Medical Billing Secretary, Obstetrics and Gynaecology

This is a Temporary Full Time assignment for up to approximately twelve (12) months.
Sinai Health is looking for an experienced Medical Billing Secretary to support our Obstetrics & Gynecology Department at our Mount Sinai Campus.

In This Role You Will

• Sort incoming billings received from all billing groups within the division
• Complete any required information on insurance forms for third party billings to facilitate payment (to include Bermuda patients) and follow up with required documentation for non-OHIP or uninsured patients
• Input OHIP and non-OHIP claims on a daily basis for MFM physicians (in-patient and out-patient) to include: Pre-Natal Diagnosis Unit, Special Pregnancy Program (Fetal Assessment Unit), CEOU, Labour & Delivery, Obstetrical Day Unit, 7 South billings and Fetal Therapies (manual reviews)
• Access relevant programs such as Astraia and Powerchart to retrieve all necessary supporting documentation required by MOH for complex fetal therapies and deliveries
• Interprets supporting medical documentation and serves as the group liaison with MOH adjudicator with respect to all billing inquiries
• Provide billing summaries to the individual physicians
• Provide back-up administration to Clinical Information System (CIS) on the network, including password changes and provide necessary staff training and support on the CIS and Electronic Data Transfer (EDT) systems
• Be responsible for updating and registrations of new physician to services (IFH, EDT etc.)
• Respond to patient billing inquiries
• Reconcile uninsured patient payments to cashier's office with Patient Accounts reports
• Track in-patient professional ultrasound billings for recovery to the MFM physicians (invoiced to hospital for payment by the business unit)
• Perform weekly error report downloads from the MOHLTC via EDT for timely claims corrections and resubmissions for payment and responsible for submitting error report monthly summary to the MFM Division Head and distributing error claims stats to each MFM physician
• Enter updated OHIP information in CIS system
• Generate monthly billing audit reports for review and follow up and provide back-up support for billing system/liaison with staff at OPGB regarding problems
• Retrieve all on-call billing cards from L&D on a timely basis and enter into the billing system
• Retrieve billing forms/payments/correspondence from OPGB site on a regular basis
• Compose patient correspondence re requests for updated OHIP information
• Photocopy, fax, file, order billing cards and maintaining other office supplies
• Provide assistance and/or information to supervisor and/or doctors as requested

• Perform weekly submissions to the MOHLTC via EDT for timely payments to the physicians.

• This includes analyzing the billing data for accuracy and completeness; ensures all manual reviews for complex cases have been submitted in accordance to OHIP guidelines

• Perform monthly downloads from the MOHLTC via EDT for Remittance Advices (multiple billing groups) and follow up with outstanding claim and mismatch reports (submit RA inquiries as necessary)

• Provide cross-coverage relief to other medical secretaries within the division if required
• Perform other duties consistent with the job classification as required

Job Requirements
Mandatory

• Successful completion of a college Diploma, preferably in Office Administration or Business Administration from an accredited educational institution
• Knowledge of medical terminology essential; preferred typing speed of 60 wpm

• 3 years of experience in computerized OHIP billing

• Applicants with proven equivalent and related training and experience may also be considered

Preferred

• Proficient in MS Office programs/templates, Cerner/Powerchart/Astraia

Skills and Knowledge

• Proficient in MS Office programs/templates, Cerner/Powerchart/Astraia an asset
• Attention to detail
• Effective written and verbal communication skills
• Proven ability to work with minimal supervision
• Demonstrated ability to prioritize work (dealing with deadlines)
• Exercises initiative and good judgment
• Ability to work in a fast-paced environment and adhere to deadlines
• Ability to work independently and as a strong team member
• Self-directed with an ability to make decisions and to exercise good judgment
• Superior organizational and time management skills with a flexibility to adjust to priorities
• Demonstrated professionalism and ability to work independently
• Demonstrated ability to work with a variety of individuals in a co-operative manner both independently and as part of a team
• Ability to work accurately and effectively in a fast pace/stress environment
• Demonstrated customer service skills and ability to sensitively communicate with patients
• Demonstrated satisfactory work performance and attendance history

If this sounds like you and you're ready to build your career within clerical support, apply now and let us know why you would be a great addition to our team.