Revenue and Compensation Coordinator

COVID 19 OnCampus Requirements

Prior to May 1 2022 the University required all students faculty staff and visitors (including contractors) to declare their COVID19 vaccination status and provide proof that they were fully vaccinated or had an approved accommodation to engage in inperson University activities. These requirements were suspended effective May 1 2022 but the University may reinstate them at any point.

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Job Summary

Reporting to the Finance Manager the Revenue and Compensation Coordinator contributes to the successful financial operations of the Department of Family Medicine (DFM) through effective and efficient physician billing management. The incumbent will liaise regularly with the Finance Coordinator Faculty Support Coordinator and Clinic Manager. Given the complexity of managing the intradepartmental and Ministry of Health and LongTerm Care (MoHLTC) billing processes the incumbent demonstrates an ability to work with minimal supervision adhere to strict confidentiality requirements complete duties with accuracy exercise sound judgment and operate with a high degree of efficiency. The incumbent is a dynamic organized individual who is the primary billing resource for faculty and faculty associates (locums) within the department as well as its finance committees and subcommittees.

The incumbent is responsible for processing all aspects of physician compensation and benefits for faculty and faculty associates (locum). This includes the distribution of Southeastern Ontario Academic Medical Organization (SEAMO) and other salaries (T4 and T4A revenue) stipends contract fees and all other Family Health Organization (FHO) generated revenue. The incumbent will administer the Faculty Bonus Pool associated with the DFM Practice Plan. The Revenue and Compensation Coordinator participates in special billing and finance projects which will involve preparing financial information conducting research and analyzing information and preparing reports. In cooperation with faculty clinical operations and other stakeholders the incumbent will ensure enrollment and billings for nonQFHT (Queens Family Health Team) based programs occurs (e.g. longterm care) and will liaise with various community patient care stakeholders as required.

Job Description

KEY RESPONSIBILITIES:
Ensure clinical services provided are accurately billed and that revenue is received (insured and uninsured services).
Analysis and submission of billings and billing errors within the MoHLTC MCEDT system and the departments electronic medical records system.
Processes monthly Remittance Advice from MoHLTC and serve as the liaison with the MoHLTC regarding procedural updates to enrollments billing and FHO model.
Coordinate the payment of pooled funding and revenue associated with the FHO Practice Plan including the regular preparation of accurate reports communicating to faculty and faculty associates (locum) regarding their individual remuneration and reimbursements. Provide reporting and analysis of physician faculty remuneration.
Ensure and oversee payment of faculty associates (locums) billings along with any financial analysis and monthly tracking of data.

Reconciliation of T4/T4A payments against Queens University Payroll and Financial Services for accuracy of all payments.
Provide billing and compensation analysis to the billing and finance committees within the department.
Monitor billing activity and bring any concerns to the attention of the appropriate manager and faculty.
Deliver training sessions for faculty faculty associates and family medicine residents on best practices for Ontario Health Insurance Plan (OHIP) billing.
Ensure strict attention to detail and accuracy when performing tasks with an understanding of the implications of billing errors.
Process financial transactions with a high degree of accuracy and ensure adherence to financial policies and procedures.
Identify ways to increase department organizational effectiveness to positively impact the departments financial operations.
Recommend improvements and new procedures to existing physician and locum compensation based on an analysis of financial information and in support of existing and proposed departmental Practice Plan initiatives.
Develop and implement recommendations for billing improvements in order to improve internal controls and eliminate redundant procedures and provide assistance with effective billing submission procedures to physicians locums health professionals and residents.
Recommend and participate in the implementation and review of key billing performance metrics by undertaking analysis performing research and having discussions with physician and MoHLTC stakeholders.
Conduct periodic audits of all billings preventative care codes and after hour clinics.
Track verify prepare and submit physician bonus payments.
Work closely with the Finance Manager and Finance Coordinator to forecast revenues and expenditures for the DFM.
With the Finance Manager inform financial planning by identifying problem areas and inaccuracy in billings within the DFM.
Complete and submit all third party claim forms and submissions.
Responsible for tasks related to rejected claims (determine rejection reasons correct claims and resubmit for payment).
Reconcile claims paid by OHIP for all physicians in the department and prepare quarterly reports for the Department.
Ensures documents and correspondence are prepared and distributed in a timely manner to faculty and committees.
Other duties and special projects as assigned.

REQUIRED QUALIFICATIONS:
A university degree in a related field.
Several years 5 minimum) relevant experience with preference given to experience with basic accounting practices and primary healthcare settings.
Advanced working knowledge of Microsoft Excel.
Experience working within an Electronic Medical Record System (EMR) considered an asset.
Knowledge of university structure policies procedures and financial and administrative systems considered a strong asset.
Satisfactory Criminal Records Check required.
Promotes diversity and inclusion within the workplace.
Consideration may be given to an equivalent combination of education and experience.

SPECIAL SKILLS:
Data analysis skills to perform complex financial reporting and forecasting.
Ability to analyze billing data and provide recommendations for improvement.
Advanced computer skills including word processing spreadsheet analysis and database construction and management.
Demonstrated initiative selfmotivation and organization in dealing with diverse stakeholders and multiple objectives.
Ability to work under time constraints and meet deadlines in an environment with frequent interruptions.
Strict attention to detail and exceptional accuracy with an appreciation for the implications of billing errors.
Ability to work in a confidential environment and demonstrate diplomacy maturity and tact interacting professionally and effectively with faculty faculty associates residents and senior managers.
Excellent time management skills to cope effectively with a consistent volume of work and to provide support for numerous ongoing projects ensuring deadlines are met.
Exceptional organizational/administrative skills to coordinate and maintain progress on many diverse tasks and carry them to completion simultaneously.
Strong ability to problem solve exercise discretion and involve senior staff in decision making.
Superior communication skills (both verbal and written) and interpersonal skills with the ability to work with a diverse range of stakeholders including the ability to facilitate large and small group presentations.
Knowledge of MoHLTC/OHIP billing submission procedures policies and regulations. The incumbent will complete the OHIP billing course and further training as needed.

DECISION MAKING:
Independent decision making including resolving billing issues referring issues to senior staff as required.
Find solutions to unanticipated problems; decide whether complexity of the problem warrants the involvement of more senior staff.
Determine reasons for rejected claims. Determine how to resolve accountrelated problems in a timely manner.
Decide how to distribute information what method to use and who to send it to.
Decide on report formats and revise forms to improve reporting of information.
Recommend new procedures and changes to existing procedures in order to improve internal controls and eliminate redundant procedures.
Interpret and apply financial policy and procedures within the guidelines of MoHLTC SEAMO and Queens University.
Determine methodology in data evaluation (e.g. audits) and compilation of reports.
Prioritize time and duties to ensure that work is completed within deadlines.
Assess training needs and make recommendations for internal or external training to attain proficiency.
Oversee workflow of the finance clerk as it applies to the clinical billing process.

Employment Equity and Accessibility Statement

The University invites applications from all qualified individuals. Queens is committed to employment equity and diversity in the workplace and welcomes applications from women visible minorities Aboriginal Peoples persons with disabilities and persons of any sexual orientation or gender identity. In accordance with Canadian Immigration requirements priority will be given to Canadian citizens and permanent residents.

The University provides support in its recruitment processes to all applicants who require accommodation due to a protected ground under the Ontario Human Rights Code including those with disabilities. Candidates requiring accommodation during the recruitment process are asked to contact Human Resources at .