Billing Clerk

Women's College Hospital (WCH) is an academic, ambulatory care hospital in Ontario with a focus on health for women, health equity and health system solutions. If you're ready to be part of a team that is revolutionizing the future of healthcare, then you will want to join an institution where the possibilities for innovation, new discovery and system thinking are limitless. Women's College Hospital is committed to equity, quality and patient safety as key professional values and essential components of daily practice. 

Healthcare Revolutionized 2030 i s our roadmap to the future. Our strategy is built on the pledge that the founders of our hospital made 140 years ago and reaffirms our commitment to providing equitable, accessible, best-in-class healthcare for everyone – meeting people where they are on their healthcare journey and partnering with them to reach their goals of living their healthiest lives possible. The stage has been set for Women’s to accelerate our priorities and capture the momentum to catapult our system forward to revolutionize healthcare for everyone.

Applicants must reside and be legally eligible to work in Ontario. 

This is a Temporary Full-Time position for 6 months (new position!)

Job Description

An exciting Temporary Full-Time opportunity as Billing Clerk exists in the Department of Family and Community Medicine (DFCM) which includes the Women’s College Hospital Academic Family Health Team (WCHAFHT), which is one of the largest Family Practice Units within the University of Toronto with over 40 Staff Physicians, 30 Residents and Fellows, and associated Healthcare Professionals and Support Staff. This position reports to the Department Head for Primary Care. Under the supervision of the Lead Billing Coordinator, the Billing Clerk supports the Family and Community Medicine Finance Business Office.

What You’ll Do:

• Input billing data into TELUS PS Suite billing database
• Invoicing patients and follow up of invoice payment status
• Create claim submission files and submit to the MOH via MCEDT on a twice-weekly basis
• Third-party billing knowledge, specifically in OHIP, WSIB, IFH, and UHIP
• Process adjustments and refunds when necessary
• Analyze accounts at the time of application for any missing information. Report discrepancies to the Billing Coordinator, or Physician Financial Administrator, and contact the Physician or clinic to resolve the discrepancy
• Assist with month-end closing
• Assist with error reports on a monthly basis
• Reconcile billing remittances against claims monthly
• Maintain regulations and standards affecting patient confidentiality
• Assist with ongoing OHIP billing training and technical support to new and existing Secretaries
• Assist with requests and inquiries from physicians, patients and the public at the business office window in a courteous and respectful manner

The responsibilities described above are representative and are not to be construed as all-inclusive.

As a role model and champion, you will work to identify and integrate safe, best practices into daily activities to foster the delivery of safe and exemplary care.

What You’ll need:

• Completion of a College Diploma

• Minimum 1-2 years of OHIP billing experience
• Minimum of 1-2 years of experience working in a Family Health Organization (FHO) Physician’s office or similar health care setting would be an asset
• Familiarity with a variety of electronic billing programs, MOHLTC billing policies, procedures, and third-party billing (WSIB, IFH, UHIP, Insurance)
• Must have strong organizational skills and the ability to manage multiple time sensitive service requirements
• Exceptional interpersonal and communication skills
• Knowledge of MS Office 365, and Telus PS Suite
• Excellent independent problem-solving skills.
• This position plays a critical role in acting as an advocate for safety and will demonstrate principles, practices and processes that will optimize a safe environment for all.

• Proven attendance and punctuality.
• Professional behaviour and communication that meets the standards of the professional regulatory college or association, as applicable, and the standards of Women’s College Hospital

Why Choose Us?

• Be part of a dedicated team committed to excellence.
• Shape the future of healthcare in a supportive environment.
• Enjoy competitive benefits and an excellent defined benefit pension plan (HOOPP). 

Women’s College Hospital may use artificial intelligence (AI) or automated decision-making tools during various points in the recruitment and selection processes. Please note that third-party job boards may apply their own automated features when displaying or promoting this posting. Women’s College Hospital has no control over these external platform tools.

If you suspect any recruitment related advertising, communication or content did not originate from Women’s College Hospital, please report it immediately by providing the relevant details to WCH Job Advertisement Fraud Reporting Form.

Employment at Women’s College Hospital is conditional upon the verification of credentials, completion of a health review, and proof of immunity and vaccination status for vaccine-preventable diseases, in alignment with WCH Communicable Disease Surveillance protocols. Successful candidates will be required to complete the Employee, Physician and Volunteer Immunization Record Submission Form and the Pre-Placement Health ReviewForm prior to commencing employment. Submission instructions will be provided in the new hire package and all requirements must be satisfied prior to commencing employment.

Women's College Hospital is a fully affiliated teaching hospital of the University of Toronto and is committed to fairness and equity in employment and our recruitment and selection practices. We encourage applications from Indigenous peoples, people with disabilities, members of sexual minority groups, members of racialized groups, women and any others who may contribute to the further diversification of our Hospital community. Accommodation will be provided in all parts of the hiring process as required under our Access for People with Disabilities policy. Applicants need to make their requirements known in advance.