow billing, premiums, and QBP.
  • Experience with 
    EMR systems
     such as Oscar, Avaros, Accuro, or Telus PS Suite.
  • Proficient in using 
    MCEDT
     and associated billing software.
  • Exceptional attention to detail and accuracy.
  • Excellent communication and organizational skills.
  • Ability to manage multiple physician accounts and deadlines.
  • Experience with specialist or virtual care billing is an asset.

Why Join Us

  • Competitive compensation based on experience.
  • Flexible work environment (hybrid).
  • Exposure to diverse clinic models and billing scenarios.
  • Supportive and collaborative team focused on efficiency and accuracy.
  • Opportunity for professional growth within a rapidly expanding healthcare organization.