Fees Specialist; Medical Billing Educator

Join to apply for the Medical Billing Specialist role at Alberta Medical Association (AMA)

Join to apply for the Medical Billing Specialist role at Alberta Medical Association (AMA)

This range is provided by Alberta Medical Association (AMA). Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

CA $72,462.00/yr - CA $94,199.00/yr

Do you have strong knowledge and experience working with the Alberta Schedule of Medical Benefits?

If yes, the Alberta Medical Association is recruiting for the new position of Medical Billing Specialist (internal title for this role is Fees Specialist). In this role you will provide education and ongoing support to physicians and their billing team members with respect to appropriate use of the Alberta physician Schedule of Medical Benefits. As the ideal candidate you have a thorough and detailed knowledge of the SOMBs and the interrelationships contained within.

You are a people person, with a strong customer service focus, who is able to tailor materials and complex information into clear, understandable terms for diverse audiences.

The AMA is the official voice of the medical profession in Alberta. The association advocates for and supports Alberta physicians, strengthening their leadership in the provision of sustainable health care. For more information on the AMA please visit our website ertadoctors.org.

Why work for the AMA?

At the AMA, we know that employees are fundamental to our success as an organization. We take pride in hiring client-oriented relationship builders who embrace teamwork, personal growth and development and truly want to help us succeed. As part of our employee experience, we provide a competitive compensation package, benefits, work-life balance and development opportunities.

The AMA has a hybrid work environment. The successful candidate will be based out of our Edmonton office and will have the opportunity to work from home but will be required to go into our Edmonton office, as well as occasionally travel throughout the province for seminars.

Position Overview

The Fees Specialist provides billing education, support and guidance to physicians, clinic billing staff and sections. This will include facilitation of individual and group training sessions both virtual and in-person.

Working in consultation with the Physician Compensation and Economics team, the incumbent is responsible for alerting sections to billing and payment issues, such as claims difficulties, inappropriate or inaccurate billing, and deficiencies in billing codes. Additionally, supports the development of solutions to address these issues within sections and, when necessary, with Alberta Health and other payors. This position regularly is required to work outside regular business hours and has occasional out-of-town travel (province wide) for seminars.

Key responsibility for this role includes, but are not limited to, the following:

• Supporting the develop of and facilitates virtual and in-person billing seminars related to the Schedule of Medical Benefits (SOMB) and billing for uninsured services. This includes responding to ad hoc questions on various topics at time of seminars.
• Providing billing support and guidance to physicians and clinic staff.
• Advocating for physicians in matters relating to appropriate billing practices within a team environment.
• Assisting physicians in understanding and responding to audit questions by Alberta Health within a team environment.
• Collaborates with the Physician Compensation and Economics team in acting as an advocate and liaison for physicians in relation to unpaid claims by AH or the WCB.
• Maintains an up‑to‑date knowledge of the SOMBS, Canada Health Act, the Alberta Health Care Insurance Act, the Alberta Health Care Insurance Regulations, the Workers’ Compensation Board Act and Regulations and the Schedule of Medical Benefits.

This position regularly is required to work outside regular business hours and has occasional out-of-town travel (province wide) for seminars.

Education and Experience:

• Bachelor’s degree in business, health…