Bring your knowledge of medical terminology and human anatomy, and your exceptional analytical skills to our team at the Ministry of Health and Long-Term Care to process medical claims.What can I expect to do in this role?You will:• use your research skills to assess claims and analyze payment irregularities• respond to inquiries• initiate payments, adjustments or recoveries• prepare legal and executive summaries• provide service to medical providers and the public• deal with confidential and sensitive medical and personal informationHow do I qualify?Mandatory:•You are proficient in English and in oral French at the advanced levelResearch and Analytical Skills:• You have proven research and analytical skills to evaluate and adjudicate stakeholder claims to determine appropriate payment and confirm eligibility for programs• You have proven ability to apply discretion and judgement to determine when to escalate contentious issues and claims and adjudicate payment as applicableCommunication and Interpersonal Skills:• You demonstrate communication and interpersonal skills to provide detailed and understandable explanations on work processes and claims payments to internal and external clients and interact with team members• You demonstrate tact and diplomacy to understand and respond appropriately to issues, dealing with conflict situations and/or with sensitive medical and financial informationTechnical Knowledge and Skill:• You have knowledge of medical terminology and human anatomy to read and understand operative and emergency reports• You have proven ability to understand, interpret and apply policies, and work within guidelines, procedures, and legislation such as Freedom of Information and Protection of Privacy ActOrganizational and Team Work Skills:• You have well developed organizational skills to organize and manage workload, process a high volume of claims and inquiries within strict timeframes• You have proven ability to work cooperatively in a team to meet deadlines and organization goals, and assist in the training of new and existing employeesOther Essential Skills:• You have Mathematical skills to calculate fees, recognize billing irregularities and reconcile payments and adjustments• You have demonstrated experience using personal computers and software (e-mail, word processing, internet, databases) as well as keyboarding skills to input, access, retrieve information and create correspondence and reports
Job advertisements for positions that have been designated bilingual will be provided in both English and French on the website. Positions that are not designated bilingual are not translated and are displayed in English only on both the English and French versions of the website.
Les annonces d'emploi pour les postes désignés bilingues sont publiées en anglais et en français sur le site Web. Les annonces pour les postes qui ne sont pas désignés bilingues ne sont pas traduites et elles figurent en anglais seulement, tant dans la version française que dans la version anglaise du site.
The Ontario Public Service is an inclusive employer.
Accommodation is available under the Ontario Human Rights Code.
Note: The only website where you can apply on-line for positions with the Ontario Public Service is http://www.gojobs.gov.on.ca
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Queen's Printer for Ontario, 2007
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