General Posting Information

POSITION:

Billing & Accounts Receivable Service Representative

DEPARTMENT:

Financial Services

CONDITIONS:

Temporary Full Time for approximately twelve (12) months

HOURS:

Approximately 75.0 Bi-weekly Hours

SHIFTS:

Days

7.5 Hours per shift

(subject to change)

WAGE RANGE:

Scale Minimum Maximum

NONU $26.87/hr $32.57/hr

RESPONSIBILITIES:

Billing & Collections

• Responsible for calculating and billing all applicable charges for various Hospital patient services (ALC charges, ambulance, etc.), reviewing and posting various patient reports daily, posting billing adjustments, preparing refund requests and documentation for approval, preparing bills and statements for mailing as appropriate, maintaining biller queue worklist through daily reviews and corrections based on quality assurance worklists, and preparing journal entries related to patient service billings as required for private insurance, self-pay, IFH, Release of Medical Records (ROM), ER, appliance, ambulance, and related billings.
• Responsible for tracking and reconciling various physician billings, updating and maintaining various Ministry of Health billing requirements, reconciling the patient account after payment, including processing reimbursements to doctors for qualifying professional services. Processing other payments received as necessary for patients qualifying for financial assistance.
• Responsible for preparing out of province claim files for submissions, applying and reconciling monthly payment remittances, correcting errors and adjustments.
• Responsible for investigating incomplete or inaccurate billing information, including liaising with Admissions and Bed Board of the Hospital to help ensure efficient billing and accurate patient records.
• Responsible for reviewing and collecting past due accounts on a regular basis to facilitate the collection of revenue, monitoring aged trial balances, and forwarding unpaid accounts to collections as per Financial Services policy.

Account Queries

• Responsible for handling all queries and disputes from patients, physicians and insurance agencies with regards to billing, rejections from insurance, and collections, as assigned.
• Responsible for handling all queries and disputes associated with client billing, providing requested documentation to clients, as assigned.
• Responsible for gathering pertinent information from patients and their families and updating patient accounts for billing purposes regarding OHIP/other province billing/WSIB and supplemental insurance plans and other required demographic information when this information was not available during admission.
• Responsible for liaising with internal and external stakeholders to clarify and resolve patient and client related issues.

Cashier and Finance Service Kiosk Duties

• On a regular rotational basis for one or two days a week, the Billing & Accounts Receivable Service Representative is responsible for performing various cashier and customer service with face to face interactions at the Finance Service Kiosk, located outside of the Financial Services department; in addition, the Billing & Accounts Receivable Service Representative will support the cashier function as required for breaks and other absences, outside of the regular rotation times.
• Responsible for managing billing, Hospital account status and payment queries from patients and their families, visitors, Hospital Admissions and other Hospital Staff that approach the Finance Service Kiosk for help and for managing any telephone call queries directed to the kiosk extension.
• Responsible for processing and receipting payments from patients and visitors made in person, on-line, via telephone and through mail.
• Responsible for recording payments from insurance companies, agencies and other clients billed by the Hospital.
• Responsible for processing payment for Hospital Identification Badge deposits and refunds, and Wellness Centre memberships.
• Responsible for preparing the daily deposit summary, scanning cheques and making manual deposit for Hospital bank account.
• Responsible for reconciling daily float and sales, balancing and reconciling all transactions, and other daily close procedures.
• Responsible for collecting the Finance’s morning rounds throughout the hospital on a daily basis.
• Responsible for maintaining cheque pick up log and distributing cheques designated for pick up.
• Responsible for processing and reconciling payments for Physiotherapy and Maternal Newborn and mailing receipts
• Responsible for assorting and distributing the mail, coding patient account payment, client payment and insurance payment.
• Responsible for reconciling and depositing parking money, recording and managing patient valuables.

Administrative Support

• Responsible for working with the Billing & Accounts Receivable Service Representatives on the team to effectively maintain the patient accounts filing system and archives.
• Assist BAR Team Leader on updating Terms of Admission, annual patient rates, website and other administration documents
• Provide efficient administrative support delivering a diverse range of Accounts Receivable activities
• Responsible for preparing and reconciling payroll entry for Finance staff bi-weekly
• Responsible for managing the inventory for paper and envelopes
• Maintain and release of patient valuables, ensuring a safe mechanism for storage and recoding of all valuables received according to hospital policy.
• Other duties as required.

REQUIREMENTS:

• Requires a post-secondary diploma/degree from a recognized college/university program in business or general accounting
• Requires a minimum of one (1) year of related experience ideally in a combination of working in accounts receivable, healthcare admissions and customer service in a healthcare business environment.
• Good working knowledge of the complete revenue cycle including billings, receipts and collections.
• Excellent computer skills including good knowledge of MS Word and MS Excel;
• Excellent organization and time management skills; this is required to follow up with patients and their families and to liaise with external agencies in a timely and effective manner to ensure patient billing account information is current and complete;
• Exceptional oral and written communication skills;
• Exceptional customer service skills, interpersonal and teamwork skills and demonstrated experience in dealing with the public in person, by telephone and e-mail in a courteous, pleasant, professional, and effective manner; This is mandatory to work with patients and their families, and to successfully liaise with all external agencies.

PREFERRED REQUIREMENTS:

• Knowledge of the Hospital’s billing protocols, billing systems, Hospital and other agency billings rate schedules, and Hospital collection protocols;
• Experience in Hospital accounts receivable is an asset;
• Knowledge/experience with Meditech, hospital accounting systems or other ERP; accounting applications an asset;
• Medical Terminology is an asset;

Please note that according to the Ontario Health and Queensway Carleton Hospital Vaccination Policy, all applicants must be fully vaccinated unless they can provide the proof of a valid medical contraindication or exemption on the basis of protected grounds under the Ontario Human Rights Code in order to be considered for any staff or volunteer opportunities. Upon hiring, applicants must provide the proof of either government issued documentation proving they have been fully vaccinated, or present supporting documentation of a valid medical contraindication or exemption under Ontario Human Rights Code.

Thank you for your continued interest in Queensway Carleton Hospital. We deeply value and celebrate the principles of equity, diversity, inclusion, and belonging, as they are integral to the enrichment of our work environment. We believe that by fostering an inclusive and diverse community, we can achieve our mission of providing exceptional healthcare services to all individuals with compassion and respect. We encourage applicants from all backgrounds to apply. We welcome those who would contribute to the further diversification of our organization including, but not limited to women, racial or ethnic minorities, First Nations, Inuit, and Métis peoples, persons with Disabilities, and 2SLGBTQI+ communities.

At Queensway Carleton Hospital, we are committed to ensuring accessibility and accommodating the needs of all candidates throughout the entire selection process. Our dedicated recruitment team is readily available to assist individuals with any inquiries or concerns regarding accessibility and accommodations at any stage of our recruitment process. We invite you to reach out and let us know how we can best support you. We look forward to welcoming diverse talent into our team and continuing to make a positive impact in the lives of our patients and the communities we serve.