Patient Accounts Billing Clerk - Kitchener, Canada - Grand River Hospital

Grand River Hospital

Verified Company

Kitchener, Canada

3 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

Union:
UNIFOR Clerical

Location:
Forty Green

Work Type:
Unscheduled Part Time

Shift:

UNIFOR PT

Responsibilities:

Daily processing of all billing consents for both admitted and discharged patients.
Review of daily admission, discharge report and late charge report to ensure charges are billed correctly in STAR before weekly billing run is produced

Follow-up with bed allocation team on outstanding forms related to billing and collection of payment

Correct financial class inaccuracies following registration process

Perform billing for WSIB, IFH, out of province, Ambulance charges, landed immigrant status, invalid health card and out of county residents and perform patient interviews related to the above.

Adding patient transfer costs to patient bills and refund generation

Sort and file correspondence, and perform miscellaneous clerical duties such as answering correspondence, returned mail and writing reports to assist in reconciliation of the receivable accounts.

Perform address changes for guarantor accounts and returned mail

Contact insurance companies to check on status of claims payments and write appeal letters for denial on claims.

Follow up on all outstanding claims from aged trial balance

Assist In follow-up call to account for payment collection purposes

Answers questions and concerns presented by patients, physicians, insurance companies and other hospital staff.

Performs research of accounts that may need additional charges or adjustments.
Enters late charges into STAR in a timely manner

Create timely claim submission files and submit to the MOHLTC according to Patient Accounts department schedule

Coordinates and contacts the physician or clinic to resolve the rejections and discrepancies

Assist with error reports on a monthly basis

Reconcile billing remittances against claims on a monthly basis

Maintain regulations and standards affecting patient confidentiality.

Research medical documentation when needed, confirm use of billing codes

Correct OHIP rejections on a timely basis, resubmit electronic and manual submissions as required

Examine, correct & edit missing reading & referring physicians by contacting depts., referencing SOB(schedule of benefits) & listing of physician billing errors

Coordinate with and contacts the physician or clinic to resolve OHIP discrepancies

Follow up on physician and management inquiries

Other duties as assigned

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Other information:
2 years community college or post-secondary education in Accounting preferred

Mandatory 2 years prior receivable experience

Knowledgeable on OHIP billing codes and diagnostic error codes

Be proficient in meeting regular deadlines

Proficiency in interpretation of MOH Schedule of Benefits codes and Preamble
Excellent data entry, keyboard and excel skills required

Demonstrated ability to organize and prioritize duties

Excellent communication skills at all levels

Proficient in MSWord, Excel, Outlook, Internet required

Previous OHIP/Accounts Receivable experience required

High degree of accuracy and attention to detail required

Knowledge of Privacy Act required

Good attendance record required

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APPLICATIONS WILL BE RECEIVED UNTIL THE POSTING IS CLOSED.
Grand River Hospital is committed to fair and equitable employment and in our recruitment and selection practices.

We strongly believe in inclusion and diversity within our organization, and welcome all applicants including, but not limited to:

racialized communities, all religions and ethnicities, persons with disabilities, LGBTQ2S+ persons, Indigenous people, and all others who may contribute to the further diversification of our Hospital community.

We are committed to providing and fostering a respectful workplace for all employees, free from violence and harassment. Grand River Hospital is a proud member of the Canadian Centre for Diversity and Inclusion (CCDI).