Lead Accounts Receivable Clerk

 

Accounts Receivable

Vancouver, BC

 

 

In accordance with the Mission, Vision and Values, and strategic directions of PHSA, safety, including both patient and employee safety, is a priority and a responsibility shared by everyone at PHSA. As such, the requirement to continuously improve quality and safety is inherent in all aspects of this position.

 

Within the context of a complex health care environment, and in addition to performing a variety of accounts receivable duties, this position is responsible to provide work direction, training and work guidance to others within the department/function. Performs account analyses, reconciliation, processes reciprocal billings and remittances. Selects accounts for collection; establishes payment arrangements and recommends write-offs. Prepares reports and spreadsheets.

 

What you’ll do

• Provide work direction and guidance to others related to accounts receivable processes and procedures; provide training, assign and review work, assist in solving complex problems and/or investigate and resolve.
• Analyze designated accounts; review system reports for trends and/or discrepancies, identify discrepancies such as those resulting from early patient discharges to avoid bad debt costs and provide explanations for fluctuations in accounts upon request.
• Reconcile designated accounts; match to payments received, refund and invoices issued; identify and investigate discrepancies. Prepare adjustment information such as vouchers and credit balance refunds to resolve.
• Process reciprocal billings for out of province clients. Enter patient information into computerized billing program and submit to the Ministry of Health. Follow up on late payments.
• Receive payments; enter information into cash receipts journal, balances and summarizes journal and receivable accounts; match and check payments received against invoices and posts from journal to accounts receivable ledger
• Process patient charges; review Admitting Discharge Transfer for accuracy in patient's financial responsibility and codes to ensure correct classification. Adjust financial class grading of patient accounts and/or input charges into billing system.
• Bill self-pay patient, out-of-province, WCB and similar sundry accounts; post billing information such as charges for patient and medical agency accounts to the accounts receivable ledger and balance to the general ledger.
• Verify invoices, statements and outpatient charge vouchers, admission and separation histories, etc. against source documents. Investigate discrepancies; contact patients, relatives, social workers, immigration officers and/or applicable hospital staff for missing data ensure accuracy.
• Enter submissions and resubmissions such as patient self-pay and patient agency charges, medical plan billings, room differentials, ALC and LTC charges. Distribute as appropriate.
• Review Medical Services Plan and Workers' Compensation Board remittances; check Medical Service Plan reports for payment rejections and generate Workers' Compensation Board batch for claim preparation and processing.
• Select accounts for collection; prepare listings and supporting documentation to transfer delinquent accounts to collection agencies. Maintain collection files; advise collection agency of payments and queries and provide additional information as required.
• Follow-up on delinquent patient, non-patient accounts and rejected Medical Services Plan and Workers' Compensation Board claims; review aging account reports and/or access applicable computerized billing system, correspond on accounts to determine the reason for non-payment.
• Providing and approve alternate payment arrangements through contact with patients and/or various agencies; investigate into financial circumstances to establish payment installment plans. Decide when account is uncollectible and recommend write-off or referral to a collection agency.
• Prepare ad hoc reports; gather applicable data, enter into spreadsheet format utilizing various computerized software packages and summarize data for input into the general ledger system and/or other analysis packages.
• Maintain extended care patient trust accounts; request and receive deposits, process charges and prepare patient trust account statements as required.
• Update patient agency information such as adjusting responsibility of payment information and lists of patients receiving outside services.
• Run system reports such as Master Log, Journal Summary and Batch Listing on a regular basis; enter required system commands and distribute reports.
• Issue receipts for cash transactions; prepare bank deposits, balance and maintain daily receipts, record, petty cash account, etc.
• Maintain departmental procedure manuals and type correspondence utilizing word-processing software to draft and format documents according to departmental standards.
• Respond to telephone and/or front desk inquiries on various issues relating to cashiering and/or designated accounts receivable portfolio.
• Receive patient valuables; verify contents of valuable envelopes and release to patient on discharge according to policies and procedures.
• Provide coverage and training at hospital sites throughout the lower mainland as required.
• Perform other related duties as assigned.

