Clinics Accounts Receivable Lead

CYBERWELL Solutions; Toronto; Hybrid; CAD 45.000 - 55.000; Vollzeit

Zusammenfassung

WELL Health Clinic Network Inc. is seeking two detail-oriented Clinic AR Leads to manage accounts receivable for Eastern Ontario and Western Canada.

You will own provincial health plan, private-pay, and third-party receivables across assigned clinics, ensuring timely submission and resolution of denials. You will collaborate with operations, clinic teams, and Finance to implement consistent billing processes across fee-for-service and capitation models and to reduce aged receivables while

Qualifikationen

• At least three years of medical billing or revenue-cycle experience in Canadian primary care.
• Knowledge of provincial billing requirements for assigned region (OHIP/FS, MSP etc.).
• Experience resolving rejected claims and reducing aged accounts receivable across multiple clinics.
• Experience with EMR billing modules and ability to learn new systems quickly.
• Strong Excel skills for reconciliations and aging reports.
• Clear communication with physicians and clinic staff to maintain billing standards.

Aufgaben

• Submit claims within payer cycles and deadlines for OHIP (Ontario) and MSP/Teleplan (West).
• Monitor remittance and error reports, correct and resubmit denied claims promptly.
• Follow up on uninsured/private-pay and third-party receivables.
• Prepare weekly dashboards on receivables, aging, and unbilled encounters.
• Train clinic staff on billing practices and maintain regional AR workflows.

Kenntnisse

Medical billing

Revenue cycle

EMR billing

Excel skills

Attention to detail

Communication with physicians

Ausbildung

Medical billing certificate

Tools

Accuro

PS Suite

OSCAR

Med Access

Jobbeschreibung

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 innovative 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 collection activities.
• Monitor billing outcomes and identify opportunities to reduce aged balances, prevent missed submission deadlines, and improve collection performance.

Clinic Support and Process Improvement

• Train clinic managers and Medical Office Assistants on accurate billing practices, end-of-day checks, and private invoicing.
• Develop and maintain regional AR workflows, checklists, and reference materials.
• Coordinate with the other region’s Clinic AR Lead to align reporting, share effective practices, and improve consistency.
• Act as the regional point of contact for billing agents, EMR vendors, and payer help desks on claim-related issues.
• Work directly with physicians and clinic systems teams to address billing setup, training needs, and system-related rejections.

You have

• At least three years of medical billing or revenue-cycle experience in Canadian primary care.
• Hands-on expertise in the provincial billing requirements for your assigned region: East – OHIP claims and remittance, including FHG and FHO rostering, shadow billing, and premiums; West – MSP Teleplan and AHCIP claims and remittance.
• A demonstrated record of resolving rejected claims and reducing aged accounts receivable across multiple providers or clinic locations.
• Working knowledge of at least one major EMR billing module, such as Accuro, PS Suite, OSCAR, or Med Access, and the ability to learn additional systems quickly.
• Strong Excel skills for reconciliations, aging reports, and tracking outstanding claims.
• Strong attention to detail, persistence, and the ability to manage competing priorities.
• Clear communication skills and confidence following up with physicians and clinic staff to maintain billing standards.
• The ability to investigate recurring issues, identify root causes, and implement practical solutions.
• A medical billing certificate or equivalent training is an asset.
• Experience with third-party billing, including WSIB/WCB and insurers, and private-pay collections is an asset.
• Experience training front-line clinic staff is an asset.

The salary for this position falls within a defined range and will be determined based on several factors, including the candidate’s experience, qualifications, skills, and the needs of the organization. At WELL, we are committed to fair and equitable compensation and aim to provide a competitive salary that reflects the value and expertise of the successful candidate.

WELL is committed to fostering a diverse, inclusive, and accessible workplace. We welcome and celebrate the diversity of applicants and team members across ability, race, gender identity, sexual orientation, and lived experience. We strive to create an environment where differences are valued and contribute to our collective success – this is the WELL Way.

This recruitment process uses automated tools, including artificial intelligence, to help review applications. Qualified human decision-makers review these results and make all final hiring decisions.

WELL has been independently certified as a Great Place to Work® by Great Place to Work Institute® Canada, an achievement that reflects the company’s strong commitment to creating a workplace culture centered on trust, inclusivity, and employee well-being, aligning with its ‘Healthy Place to Work’ ESG strategy pillar. Learn more in our Sustainability Impact Report .