• Patient Accounts Billing Clerk

    Job Location CA-ON-Kitchener
    Posted Date 2 weeks ago(4/11/2018 4:45 PM)
    Job ID
    Job Type
    Temporary unscheduled part time
    Corporate Service
    Career Level
    Years of Experience
  • Job Description

    Temporary Unscheduled Part Time Patient Accounts Billing Clerk
    Clerical Union 06
    Until approximately May 16, 2019


    Days (Monday – Friday)



    • 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
    • Apply OHIP clinic payments to accounts on a timely basis and balance to bank deposit
    • Electronic Data Transfer analysis of accounts at time of application for any missing information. .
    • 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, to confirm the 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


    • 2 years community college or Post secondary education in Accounting preferred
    • Mandatory 3 years prior Healthcare 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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