Patient Accounts Billing Clerk

  • 2-5 Year
  • Kitchener
  •   Posted On: May 21, 2018
  •   Skills:  Account Reconciliation, Accounting, Communication, Excel

Job Overview

Roles & Responsibilities

JOB SUMMARY:

• 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

QUALIFICATIONS:

• 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

About Grand River Hospital

We want to tell you more about Grand River Hospital in this section. You'll find information about: Our governance and leadership; Contact information; How to do business with the hospital; Capital plans and construction; and Reports as well as accountability documents.

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