Sr. Billing Clerk (OHIP) - Patient Accounts - Temporary Full-time 2026-18252

Sunnybrook Health Sciences Centre; Toronto; On-site; CAD 55,000 - 75,000; Full time

Job summary

Sunnybrook Health Sciences Centre in Toronto is seeking a Senior Billing Clerk to support OHIP and medical imaging billing within the Patient Accounts team of the Finance department.

The role involves processing OHIP claims, verifying information, addressing denials, and coordinating with physicians and patients to ensure timely payments in a fast-paced hospital environment.

Qualifications

• Post-secondary medical terminology diploma or equivalent education/experience.
• Minimum of 2 years experience with OHIP billing procedures.
• Knowledge of MOH Schedule of Benefits and ability to interpret it.
• Proficient and accurate data-entry skills.
• Strong written and verbal communication and customer relations skills.
• High level of attention to detail and discretion with patient data.

Responsibilities

• Process OHIP claims in the hospital billing system with accurate information.
• Review OHIP claims for validity to minimize rejections.
• Clear account deficiencies and correct OHIP claims as needed.
• Investigate rejected OHIP claims and resubmit promptly.
• Gather and verify billing information from physicians, patients, and others.

Skills

OHIP billing

Medical terminology

Data entry

Communication

Attention to detail

Time management

Independent work

Education

Post-secondary medical terminology diploma

Job description

The Patient Accounts team of Sunnybrook Health Sciences Centre's Finance department has an immediate temporary full-time opening for a Senior Billing Clerk. Patient Accounts is a high-volume, fast paced department responsible for the billing and collections of all revenue at the Hospital. Working with two other team members, this role facilitates the OHIP billing process for all Medical Imaging procedures performed at the Hospital. This role also assists with the billing and collection of Medical Imaging procedures for non-OHIP patients in accordance with Hospital policies.

Summary of Duties:

• Process OHIP claims in the Hospital billing system, ensuring all required information is accurately entered
• Review the validity of OHIP claims prior to submission to minimize claim rejections
• Clear account deficiencies and make corrections to OHIP claims as required
• Investigate rejected OHIP claims, resolve issues, and prepare them for timely resubmission
• Interpret medical records to support manual review submission inquiries
• Gather and verify billing information from referring physicians, patients, and other relevant parties
• Assist with medical imaging billings for WSIB, interprovincial programs, third-party insurers and self-pay accounts.
• Provide support in resolving medical imaging billing concerns and responding to related questions
• Monitor accounts receivable aging reports and follow up to ensure timely payment
• Make collection calls on overdue accounts when necessary
• Perform additional related duties as assigned

In order to succeed in this role, the successful candidate must possess the following required and preferred qualifications and skills:

REQUIRED:

• Post-secondary medical terminology diploma or equivalent education/experience.
• Minimum of 2 years experiences of OHIP billing procedures.
• Knowledge of the MOH Schedule of Benefits and a demonstrated ability to interpret.
• Proficient and accurate data-entry skills
• Strong written and verbal communication and customer relations skills
• High level of attention to detail
• Ability to interact with patients and families with sensitivity, patience, and discretion
• Excellent organizational and time-management skills, with the ability to manage multiple tasks and meet competing deadlines in a fast-paced, time-sensitive environment
• Ability to work independently

PREFERRED:

• Background in medical imaging in a hospital or related healthcare environment
• Experience processing electronic OHIP claims
• Multilingual abilities