Ambulance Billing Specialist

Ambulance Billing Specialist

PHSA Corporate

Saanichton, BC

In accordance with the Mission, Vision and Values, and strategic directions of PHSA safety, including both patient and employee safety, is a priority and a responsibility shared by everyone at PHSA's Agencies/Divisions/Services, and as such, the requirement to continuously improve quality and safety is inherent in all aspects of this position.

BCEHS provides public ambulance service in BC under the authority of Emergency Health Services Act. BC Emergency Health Services provides pre-hospital emergency services throughout the province. These services are not covered under the Medical Services Plan or the Canada Health Act, except as a defined benefit for specific employee groups. Reporting to the Ambulance Billing Administrator, this position processes ambulance billing records and investigates and resolves complex billing discrepancies.

This position is also responsible for responding to inquiries and resolving patient complaints regarding ambulance services accounts.

What you'll do

• Assess and adjudicate BCEHS Patient Care and billing records by reviewing patient care records to determine if service is billable or for statistical purposes only; segregate documents by transaction type and re-route to appropriate category for further processing; loads batch work, review and interpret content of Patient Care Records and apply applicable codes to produce appropriate billing status and amounts, business records, hospital and agency identification and medical records.
• Perform data processing and verification to process a variety of BCEHS transactions in accordance with established procedures, monitor and reconcile daily data transmissions to ensure the data base accurately reflects the content of each file and account, and resolve problems identified during daily data edit routines and verifies the data for accuracy and completeness.
• Research problems identified during daily electronic processing and apply appropriate intervention procedures and initiate override routines.
• Provides billing inquiry telephone support, including investigating and resolving queries from the public and other organizations and agencies, by researching available databases; redirecting patients to appropriate departments or agencies in accordance with established procedures; and processing changes to accounts as per information received from callers.
• Analyzes and reconciles balance sheet accounts for accuracy.
• Prepare statistics and records and provide monthly correspondence statistics/ financial reconciliations to Administrator.
• Identifies billing discrepancies and takes corrective action.
• Draft, revise and process correspondence and documents related to a variety of issues, including complaints, fees, policy, status of account, hospital transfers, statistics and records.
• Contacts various outside agencies requesting further information in order to resolve and process more complex record issues.
• Performs research for information requested for ad hoc reports and special projects.
• Assist Administrators with training by providing orientation and mentoring to staff
• Perform ARCS/ORCS procedures to send records off site.
• Perform other related duties as assigned.

What you bring

Qualifications

• Grade 12, successful completion of a recognized accounting course and two years' recent related experience or an equivalent combination of education, training and experience.

Skills & Knowledge

• Commitment to upholding the shared responsibility of creating lasting and meaningful reconciliation in Canada as per TRC (2015) and BC's Declaration on the Rights of Indigenous Peoples Act (2019).
• As a strong asset for consideration, we are looking for our successful candidate to have: Knowledge of social, economic, political and historical realities impacting indigenous communities and familiarity with Indigenous Cultural Safety and anti-racism and accompanying reports (BC DRIPA, TRC, etc.).
• Ability to keyboard at 45 w.p.m.
• Ability to communicate effectively both verbally and in writing.
• Ability to deal with others effectively
• Physical ability to carry out the duties of the position
• Ability to organize work.
• Ability to operate related equipment.

What we bring

Every PHSA employee enables the best possible patient care for our patients and their families. Whether you are providing direct care, conducting research, or making it possible for others to do their work, you impact the lives of British Columbians today and in the future. That's why we're focused on your care too - offering health, wellness, development programs to support you - at work and at home.

• Join one of BC's largest employers with province-wide programs, services and operations - offering vast opportunities for growth, development, and recognition programs that honour the commitment and contribution of all employees.
• Access to professional development opportunities through our in-house training programs, including +2,000 courses, such as our San'yas Indigenous Cultural Safety Training course, or Core Linx for Leadership roles.
• Enjoy a comprehensive benefits package, including municipal pension plan, and psychological health & safety programs and holistic wellness resources.
• Annual statutory holidays (13) with generous vacation entitlement and accruement.
• PHSA is a remote work friendly employer, welcoming flexible work options to support our people (eligibility may vary, depending on position).
• Access to WorkPerks, a premium discount program offering a wide range of local and national discounts on electronics, entertainment, dining, travel, wellness, apparel, and more.

Job Type: Regular, Full-time
Wage: $27.56 / hour
Location: 2261 Keating Cross Rd, Saanichton, BC V8M 2A5
Closing date: Applications accepted until position is filled
Hours of Work: 0815-1615 (Monday to Friday)
Requisition # 159676E

As per the current Public Health Order, full vaccination against COVID-19 is a condition of employment with PHSA as of October 26, 2021.

What we do

The Provincial Health Services Authority ( PHSA ) plans, manages and evaluates specialized health services with the BC health authorities to provide equitable and cost-effective health care for people throughout the province. Our values reflect our commitment to excellence and include: Respect people - Be compassionate - Dare to innovate - Cultivate partnerships - Serve with purpose.

Learn more about PHSA and our programs: jobs.phsa.ca/programs-and-services

PHSA is committed to employment equity, encouraging all qualified individuals to apply. We recognize that our ability to provide the best care for our diverse patient populations relies on a rich diversity of skills, knowledge, background and experience, and value a safe, inclusive and welcoming environment.

Reconciliation is an ongoing process and a shared responsibility for all of us. The BC Governments' unanimous passage of the Declaration on the Rights of Indigenous Peoples Act was a significant step forward in this journey-one that all health authorities are expected to support as we work in cooperation with Indigenous Peoples to establish a clear and sustainable path to lasting reconciliation. True reconciliation will take time and ongoing commitment to work with Indigenous Peoples as they move toward self-determination. Guiding these efforts Crown agencies must remain focused on creating opportunities that implement the Truth and Reconciliation Commission Mandate.

ATTN: PHSA Employees:

To be considered as a PHSA employee (internal applicant) for this position, you must apply online via your internal profile at http://internaljobs.phsa.ca

Please note the internal job posting will no longer be accessible after the expiry date of February 9, 2024. If the internal job posting has expired, please contact the Internal Jobs Help Desk and advise that you would like to be considered as a late internal applicant for this position. Please do not apply for the external job posting.

If you have not registered your internal profile, a password is required to log in for the first time. To obtain your password, please contact the Internal Jobs Help Desk at 604-875-7264 or 1-855-875-7264. Please note regular business hours are Monday - Friday (excluding stats), 8:30am to 4:30pm. For inquiries outside of regular business hours, please email the Internal Jobs Help Desk at internaljobshelpu@phsa.ca and a Help Desk Representative will contact you the next business day.

Category

Health Care