DUTIES & RESPONSIBILITIES:

Key point of contact for accounts receivable and patient account concerns with the ability to demonstrate a high level of patient & client/customer focus;

Responsible for resolving conflicts and negotiating with Physicians, Patients, Insurance companies, Ministry and all other non-patients (conflict: for example, amounts to be invoiced, price of service, units of service etc.);

Lead consolidation and harmonization of business process and policies among 3 sites; and regularly review and update the business processes and policies.

Work within the policies outlined by Ministry, LHIN/OH, Unity Health and be reflective of requirements of the clients/customers;

Managing invoicing and issuance of Invoices:

Responsible for ensuring all invoicing are accurate, complete and timely (OHIP, WSIB, Insurance, Federal Refugee Program, Self-Pay, Non Residents, No Fixed Address etc.;

Monitors processing/issuance of invoices;

Responsible for keeping the billing rates (e.g. OHIP and all Non-OHIP including Out of Province and Out of Country) up to date by staying informed and sharing the changes made by the relevant governing bodies e.g. Ministry, Province, other Healthcare providers etc.

Works with teams and stakeholders (including clinical) to determine potential impacts to patient care related to billing, e.g., compassionate care write-offs;

Works with all stakeholders including clinical and administrative business units on financial aspects related to invoicing / billing;

Ensures the AR & PA team manages the balance between compassionate patient care and sound financial management;

Regularly review existing Invoicing/Billing processes for efficiency and effectiveness improvements and implement new processes, preparing documented standard operating procedures for staff. Review the correspond policies and revise polices to reflect improvements to ensure completeness and accuracy.

Key point of contact for Patient, Physician and employee account concerns with the ability to demonstrate a high level of patient & client/customer focus across all site at Unity Health;Managing collection procedures of payments:

Responsible for ensuring proper function of collection procedures of payments;

Interact with patients/non-patients to answer and address queries to support the timely collection of outstanding amounts;

Responsible for resolving conflicts and negotiating with clients and their representatives;

Works within the standard policies outlined by the Network and reflective of requirements of the customers;

Ensures AR & PA team representatives demonstrate the balance between compassionate patient care and sound financial management;

Application of collected AR receipts to outstanding balances and investigate unapplied amounts and investigate any non-payment circumstances;

Applies professional judgement to write off balances as compassionate care;

Applies professional judgement to identify High Risk Accounts for early write off.

Communicating with Senior and Executive management on risks of current inpatients incurring continuing charges that will not be collected and work with stakeholders (e.g. clinical) and senior management team to mitigate risk;

Works with all stakeholders including clinical teams and administrative business units to determine potential impacts to patient care related to compassionate care write-offs and financial aspects related to accounts receivable;

Interacting with Physicians to maximize collections and ensure that communications regarding invoicing between the Physician and patient are consistent with Unity Health policies;

Provides leadership, direction and support to the department in order to maximize the collection of revenue;

Manages risk by assessing and maintaining strong internal controls; taking into account any system or regulation changes

Reviews existing AR and PA processes for possible revisions and implement new processes to strengthen controls and processes, preparing documented standard operating procedures for staff. Review the correspond policies to ensure completeness and accuracy;

Ensures that in collaboration with the Finance Treasury team that bank and cash reconciliations are performed in a timely manner and properly reviewed and approved, thereby reducing risk and possible losses to Unity Health;

Ensures the proper function and controls are in place for the cashier’s/business office collecting payment from customers/patients/non patients;

Support other Unity departments in control of cash handling and collections;

Manage relationship with the service providers (e.g. Moneris) to issue and set up terminals and also problem solving, e.g. Terminal set ups

Accounting

Responsible for managing and reporting on the accounts receivable balance reported on Unity Health’s balance sheet on monthly, quarterly and yearly basis;

Responsible for the oversight of the month-end and year-end close process as it relates to Invoicing/Billing/A/R, Collections and Allowance for Bad Debts

Posting of monthly revenues and revenue accruals

Monthly reconciliation of the A/R sub-ledger(s) to the General Ledger

Review and determine reasonable bad debt provision and write offs on a monthly basis and prepare its associated reconciliation

Reporting:

Establishes, monitors and reports on department-specific metrics;

Analyzing financial/statistical reports on a regular basis, taking remedial action to resolve identified issues; Monitoring, analyzing and reconciling variances from approved budget, taking remedial action to attain budgeted targets and mitigate run rates;

Preparing and presenting financial and business reports, including receivables aging among several categories, performance metrics and executive team slides showing brief summary of business performance and variance explanation;

Performs weekly reporting of invoicing totals/aging totals/cash receipts/invoice adjustments;Forecasts cash as a way of supporting the Unity Health’s financial planning;

Management

Establish, organize and implement strategies within the department and is responsible for the operations of the department as well as the effective use of its resources (budget, staffing, etc);

QUALIFICATIONS:

Accounting designation (CPA, CA, CMA, CGA) or equivalent experience required;

Bachelor's degree in a business discipline or equivalent or relevant work experience is required;

Minimum of 2 to 5 years’ experience in billing, collections and payment application procedures and controls and revenue analysis preferably in an Ontario public hospital setting;

Minimum 2 years of management/supervisory experience in finance related roles;

Understanding and working knowledge of regulations/legislation related to areas of expertise and functional responsibilities preferred;

Knowledge of Public Hospitals Act as it relates to billable practices.

Knowledge of third party payer regulations and government policies and procedures.

Experience in managing diverse staff and building highly efficient teams with an ability to effectively lead a team and promote a culture of service excellence.

Excellent interpersonal, communication, coaching, mentoring and team building skills that facilitate positive interactions.

Ability to provide leadership, support and critical analysis in complex situations.

Demonstrates a strong patient and customer focused philosophy in all interactions.

Highly developed conflict resolution and problem solving skills combined with strong analytical and critical thinking skills.

Proven attendance record.

Demonstrates understanding and complies with patient and staff safety policies and procedures that foster a safe and inclusive environment for all.

Ability to perform the essential duties of the job.

Effectively uses empathy in interactions with others and demonstrates behaviours consistent with Unity Health’s Commitment to Caring.

Models behaviour that is aligned with the values of Unity Health – Excellence, Leadership and Empathy.

Commitment to providing an exceptional experience for staff and clients within a challenging and exciting health care environment.

Excellent communication skills and ability to engage in difficult conversations; Demonstrated leadership ability;

Excellent organizational, analytical and project management skills; Strategic conceptual thinker with the ability to integrate “big picture” thinking into operations.

Superior spreadsheets skills and a good knowledge of MS Excel skills (Pivot, advanced formulas, etc),

Understanding of a number of computer packages including a variety of financial software & accounting software, ie. Crystal Reports, Info/Lawson, SAP, Tableau, etc.

Managerial skills and a minimum of three years management experience, required,

Previous experience managing credit provision and debt collections, required,

Must be proficient in written and verbal communication skills,

Excellent analytical skills with attention to detail and ability to accurately process numerical data as well as, create and present detailed reports,

Ability to determine solutions in addition to recognizing problems,

Astute judgment when identifying and resolving issues around time and risk management,

Ability to prioritize and manage competing priorities,

Strong project management and change management skills,

Ability to operate at a high level of independent thinking,

Resourceful and willing to take initiative,

Ability to establish and maintain effective working relationships with hospital staff and clients,

Ability to maintain confidential information concerning personal, financial, or medical matters,

Team management and negotiation skills