04 Nov
|
CYBERWELL Solutions
|
Toronto
04 Nov
CYBERWELL Solutions
Toronto
Salary Range: $45,000.00 To $55,000.00 Annually
Entity: WELL Health Clinic Network Inc.
Position Title: Clinics AccountsReceivable Lead
Number of Positions: Two – East and West
Job Class: Full-Time
Salary Range: $45,000–$55,000 annually
Work Location: Based within the assigned region; remote or hybrid, with clinic visits as needed
Regional Coverage: East – Ontario | West – British Columbia and Alberta
Reports To: East – Julie Guerrero and Rafal Hawa | West – Andrew Patzke
About the Company
WELL is an cutting-edge technology-enabled healthcare company whose overarching objective is to positively impact health outcomes by leveraging technology to empower and support healthcare practitioners and their patients. WELL has built an innovative practitioner enablement platform that includes comprehensive end-to-end practice management tools inclusive of virtual care and digital patient engagement capabilities as well as Electronic Medical Records (EMR), Revenue Cycle Management (RCM) and data protection services. WELL uses this platform to power healthcare practitioners both inside and outside of WELL's own omni-channel patient services offerings.
WELL owns and operates Canada's largest network of outpatient medical clinics serving primary and specialized healthcare services and is the provider of a leading multinational multidisciplinary telehealth offering. WELL is publicly traded on the Toronto Stock Exchange under the symbol "WELL".
We are seeking two detail-oriented and proactive Clinic AR Leads to manage clinic accounts receivable across our Eastern and Western regions. Each position will take end-to-end ownership of provincial health plan, private-pay, and third-party receivables for clinics within its assigned region.
Working directly within clinic workflows and EMR billing modules, you will ensure encounters are billed, claims are submitted on time, rejections are resolved, and outstanding invoices are followed through to payment. Your focus will be on reducing outstanding receivables, preventing missed billing opportunities, and improving billing accuracy across multiple clinics and physicians.
You will collaborate closely with regional operations, clinic teams, physicians, Finance, and clinic systems teams to resolve billing issues and establish consistent processes across fee-for-service, capitation, and other applicable payment models.
What you will be doing
Claim Submission and Billing Accuracy
- Reconcile daily schedules and patient encounters against submitted claims for each clinic and physician, following up on unbilled or incomplete encounters.
- Ensure claims are submitted within payer cycles and submission deadlines for the applicable provincial plans: OHIP in Ontario, and MSP Teleplan and AHCIP in Western Canada.
- Monitor applicable capitation and shadow-billing models, including Family Health Group (FHG) and Family Health Organization (FHO) arrangements in Ontario, to support accurate rostering, enrolment, billing, and premiums.
- Confirm new physicians have the required billing numbers, group or business arrangement linkages,
and EMR billing profiles before their first shift.
Rejections and Reconciliation
- Review remittance advice and claim error, rejection, and hold reports for every clinic each submission cycle.
- Correct and resubmit rejected or held claims promptly, following up with payers on underpayments and adjustments where appropriate.
- Identify recurring rejection causes and work with clinic teams to resolve coding, eligibility, system setup, and workflow issues.
- Maintain an accurate record of open provincial claims, including their age, value, assigned owner, and next action.
Private and Third Party Accounts Receivable
- Ensure uninsured services, forms, third-party services, and applicable out-of-province claims are invoiced at the time of service or promptly afterward.
- Follow up on outstanding invoices through a consistent collection schedule and escalated aged balances.
- Recommend write-offs when appropriate and obtain the required approvals before processing.
- Reconcile payments received through point-of-sale systems, e-transfers, and cheques against EMR invoices in collaboration with clinic staff and Finance.
- Support billing and collection activities involving WSIB/WCB, insurers, employers, and other third-party payers.
Reporting and Escalation
- Prepare a weekly dashboard showing provincial plan receivables, private receivables by aging category, rejection rates, and unbilled encounters by clinic.
- Escalate persistent billing gaps to regional operations, outlining the amounts outstanding, underlying issues, and recommended actions.
- Support month-end AR reviews with Finance and provide documentation for disputed balances and
📌 Clinics Accounts Receivable Lead (Toronto)
🏢 CYBERWELL Solutions
📍 Toronto