Motor Vehicle Accident (MVA) Billing & Revenue Optimization Manager - Ready to help patients recover and return to their lives through evidence-based concussion care?
The Opportunity
360 Concussion Care is seeking a highly experienced, results-driven MVA Billing & Revenue Optimization Manager to lead our motor vehicle accident billing function. This is not a routine invoice-processing role. We need an expert who can independently manage the full revenue cycle, improve treatment plan approvals, reduce outstanding receivables, and identify legitimate, clinically appropriate revenue opportunities.
Working closely with clinicians, insurers, legal representatives, and administrative teams, you will ensure that eligible services are documented, submitted, approved, invoiced, and collected accurately and efficiently. Success requires deep knowledge of Ontario’s automobile insurance system, sound judgment, and a record of measurable results.
The Role
-
Compensation: $55,000-$65,000
- Performance Bonus: Annual performance based conus up to $5000, tied to measurable improvements in collections, treatment plan approvals, accounts receivable management and revenue optimization.
- 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
1. Revenue Optimization & Billing Strategy
- Own the MVA revenue cycle and department financial performance across clinic locations.
- Identify missed or underbilled eligible services, incomplete submissions, and revenue leakage; implement corrective actions.
- Ensure assessments, treatments, reports, and related services are accurately documented and billed within applicable Ontario requirements and fee schedules.
- Partner with physicians and rehabilitation clinicians to capture clinically appropriate, insurer-eligible services and improve revenue per patient without compromising care or compliance.
2. Treatment Plans & HCAI Management
- Lead accurate, timely OCF-18, OCF-23, OCF-21 and other applicable HCAI processes, selecting appropriate submission pathways.
- Manage treatment plans from preparation through approval, partial approval, denial, or resolution, with complete supporting clinical documentation.
- Monitor plan status, authorized services, utilization, funding limits, and expiry dates; coordinate clinically justified extensions or further services.
- Maintain reliable tracking and work with clinicians to strengthen submissions and prevent avoidable delays.
3. Denials, Approvals & Assessment Opportunities
- Investigate denials and partial approvals, identify recurring causes, and coordinate appropriate reconsideration or dispute steps.
- Work directly with adjusters and clinicians to resolve documentation gaps and improve approval outcomes.
- Recognize when interdisciplinary, functional, occupational therapy,
or other assessments may be clinically justified and eligible for insurer funding.
- Confirm documentation and approval requirements before submission or service delivery, as applicable.
4. Accounts Receivable & Collections
- Take ownership of MVA accounts receivable, payment reconciliation, and collection performance across locations.
- Initiate proactive follow-up promptly after invoicing and seek collection within 30 days where insurer processing and payment terms permit.
- Resolve unpaid invoices, short payments, discrepancies, and outstanding documentation with insurers, legal representatives, and patients as appropriate.
- Develop targeted plans for receivables aged 60, 90, and 120+ days; escalate complex accounts and maintain accurate collectible balances.
- Establish weekly collection targets and report results, aging trends, and corrective actions.
5. Department Leadership & Continuous Improvement
- Independently direct daily MVA billing operations, workflows, priorities, and insurer communications.
- Train and support administrative team members; coordinate closely with multidisciplinary clinical teams.
- Build reporting dashboards covering submissions, approval rates, revenue, collections, and aged AR.
- Identify bottlenecks, implement process improvements, and provide leadership with clear financial updates and recommendations.
Key Performance Expectations
- Revenue growth through compliant, clinically appropriate billing and reduced revenue leakage.
- Treatment plan approval target of 80% or higher, tracked by submission type and outcome.
- Consistent achievement of established weekly collection targets.
- Proactive follow-up on new invoices, with collection within 30 days where feasible.
- Measurable reductions in receivables aged 60, 90, and 120+ days.
- Timely, accurate submissions and actionable reporting on approvals, collections, and AR.
The Candidate
Must-haves
- At least 3 years of direct Ontario MVA billing, treatment plan management, and insurance collections experience, preferably in multidisciplinary rehabilitation or healthcare.
- Advanced practical knowledge of SABS, HCAI, OCF-18, OCF-23, OCF-21, insurer requirements, and applicable fee schedules.
- Concussion rehabilitation, physiotherapy, occupational therapy, or interdisciplinary clinic experience.
- Experience with Universal Office or comparable clinic management software.
- Experience building scalable revenue-cycle processes and coaching billing teams.
Nice-to-Haves
- Experience with Universal Office, Telus CHR or comparable clinic management software.
- An MVA expert: You understand Ontario automobile insurance billing and treatment plan processes at an advanced level.
- Revenue-focused:
You know how to identify legitimate opportunities to improve billing and collections.
- Proactive: You do not wait for invoices to age or insurers to respond before taking action.
- Strategic: You understand how treatment plans, assessment approvals, clinical documentation, and billing processes affect overall revenue.
- Results-driven: You can demonstrate improvements in collections, approval rates, and financial performance from previous roles.
- Accountable: You take ownership of the entire department and follow issues through to resolution.
- Independent: You can confidently lead the MVA function without requiring constant direction.
In return, you can expect:
- A team-oriented, patient-focused healthcare environment.
- An opportunity to lead and improve a critical function with measurable organizational impact.
- Professional growth within a multidisciplinary, expanding healthcare organization.
- The chance to support timely access to evidence-based concussion care.
The Company
At 360 Concussion Care, we are dedicated to helping individuals recover from concussions and return to their daily lives safely and confidently. Our team works collaboratively across disciplines to deliver high-quality, evidence-based care in a supportive and patient-centered environment.
- For more about who we are, visit:
- Website https://www.360concussioncare.com/
- LinkedIN https://www.linkedin.com/company/360-concussion-care/
How to Apply
Please send your resume to
[email protected] with MVA Billing & Revenue Optimization Manager in the subject line. Please highlight measurable results in collections, approval rates, or revenue-cycle improvements.
Interview Process
Due to a high volume of applicants, we are unable to respond to every application that we receive. If you are chosen to move forward, our interview process follows this sequence:
30-minute Google Meet screening interview with a member of our team.1 online up to 60-minute job/cultural interview with members of our team.Reference checks.A decision is communicated and an offer is extended.
At 360 Concussion Care we aim to complete the entire process above within 3 to 4 weeks. If at any time we decide to end your candidacy, you will be notified of this by a member of our team in writing. We would appreciate it if you extend us that same courtesy.
Our Commitments
360 Concussion Care is an equal-opportunity employer. We are committed to inclusive, barrier-free recruitment and selection processes, including our work environment. We especially welcome applications from Indigenous peoples, members of racialized communities, persons with disabilities, women, and persons who identify as 2SLGBTQ+.
360 Concussion Care welcomes and encourages applications from people with disabilities. Accommodations are available upon request for candidates taking part in all aspects of the selection process. Please inform us within your application if you require any accommodations, and every effort will be made to meet your needs.
📌 Motor Vehicle Accident (MVA) Billing & Revenue Optimization Manager (Canada)
🏢 360 Concussion Care
📍 Canada