Patient Accounts Clerk Accounts Receivable

5 days ago

Toronto, Ontario, Canada St. Joseph's Health Centre, Toronto Full time

The Patient Accounts Clerk is responsible for the timely billing and collection of revenues from government entities, insurance companies, other healthcare institutions, patients, and non-patients. The primary role is to ensure that hospitalization charges incurred by patients are billed in a timely manner. The role also includes liaising with Physicians and other Hospital units regarding rates and billing procedures as well as providing cost estimates.

Duties & Responsibilities

  • Complete billings for all outpatient and inpatient visits including but not limited to per diem charges, diagnostic and laboratory charges.
  • OHIP Billing, working with other departments to ensure prompt reconciliation of OHIP remittance.
  • Ensure that claims are submitted to WSIB, WSIB-Out-of-Province, Federal Correctional Services, Third Party Agencies (e.g. Blue Cross, National Defense, Veteran Affairs, First Nations, etc.), Private Insurance and other Healthcare Institutions in a timely manner.
  • Liaises with Health Records Department, Clinical Teams, or other hospital units as required to address patient account issues and facilitate billing and collections;
  • Liaises with insurance companies to coordinate payment and settlement of patient accounts;
  • Liaising with WSIB/UHIP/Blue Cross, or any other provider to rectify unpaid accounts.
  • Weekly review and follow-up of aged trial balance.
  • Follow-up for collection of payment on outstanding accounts.
  • Investigate, resolve and resubmit rejected claims.
  • Identify claims for adjustment and/or write-offs.
  • Post adjustments based on supporting information. Interact with patients or guarantors in obtaining pertinent billing information when necessary.
  • Answering calls and emails to address patient, insurance company, or other third party inquiries.
  • Back up for cashier and all associated duties
  • Other duties as assigned

Qualifications

  • Secondary School Diploma or equivalent required. Community College Diploma in a related field preferred.
  • Recent experience in billing (e.g. OHIP, WSIB, IFH) and accounts receivable environment in a hospital/medical setting required.
  • Intermediate level of skills in MS Office (Excel, Word), email, internet and experience navigating software applications required (screen access, information search, data entry). Knowledge of databases preferred.
  • Excellent organizational, interpersonal and communication skills, both verbal and written. Fluency in another language an asset.
  • Demonstrated attention to detail, problem solving skills and the ability to make sound decisions when dealing with patients or other outside agencies.
  • Assertiveness, diplomacy and good judgement.
  • Proven ability to work effectively and efficiently with hospital staff and patients.
  • Ability to work effectively in a team environment.
  • Satisfactory attendance record

Unity Health Toronto is committed to creating an accessible and inclusive organization. We strive to provide a recruitment process that is barrier-free and in compliance with the Accessibility for Ontarians with Disabilities Act (AODA) and the Ontario Human Rights Code. We understand that you may require an accommodation at any stage of the recruitment process. When you are contacted, please inform the Talent Acquisition Specialist and we will work with you to meet your accommodation needs. We want to emphasize that all accommodation requests are handled with the utmost confidentiality, respecting your privacy and dignity.

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