Medical Billing Specialist

Job Title: Medical Billing Specialist/Medical Biller
Job ID: 73475
Location: Hamilton, Ontario

Overview:
We are seeking an experienced and detail-oriented Medical Billing Specialist to join our Client’s dynamic sports medicine/pain clinic in Hamilton. As a Medical Billing Specialist, you will play a vital role in ensuring the accuracy and efficiency of our billing processes, working closely with our healthcare team to optimize patient care through accurate financial management.

What you will be doing:

• Process claims for reimbursement through the Ontario Health Insurance Plan (OHIP) and Workplace Safety and Insurance Board (WSIB).
• Ensure accurate billing using ICD-9 and ICD-10 coding systems, as well as other applicable medical codes.
• Review, verify, and correct patient billing records and insurance claims.
• Update patient accounts with accurate billing information and resolve discrepancies.
• Track, follow up, and appeal unpaid or denied claims with appropriate agencies.
• Maintain compliance with privacy regulations and patient confidentiality (PHIPA).
• Collaborate with administrative and medical staff to ensure timely billing submissions and address any billing inquiries.
• Reconcile accounts, ensure proper documentation, and maintain detailed financial records for clinic billing.

What you must have:

• Minimum 2 years of experience in medical billing, including experience with OHIP and WSIB claims.
• Strong knowledge of ICD-9 and ICD-10 coding.
• Familiarity with electronic medical record (EMR) systems and medical billing software.
• Attention to detail and excellent organizational skills.
• Strong communication and interpersonal skills for liaising with patients, healthcare providers, and insurance companies.
• Ability to work independently, meet deadlines, and manage multiple billing tasks simultaneously.
• Knowledge of Ontario’s healthcare billing regulations and medical insurance processes.

Salary/Rate Range: $52,000 – $62,000