Billing Manager

Our client is a highly reputable healthcare organization.

The Billing Manager is responsible for overseeing full-cycle billing and accounts receivable functions across multiple centres. This role ensures accurate and timely billing, including physician billing, credit card payment processing, and reconciliations, while providing leadership and support to the billing and AR teams. The ideal candidate has strong technical accounting knowledge, attention to detail, and leadership skills to drive operational efficiency, process consistency, and exceptional client service.

This role works closely with operations, finance, and clinical leadership to ensure consistent billing practices, accurate physician fee administration, and alignment with corporate reporting and audit standards.

• Oversee preparation, review, and distribution of patient and insurance invoices.
• Ensure billing accuracy and timely processing of claims through EMR and billing software systems.
• Collaborate with internal teams to ensure billing aligns with contracts, fee schedules, and service agreements.
• Monitor and resolve billing discrepancies or denials in collaboration with clinical and administrative departments.
• Maintain full ownership of the AR sub-ledger, including reconciliations, deferred revenues, patient deposits, over payments, and accruals.
• Oversee cash applications, deposits, and account adjustments to ensure accuracy.
• Review aging reports and coordinate collection efforts on outstanding accounts.
• Identify and escalate collection risks while maintaining positive relationships with patients, clients, and partners.
• Prepare and analyze AR and billing reports to identify trends, backlogs, and improvement opportunities.
• Support month-end and year-end close activities, including journal entries and reconciliations.
• Assist with audits, providing documentation and explanations as required.
• Review existing billing and AR processes regularly to identify inefficiencies and recommend best practices.
• Ensure compliance with organizational policies, privacy standards, and healthcare billing regulations.
• Implement quality control measures to reduce errors and improve billing turnaround times.
• Oversee physician billing and related payables, ensuring accuracy in fee splits, HST application, and contract compliance.
• Collaborate with IT and finance teams on HST Pathways or EMR data extracts for billing reconciliation and dashboard reporting.
• Develop and maintain SOPs for billing, AR, and collection processes across centres to ensure standardization.
• Participate in automation or system improvement initiatives, including Sage Intacct, Power BI, and HST Pathways integrations.

• Supervise and supports billing and accounts receivable staff, assigning tasks and monitoring performance.
• Provide training, guidance, and performance feedback to ensure high-quality work and team development.
• Participate in the selection and onboarding of new staff as required.
• Foster a collaborative, service-oriented team culture focused on accuracy and timeliness.

• Strong knowledge of accounting principles, billing systems, and reconciliation processes.
• Ability to apply accounting expertise and sound judgment in problem‑solving and decision‑making.
• Advanced Excel skills, including Power Query, Pivot Tables, XLOOKUP, VLOOKUP, and ability to build/manage large datasets;
  Power BI experience an asset.
• Excellent organizational skills, attention to detail, and ability to manage competing priorities.
• Strong interpersonal and communication skills, with a collaborative and solution‑oriented approach.

• Post‑secondary education in Accounting, Finance, or a related field required.
• Minimum 3‑5 years of progressive experience in billing or accounts receivable.
• Minimum 2 years of supervisory or team‑lead experience preferred.
• Experience in a healthcare, clinical, or service‑based environment considered an asset.

Summit Search Group is a fair and equitable search firm. We welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the recruitment and selection process.

$100-120K base salary, depending on experience