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Accounting and OHIP Billing Coordinator

Care Fertility
Ottawa, ON

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Détails du poste

Temps plein

Compétences

Microsoft Excel
Comptes fournisseurs
Audit financier
Cabinet médical
Finance
Expérience administrative
Esprit d'analyse
QuickBooks
Sens de l'organisation
Systèmes de dossier médical électronique
Paie
Affaires
Terminologie médicale
Comptabilité
Gestion du temps

Description complète du poste

Position Summary The Accounting and OHIP Billing Coordinator is responsible for the accurate management of all financial transactions, OHIP billings, private patient billings, accounts receivable, accounts payable, payroll support, physician remittances, reconciliation processes, and financial reporting within the clinic. The role ensures compliance with Ontario Health Insurance Plan (OHIP) billing regulations, Ministry of Health requirements, clinic policies, and financial controls. This position plays a critical role in maintaining the financial health of the organization through accurate billing, revenue cycle management, auditing, and reporting. Key Responsibilities 1. OHIP Billing Management Daily Responsibilities

Submit physician billings to OHIP accurately and within prescribed timelines.
Verify all patient demographics and health card information before claim submission.
Review physician encounter notes to ensure billing accuracy and completeness.
Process same-day submissions and resubmissions of rejected claims.
Monitor billing queues and outstanding claims.
Identify missing documentation affecting billings.
Verify appropriate billing codes are applied according to current OHIP Schedule of Benefits.

Weekly Responsibilities

Review rejected claims reports.
Correct and resubmit billing errors.
Audit physician billings for completeness.
Reconcile submitted claims against appointments completed.
Follow up on unresolved billing issues.

Monthly Responsibilities

Review OHIP remittance advice statements.
Reconcile payments received from the Ministry of Health.
Analyze billing trends and discrepancies.
Generate physician billing reports.
Identify opportunities for revenue optimization.

2. Fertility and Gynecology Billing

Process billing for:
- Fertility consultations
- Cycle monitoring
- IUI procedures
- Semen analysis
- Sperm wash procedures
- IVF coordination services
- Private fertility services
- Gynecology consultations
- Ultrasound procedures
- Endometrial biopsies
- Sonohysterograms
- IUD insertions/removals
- Nexplanon insertions/removals
- Obstetrical ultrasounds
- Diagnostic imaging services
Ensure funded IVF/FET cycles are appropriately flagged and not incorrectly billed.
Monitor private-pay services and ensure payment collection.
Verify package payments and treatment plans.

3. Private Billing Administration

Generate private patient invoices.
Process patient payments.
Issue receipts and maintain payment records.
Manage payment plans and outstanding balances.
Follow up on overdue accounts.
Process refunds when approved.
Reconcile daily sales reports.

4. Accounts Receivable

Monitor all incoming payments.
Track unpaid patient accounts.
Investigate billing discrepancies.
Prepare aging reports.
Follow up with patients, insurers, and third-party payers.
Ensure timely collection of outstanding balances.

KPI

Accounts Receivable aging maintained below 60 days.
Collection rate above 95%.

5. Accounts Payable

Receive and review vendor invoices.
Match invoices against purchase orders.
Verify approvals prior to payment.
Prepare payment schedules.
Process vendor payments.
Maintain vendor records.
Reconcile supplier statements.

Vendors May Include

Medical supply companies
Laboratory vendors
Pharmaceutical suppliers
Equipment providers
Utility providers
Professional services

6. Bank Reconciliation

Reconcile bank statements.
Investigate discrepancies.
Balance daily deposits.
Reconcile credit card transactions.
Verify EFT transactions.
Monitor cash flow.

7. Payroll Support

Review employee timesheets.
Verify hours worked.
Track overtime.
Assist with payroll processing.
Maintain payroll records.
Coordinate with payroll providers (e.g., ADP).
Ensure compliance with employment standards.

8. Financial Reporting Prepare: Daily Reports

Daily revenue reports
Daily sales reports
Payment summaries

Weekly Reports

Revenue analysis
Billing productivity reports
Outstanding account reports

Monthly Reports

Profit and loss summaries
Revenue by physician
Revenue by clinic location
Accounts receivable aging reports
Billing rejection reports
Inventory expenditure reports

9. Audit and Compliance

Conduct internal billing audits.
Maintain OHIP compliance.
Ensure compliance with:
- Ontario Ministry of Health regulations
- CPSO standards
- PHIPA requirements
- CRA requirements
- Corporate financial policies
Participate in external audits.
Maintain audit-ready records.

10. Inventory Financial Tracking

Verify medication invoices.
Track medication purchases.
Monitor inventory expenditures.
Reconcile inventory counts with purchases.
Investigate discrepancies.
Support annual inventory audits.

11. EMR and Financial Systems Management Systems May Include

OSCAR EMR
Accuro EMR
QuickBooks
ADP Payroll
Excel
Ministry of Health Billing Portals

Responsibilities:

Maintain accurate billing records.
Generate reports.
Ensure data integrity.
Support system troubleshooting.

Required Qualifications Education

Diploma or Degree in:
- Accounting
- Finance
- Business Administration
- Health Information Management
- Medical Office Administration

Experience

Minimum 2 years of medical billing experience.
Experience with OHIP billing required.
Experience in fertility, gynecology, diagnostic imaging, or specialty clinics preferred.
Experience with QuickBooks and EMR systems preferred.

Required Skills Technical Skills

OHIP billing knowledge
Medical terminology
Accounts payable and receivable
Payroll support
Financial reconciliation
Microsoft Excel
Financial reporting
QuickBooks and Erplain

Professional Skills

Strong attention to detail
Excellent organizational skills
Ability to work independently
Strong analytical skills
Confidentiality and professionalism
Time management
Problem-solving skills

Key Performance Indicators (KPIs)  OHIP claim acceptance rate >98% Billing submission timeliness 100% Rejected claim resolution Within 5 business days Accounts receivable over 60 days <5% Monthly bank reconciliation completion 100% Vendor payment accuracy 100% Daily sales reconciliation accuracy 100% Financial report submission On time Payroll accuracy 100% Patient billing collection rate >95%

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accounts receivable emplois - ottawa, on

Accounting and OHIP Billing Coordinator

Office and Warehouse coordinator

Collections Agent

Risk Advisor (Account Executive)

Property Administrator, Site (3 month Contract)

Manager, Treasury and Collections

Property Administrator

Billing Representative (Canada)

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