Senior Accounting Clerk - Accounts Receivable

Job Description

• Effectively communicate with hospital clinical staff, social workers, physicians, patients and/or their families, and insurance agencies.
• Manage the self-pay, co-payment & preferred accommodation portfolios, primary contact for internal & external inquiries
• Perform detailed review of self-pay, co-payment and preferred accommodation accounts to ensure completeness and accuracy of billing and revenue
• Reconcile self-pay, co-payment, and preferred accommodation accounts in excel on a monthly basis and investigate any discrepancies
• Perform a range of activities to collect on accounts on a timely basis and mitigate the risk of delinquent accounts including diligent follow up and payment plan negotiation
• Responsible for maintaining and communicating policy and procedure documentation related to uninsured patients, co-payment, & preferred accommodation.
• Key liaison with third party collection agencies including the electronic file transmission/receipt of information in accordance with Hospital policy
• Assist Manager with the preparation of the monthly Accounts Receivable reporting package which requires advanced excel knowledge to download text files and convert to excel pivot tables/advanced formula reports
• Prepare detailed aging subledger reconciliation analysis in excel to clear old accounts, overpayments, or errors in billing
• Performs administrative duties including filing and data entry
• Attend patient bedside to obtain signatures, meet with patients & families on-site, and communicate with patients via telephone and email
• Support hospital revenue generation and optimization initiatives as required
• Other duties as assigned

Qualifications

• Diploma or university degree required (Business or Accounting Major is an asset)
• Minimum of 2 years of related accounts receivable and collections experience in a large complex environment
• Advanced Excel and experience working with computerized databases is required
• Healthcare and Meditech experience is preferred
• Ability to discuss financial coverage and payment collection with patients and/or family members and private/public insurance companies
• Demonstrated compassion and judgement with ability to discuss sensitive financial matters with patients and families at the bedside/office/phone/email; ability to handle these matters in a professional manner
• Effective verbal and written communication skills, interpersonal and customer service skills and the ability to establish effective working relationships
• Experience in conflict management is an asset
• Highly self-motivated and dedicated team player
• Ability to multi-task and meet deadlines in a high stress environment
• Detailed oriented with a high level of accuracy

Additional Information

Hours: Monday to Friday - 7.5 hour day shifts; 0830 - 1630 (Hours are subject to change based on operational needs)

Salary: $34.555 to $43.207 per hour

Date Posted: November 12, 2026

Internal Applications Due by: November 19, 2026

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Halton Healthcare is an equal opportunity employer who is committed to integrating diversity, equity and inclusion throughout our operations, policies and culture. If you are passionate about what you do, motivated by a job well done, and as committed to excellence, quality and patient satisfaction as we are, we'd like to hear from you. Please attach your current resume directly to this posting.

Please note that while this job is posted on Halton Healthcare's career page, it may also appear on third-party job boards.  These external platforms may use automated tools, including artificial intelligence, for candidate screening and matching.  We do not control or influence these processes.  To ensure your application is reviewed by our team, we recommend applying directly through our Halton Healthcare careers site.  

We thank all those who apply but only those individuals selected for further consideration will be contacted.

Halton Healthcare is committed to providing accommodations for applicants with disabilities.  In accordance with the Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code, Halton Healthcare will provide accommodations throughout the recruitment and selection process. If you require an accommodation, we will work with you to meet your accommodation needs to ensure your equal participation.

The Ontario Public Hospitals Act mandates that hospitals establish health surveillance programs for all individuals working within the hospital. This regulation requires proof of immunity for certain diseases and as a result, Halton Healthcare requires all new hires to receive pre-employment medical clearance by our Health, Safety & Wellness team, prior to their start date, as a condition of employment.  This includes demonstrating compliance with Halton Healthcare’s Immunization Policies.

All new hires must be fully compliant with our Vaccination Policy as a condition of employment with Halton Healthcare.  Successful applicants will be required to provide proof of vaccination or proof of a documented medical exemption as part of the hiring process.

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