Employer Description
St. Michael's Family Medicine Associates (SMFMA) is one of Ontario's largest academic family medicine practices — approximately 80 family physicians affiliated with Unity Health Toronto and the University of Toronto Department of Family and Community Medicine (DFCM). We operate under the Family Health Organization (new FHO+ model) and are a teaching practice integrated with the St. Michael's Hospital Family Health Team. The FHO Manager, Physician Billing & Operations is a senior role at the intersection of OHIP billing compliance, FHO+ program management, data analysis, and physician relations, with an opportunity to help shape our expanding business office.
FHO MANAGER AT A GLANCE
Reports To
St. Michael's Family Medicine FHO Lead & Department Chair
Direct Reports
Billing Administrators
Type
Full-Time, Mon–Fri (in-office)
Salary
$72,000 – $90,000 per year commensurate with experience
Benefits
Extended Health Care
Start
As soon as possible
Responsibilities
Physician Billing & FHO+ Compliance
- Optimize FHO+ income through medical billing practice improvement and reconciliation
- Remain up-to-date with billing changes, provide billing guidance to physicians and deliver education in collaboration with the physician business committee (PBC), Physician Treasurer & Billing Liaison
- Alert leadership to Ministry of Health (MOH) accountability changes and ensure SMFMA meets all FHO/FHT reporting obligations
Roster Management
- Maintain accurate physician rosters and align MOH and electronic medical record (EMR) data
- Manage and inform MOH and physicians of patient roster changes
- Reconcile billing and roster discrepancies
Physician & Partner Onboarding
- Liaise with FHO Lead & MOH for new physician registration paperwork, managed entry tracking, and billing account setup
- Orient new staff and locum physicians to SMFMA financial policies and billing procedures; support off-boarding
- Monitor physician absences and schedules; provide summaries to the FHO Lead & Department Chief
Leadership, Administration & Management
- Lead, manage the work plan and day-to-day activities of SMFMA billing administrators
- Hire, train, and manage full-time billing administrators, and inform the FHO Lead of performance issues
- Work with the Business Manager on Accounts Receivable and physician changes
Qualifications
- Candidates should possess skills in OHIP Billing Process, Terminology and Accounts Receivable to manage day-to-day billing operations and ensure accuracy in submissions.
- Candidates should possess experience with electronic medical record (Telus PS Suite preferred) and Medical Billing to effectively use, maintain, and troubleshoot electronic billing platforms.
- Candidates should possess strong Analytical Skills to review billing data, identify trends or issues, and support decision-making.
- Candidates should possess knowledge of Remittance Advice (RA) & Medical Claims Electronic Data Transfer (MCEDT) to oversee the end-to-end flow of claims, payments, and follow-up.
- Experience with Ontario primary care physician billing (e.g., OHIP, FHO models) is highly beneficial.
- Strong leadership, management and organizational skills, attention to detail, and the ability to manage multiple priorities in a clinical setting.
- Effective communication and collaboration skills for working with physicians, staff, and external stakeholders.
- Previous experience in medical office administration, healthcare finance, or clinic operations is essential.
St. Michael's Family Medicine Associates is strongly committed to diversity within its community and especially welcomes applications from racialized persons / persons of colour, women, Indigenous / Aboriginal People of North America, persons with disabilities, LGBTQ persons, and others who may contribute to the further diversification of idea.
St. Michael's Family Medicine Associates is committed to providing accessible employment practices that are in compliance with the Accessibility for Ontarians with Disabilities Act (AODA). If you require accommodation for disability during any stage of the recruitment process, please indicate this in your cover letter.
Pay: From $72,000.00 per year
Benefits:
Work Location: In person
