Ontario Central Administrator
North York, Ontario , CA
5d ago

Rehabilitation Dept. North York, ON (Full-time)

We are seeking a full-time administration professional to join our team! The successful candidate will act as the main stakeholder for the Ministry of Health and Long-

Term Care (MOHLTC) funded Physiotherapy program.

Responsibilities : Claim Processing

Claim Processing

  • Supervise and providing training regarding internal claim process for submissions
  • Reviewing the completeness of patient information entered by the clinics
  • Submitting the claim submission files, downloading error reports, downloading monthly Remittance Advice Files, and any other communication documents from MOHLTC.
  • Communicating with the clinic administrators regarding any rejection errors, discrepancies, and other issues.
  • Providing solutions and directing the clinic administrators on the corrective actions for submission issues.
  • Completing and maintaining the report for ODSP / OW patients without OHIP coverage.
  • Reconciliation

  • Creating and distributing tracking sheets for clinics
  • Reviewing, analyzing, resolving, and settling any discrepancies in the Remittance Advice Files.
  • Assisting with quarterly outcome reporting and completing the annual settlement reports.
  • Regularly (monthly and annually) completing financial reconciliation and reconciliation of discharged cases.
  • Collaborating with Accounting and Finance department
  • Project Coordination

  • Providing the necessary training and follow up on administration process to clinic administrators
  • Providing updates on the program administrative user guide and documents
  • Continuously providing feedback to IT team for the improvement of the systems and participating in end-user testing as appropriate.
  • Qualifications :

  • In-person and Telephonic customer service experience, ideally from a medical clinic setting
  • Understanding of medical terminology is an asset
  • Health-related educational background is preferred
  • Data entry experience considered an asset
  • Apply today!

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