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Medical Claims jobs in Toronto, ON

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    • This role requires excellent communication skills, familiarity with medical and dental office procedures, and experience in handling electronic medical records.
    • Cardiology Knowledge: Strong familiarity with cardiac medical terminology, medications, and diagnostic procedures.
    • Must be very familiar with OHIP billing.
    • Adjudicating complex claims, including files in litigation.
    • Managing stressful calls and clearly deliver decisions on claims.
    • First aid and/or referral to appropriate medical intervention for injured workers.
    • 5 years’ WSIB claims management experience, demonstrated experience managing…
    • Conducting claim audits, drafting claim audit reports and providing claims insight to various audiences.
    • Coordinate Canadian claims data for monthly claims…
    • Supports programming, oversight of medical care, skill development, behavioural interventions and overall care and services for people receiving supports and…
    • ✅ Opportunity to leverage your medical, legal, or claims experience in a corporate setting.
    • Apply judgement and technical expertise across medical, legal, and…
    • Prepare medical chronologies and briefs to assist lawyers in understanding the medical issues.
    • 5+ years supporting medical malpractice.
    • Manage challenging coverage claims with tact and professionalism.
    • Litigations claims : 3 years (required).
    • Minimum 3 years of experience handling bodily injury…
    • Review and organize medical records, assessments, and other file documentation to support ongoing claims.
    • Draft and prepare correspondence to defence counsel,…
    • Ensure all import and export reporting, customs entries, and claims are submitted accurately and within regulatory timelines.
    • This is a full-time position.
    • Maintaining high service standards, handling warranty and goodwill claims, analyzing customer satisfaction, resolving complaints, and coordinating with internal…
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    • Prior experience with Real-World Data (claims, EHR, registries) is desirable but not required.
    • Perform data analysis on RWD sources (claims, EHR, registry data)…
  • View similar jobs with this employer
    • Investigate and resolve invoicing discrepancies, including pricing errors, rebates, special pricing claims, shortages, and freight issues.
    • Obtain/update all productions and medical records.
    • The Law Clerk will work with a senior lawyer handling high severity files.
    • Job Types: Full-time, Permanent.
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Job Post Details

Medical Office Administrator - job post

Elements Plastic Surgery Clinic
Toronto, ON M5R 2J3
$26–$32 an hour - Full-time

Job details

Pay

  • $26–$32 an hour

Job type

  • Full-time

Location

Toronto, ON M5R 2J3

Benefits

Pulled from the full job description

  • Paid time off
  • Vision care
  • Dental care
  • Life insurance
  • Employee assistance program
  • Company pension
  • RRSP match

Full job description

Job Summary

We are seeking a highly organized and professional Medical Office Administrator to oversee the daily operations of our healthcare facility. The ideal candidate will be responsible for managing administrative tasks, coordinating patient services, and supporting medical staff to ensure efficient clinic functioning. This role requires excellent communication skills, familiarity with medical and dental office procedures, and experience in handling electronic medical records. The Medical Office Administrator will play a vital role in maintaining a smooth workflow within our healthcare environment, ensuring compliance with healthcare regulations, and delivering exceptional patient care support.

Responsibilities

  • Manage front desk operations including patient check-in/check-out, appointment scheduling, and patient inquiries.
  • Maintain accurate and up-to-date electronic medical records using systems such as Dentrix and other EMR platforms.
  • Assist with billing, coding, and insurance claim processing to ensure timely reimbursements.
  • Support human resources functions such as staff scheduling, onboarding new employees, and supervising administrative staff.
  • Coordinate communication between patients, medical providers, and external vendors or insurance companies.
  • Ensure compliance with healthcare regulations, privacy laws (HIPAA), and office policies.
  • Oversee inventory management of medical supplies and office materials.
  • Handle budgeting tasks related to office expenses and resource allocation.
  • Support clinical staff with administrative duties related to nursing, acute care, or hospital experience as needed.
  • Supervise administrative team members to promote a productive work environment.

Qualifications

  • Proven experience in a medical or dental office setting; hospital or acute care experience is a plus.
  • Familiarity with Dentrix or similar electronic medical records systems.
  • Knowledge of medical terminology and healthcare procedures.
  • Previous supervisory or human resources experience is preferred.
  • Strong organizational skills with the ability to multitask efficiently in a fast-paced environment.
  • Excellent communication skills for interacting with patients, staff, and external partners.
  • Ability to handle sensitive information discreetly and maintain confidentiality in accordance with HIPAA regulations.
  • Experience in budgeting and managing office supplies or resources effectively.

This position offers an opportunity to contribute significantly to the operational success of our healthcare facility while working in a dynamic team environment committed to quality patient care.

Pay: $26.00-$32.00 per hour

Benefits:

  • Company pension
  • Dental care
  • Employee assistance program
  • Extended health care
  • Life insurance
  • On-site parking
  • Paid time off
  • RRSP match
  • Vision care
  • Wellness program

Education:

  • Bachelor's Degree (required)

Experience:

  • Patient care: 1 year (required)

Work Location: In person

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