360 Concussion Care - 3 emplois
Toronto, ON
Détails de l'emploi :
Avantages :
- Compensation: $45,000 to $55,000
- Benefits: Comprehensive health and dental benefits after successful completion of a 3-month probationary period.
- Work Type: Full-time, Onsite. Toronto,ON
- Working Hours: Monday to Friday, 40 hours per week
- Start Date: ASAP – the position is currently open and ready to be filled.
- Training: Structured onboarding and concussion specific training provided
Responsibilities and duties:
- MVA Billing & Claims Management
- Manage all Motor Vehicle Accident (MVA) billing processes from intake through claim resolution.
- Submit, track, and manage OCF documentation through HCAI, including OCF-3s, OCF-18s, OCF-23s, and related forms.
- Review and verify billing accuracy to ensure timely reimbursement and minimize claim denials.
- Monitor insurer approvals, partial approvals, denials, and required follow-up actions.
- Identify and resolve billing discrepancies proactively to support efficient claims processing.
- Reconcile payments, invoices, remittance statements, and insurer payments.
- Insurance & Stakeholder Coordination
- Communicate with insurance adjusters, legal representatives, healthcare providers, and referral partners regarding claims and supporting documentation.
- Build and maintain strong professional relationships with lawyers, paralegals, insurance adjusters, and referral sources.
- Support patients with questions related to MVA coverage, funding approvals, and billing processes.
- Ensure all required documentation is submitted accurately and within insurer timelines.
- Treatment Funding & Clinical Coordination
- Coordinate with clinical staff to ensure treatment plans, progress reports, and supporting documentation are completed accurately and on time.
- Liaise with multidisciplinary providers regarding authorized treatment sessions, treatment extensions, and insurer approvals.
- Monitor treatment balances and funding limits, proactively alerting staff regarding exhausted, pending, or approved funding.
- Identify opportunities to maximize approved treatment plans while maintaining compliance with insurer and regulatory requirements.
- Accounts Receivable & Revenue Cycle Support
- Track outstanding accounts receivable and follow up on overdue payments.
- Monitor claim status and ensure timely collection of approved funds.
- Support revenue cycle management by maintaining accurate billing records and financial tracking.
- Escalate unresolved payment issues as appropriate.
- Process Improvement & Operational Support
- Assist in developing and improving internal MVA workflows and operational efficiencies.
- Maintain accurate tracking systems and reporting related to claims and billing activities.
- Train and support administrative team members on MVA procedures and billing protocols.
- Contribute to continuous improvement initiatives that enhance patient experience and operational effectiveness.
- Experience with HCAI billing and Ontario MVA rehabilitation processes.
- Strong understanding of Ontario auto insurance procedures and OCF documentation requirements.
- Experience managing insurance claims, approvals, denials, and treatment funding.
- Strong attention to detail and exceptional organizational skills.
- Excellent communication and relationship-management abilities.
- Strong problem-solving and analytical skills.
- Ability to manage high-volume workloads and follow-up activities effectively.
- Proficiency with Microsoft Office and administrative systems.
- Ability to work independently while collaborating effectively with clinical and administrative teams.
- Experience in a physiotherapy, rehabilitation, occupational therapy, or multidisciplinary healthcare clinic.
- Familiarity with EMR systems and clinic management software.
- Experience supporting accounts receivable and healthcare billing operations.
- Knowledge of WSIB or extended health benefit billing processes.
- Experience working in a growing healthcare organization.
- A collaborative, patient-focused healthcare environment.
- Opportunities for professional growth and advancement.
- Exposure to multidisciplinary healthcare operations and rehabilitation services.
- The opportunity to make a meaningful impact on patient recovery journeys.
- Ongoing learning and development opportunities within a growing healthcare organization.
- For more about who we are, visit:
- Website