Full Job Description
Position Title: Billing Manager
Job Status: Full Time, Monday – Friday
Location: Ottawa, Ontario
About Us:
Ottawa Fertility Clinic is part of The Fertility Partners (TFP), a network of fertility clinics across Canada. We strive to provide support, knowledge, choices and treatment for our fertility patients, ultimately helping them achieve their goal of becoming parents. This is your opportunity to be part of this journey.
Your Role:
The Billing Manager will lead a team of 6–8 people responsible for centralized OHIP billing for TFP’s Ontario clinics, including Ontario Fertility Program, and for all billing at the Ottawa clinic, including private patient billing, and accounts receivable. The role works closely with physicians, clinic leadership and the TFP Finance team.
Job Responsibilities:
- Leads centralized OHIP physician billing (where applicable) for TFP’s Ontario clinics, including claim submissions, remittance advice (RA) reconciliation, error and rejection management, and resubmissions.
- Monitors OHIP billing activity by clinic and by physician to ensure claims are accurate, complete and submitted on time.
- Manages billing and tracking of Ontario-funded fertility cycles, including patient eligibility verification, cycle allocation tracking and reconciliation against funding.
- Prepares funded-cycle reporting and supports compliance with Ministry of Health funding agreement requirements.
- Keeps current on OHIP Schedule of Benefits changes and Ministry bulletins, and communicates updates to physicians and staff.
- Liaising with the physicians to ensure billing is correct and appropriate.
- Supervises and coaches a team of 6–8 people responsible for centralized OHIP billing for TFP’s Ontario clinics and all billing at the Ottawa clinic.
- In conjunction with clinic leadership, interviews, hires, creates training plans for and conducts performance reviews of billing team members.
- Schedules billing staff and ensures appropriate coverage for day-to-day operations.
- Oversees private patient billing, payment processing, data entry in NetSuite, and patient receipts and invoices for Ottawa.
- Manages accounts receivable, including collections follow-up.
- Working in conjunction with the TFP Finance Shared Services team to ensure A/R, reconciliations, month ends and year ends are accurate.
- Develops, documents and standardizes billing policies and procedures across Ontario clinics.
- Ensures patient satisfaction on billing matters, including troubleshooting complaints and developing process improvements to prevent recurrences.
- Other duties as assigned.
Experience/Position Requirements:
- Minimum 5 years experience with OHIP physician billing, including claim submissions, RA reconciliation and error/rejection management. Required.
- Strong working knowledge of the OHIP Schedule of Benefits.
- Experience with Ontario-funded fertility cycles or other Ministry-funded program billing is a strong asset.
- Minimum 2 years experience in recruitment, performance reviews and in a supervisory capacity.
- Medical Office Assistant or medical billing certification preferred. Previous work experience relevant to the field will be considered if no certification.
- Knowledge of fertility and women’s health medical terminology.
- Advanced Excel skills and strong attention to detail when reconciling high volumes of transactions.
- Excellent and efficient computer, communication, and organization skills.
- Bilingualism (English and French) is an asset.
- Must be able to work effectively and productively both independently and as part of the TFP team.
- Ability to multi-task as needed.
