The Admin I - OHIP Billing will work in a team environment and will be responsible for collecting, reviewing, verifying, and coding, all physician billings including third party billings for regional physicians with Sioux Lookout Regional Physician Services Inc. (SLRPSI). The Admin I - OHIP billing will preform various clerical and accounting support duties to ensure effective performance of all billing activities related to regional physician services.
The
Admin I - OHIP Billing
is directly accountable to the
Supervisor - OHIP Billing
.
Qualifications:
Persons of First Nations ancestry will be given preference (OHRC, Part II, Special Employment)
Ability to communicate in one of the First Nations dialects in the Sioux Lookout Zone is an asset
High School Graduation or equivalent is required
Minimum 6 months experience in Bookkeeping or accounting experience
OMA billing course or any medical office billing course is an asset
Medical coding and billing experience preferred - Schedule of Benefits (SOB)
Knowledge of medical office billing software is an asset
Proficient data entry skills
Excellent organizational and time management skills
Proficiency with computers and Microsoft Office programs including word processing, spreadsheets, and emails
Excellent communication skills including customer service skills, both verbal and written
Ability to perform the requirements of the job on a regular basis
Roles and Responsibilities:
Ensure all billings from all areas and all physicians are collected/received in department and reviewed for data entry/submission
Review physician billing sheets for billing entry
Verify impatient and various hospital billing sheets prior to billing entry
Entering required claims information into online entry program for submission to Ministry of Health
Reconciling error reports and making necessary corrections
Completing remittance forms for Ministry of Health relating to stale-dated and unpaid claims
Rebilling outstanding claims when new Health Numbers or patient information is received
Complete third party billing
Support incoming requests and provide information related to billings and other uninsured accounts receivables as requested
Prepare and submit all required reports/forms for regional physicians: compensation, authorization for billing forms, etc.
Corresponding with the Ministry of Health regarding inaccurate charges
Handling of sensitive and confidential material strictly in confidence in accordance with SLFNHA policies and Procedures and PHIPA
Processing RA's after billings
Reconcile submissions
Reconcile Big Thunder Medical Billing AAIA (ER) remittance
Process Emergency Department remittances for Team Lead review
Orientate new Physicians and Locums to current billing requirements and provide materials to assist with reaching goals and bonus thresholds (i.e. Cheat sheets)
Provide ongoing OHIP billing training and technical support to all regional physicians as requested or deemed necessary
Ensure best billing practices are applied and OHIP billing updates are circulated to all regional physicians
Support processes and knowledge to obtain maximized physician billing status
Support improvements to avoid lost/missed billings by training, re-training, and suggesting improved processes and accepting responsibility
Maintain the document of all physician OHIP, CPSO and WSIB numbers with bi-annual reviews and edits, which includes Nurse Practitioners working out of the Northern Appointment Clinic
Any other duties as assigned
Sioux Lookout First Nations Health Authority focuses on hiring Indigenous employees whenever possible.
Candidates are encouraged to self-identify on their application. Self-identification is voluntary and the information is used to assist SLFNHA in hiring Indigenous people from the region whenever possible and to support candidates in their application.
We offer competitive and comprehensive employment benefits to Full-Time employees:
Pension plan
Fitness reimbursement program
Comprehensive insurance coverage
Professional development opportunities
* Relocation assistance
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