The Perfect Fit
A successful candidate is a detail-driven, self-directed professional who takes full ownership of the MVA claims process and treats every file as if it were their own reputation on the line.
Our ideal candidate:
- Is meticulous, highly organized, and comfortable managing dozens of active files at different stages simultaneously
- Has a working understanding of Ontario's auto insurance system (SABS, HCAI, OCF forms) or learns regulatory frameworks quickly
- Communicates confidently and professionally with insurance adjusters, lawyers, and patients, translating claims jargon into plain language
- Stays calm and methodical under pressure, especially when a file is denied, disputed, or approaching a deadline
- Is tech-savvy and comfortable in Clinicmaster (or a comparable EMR) and HCAI's billing portal
- Understands the importance of strict confidentiality regarding patient information (PHIPA/PIPEDA compliance)
- Has a minimum of 2–3 years' experience in MVA/HCAI billing, ideally in a multidisciplinary clinic (strongly preferred)
Key Responsibilities:
Your role is critical to the clinic's revenue integrity and to the patient's experience navigating a stressful process.
Your duties will include:
Claims Intake & Setup: Processing new MVA referrals, setting up patient files, and collecting required OCF forms (OCF-1, OCF-2, OCF-3, OCF-18, OCF-23).
Billing & Reconciliation: Submitting HCAI billing (OCF-21/OCF-6) accurately and on time, tracking approvals and payments, and reconciling MVA billing against Clinicmaster reports to flag discrepancies.
Treatment Plan Managemen: Monitoring plan approvals and proactively initiating re-applications before a plan expires, so patient care is never interrupted.
Communication & Coordination: Serving as the clinic's primary point of contact for adjusters, lawyers, and case managers, and coordinating with practitioners on documentation for OCF-18/OCF-23 submissions.
Patient Support: Keeping patients informed on claim status and coverage in clear, reassuring language throughout their treatment journey.
Compliance & Reporting: Maintaining up-to-date knowledge of FSCO/HCAI regulations and SABS timelines, ensuring files meet audit standards, and providing regular status reports on aging claims and revenue at risk.
Attention to detail is critical for this role. If you read this entire posting, please include the phrase "clean file" somewhere in your cover letter. Applicants who follow this instruction will automatically be moved to the top of our review list!
Pay: $20.00-$24.00 per hour
Benefits:
- Casual dress
- Company events
- On-site gym
- On-site parking
Application question(s):
- Do you have previous experience with Clinicmaster, HCAI, WSIB, or MVA billing specifically?
- Are you available to work occasional weekends if required?
Experience:
- MVA/HCAI billing: 2 years (required)
Work Location: In person