What you bring

 

Qualifications

• Grade 12, successful completion of a recognized accounting course and three years' recent related experience or an equivalent combination of education, training and experience.
• Demonstrated knowledge of the historic and ongoing impacts of settler colonialism on Indigenous Peoples in social and health contexts, including supported by significant knowledge of Indigenous-specific mandates, including clear understanding of and commitment to eradicate Indigenous-specific racism and discrimination and embed Indigenous Cultural Safety and Humility.
• Demonstrate comprehensive knowledge of the historic and ongoing impacts of settler colonialism and systemic racism on Indigenous Peoples within social and health contexts. This includes understanding how these factors contribute to current health disparities and barriers to care. Show a clear commitment to identifying, challenging, and eradicating Indigenous-specific racism and all forms of discrimination impacting equity-deserving groups within health care settings. This involves familiarity and understanding Indigenous Cultural Safety and Humility recognizing personal biases, institutional barriers, engaging in anti-racism education and training and advocating for systemic change.
• Demonstrated knowledge and understanding of legislative obligations and provincial commitments within Accounts Receivable contexts found in the foundational documents including Truth & Reconciliation Commission’s Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan and Remembering Keegan: A First Nations Case Study - BC Human Rights Code, BC Anti-racism Act and how they intersect across the health care system.

Core Competencies

• Brings an understanding of the Indigenous specific racism and the broader systemic racism that exists in the colonial health care structure, and has demonstrated initiatives in breaking down barriers and ensuring a safe environment ensuring a sense of belonging to all and informed by Indigenous Cultural Safety.
• Awareness of social, economic, political and historical realities of settler colonialism on Indigenous Peoples and familiarity with addressing Indigenous-specific anti-racism, anti-racism and Indigenous Cultural Safety and foundational documents and legislative commitments (the Declaration Act, the Declaration Action Plan, TRC, IPS, Remembering Keegan, etc.).

Skills & Knowledge

• Ability to keyboard at 40 wpm.
• Ability to communicate effectively both verbally and in writing.
• Ability to deal with others effectively.
• Ability to supervise.
• Physical ability to carry out the duties of the position.
• Ability to organize work.
• Ability to operate related equipment.
• Demonstrates a commitment to beginning and/or continuing their personal learning journey related to Indigenous-specific racism and dismantling systems of oppression, as well as addressing racism more broadly. Shows willingness to articulate and share their learning experiences to contribute to a culture of motivation and inspiration among peers.
• Demonstrates foundational knowledge of the social, economic, and political realities of settler-colonialism and its impacts on Indigenous peoples and equity-deserving groups within social and health contexts. Understands the impact of social determinants of health-on-health outcomes. Shows a commitment to learning about and upholding legislative obligations and provincial commitments outlined in foundational documents such as the Truth & Reconciliation Commission’s Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place: Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan, Remembering Keegan: A First Nations Case Study, the BC Human Rights Code, Anti-Racism Data Act, and the Distinctions Based Approach.

What we bring

 

Every PHSA employee enables the best possible patient care for our patients and their families. Whether you are providing direct care, conducting research, or making it possible for others to do their work, you impact the lives of British Columbians today and in the future. That’s why we’re focused on your care too – offering health, wellness, development programs to support you – at work and at home.

• Join one of BC’s largest employers with province-wide programs, services and operations – offering vast opportunities for growth, development, and recognition programs that honour the commitment and contribution of all employees.
• Access to professional development opportunities through our in-house training programs, including +2,000 courses, such as our San’yas Indigenous Cultural Safety Training course, or Core Linx for Leadership roles.
• Enjoy a comprehensive benefits package, including municipal pension plan, and psychological health & safety programs and holistic wellness resources.
• Annual statutory holidays (13) with generous vacation entitlement and accruement.
• PHSA is a remote work friendly employer, welcoming flexible work options to support our people (eligibility may vary, depending on position).
• Access to WorkPerks, a premium discount program offering a wide range of local and national discounts on electronics, entertainment, dining, travel, wellness, apparel, and more.

Job Type: Temporary, Full-Time (Until October 2026)
Wage: $30.72 / Hour
Location: St. Paul's Hospital - 1081 Burrard St, Vancouver, BC V6Z 1Y6
Closing Date: Applicants accepted until position is filled
Hours of Work: 08:00-16:00 or 10:00-18:00 or 12:00-20:00 (Tuesday to Saturday)
Requisition #: 197131E

 

What we do

 

The Provincial Health Services Authority (PHSA) plans, manages and evaluates specialized health services with the BC health authorities to provide equitable and cost-effective health care for people throughout the province. Our values reflect our commitment to excellence and include: Respect people – Be compassionate – Dare to innovate – Create equity – Be courageous.

 

Learn more about PHSA and our programs: jobs.phsa.ca/programs-and-services

 

PHSA is committed to anti-racism and equity in our hiring and employment practices. With learning and compassion, we are addressing existing inequities and barriers throughout our systems. PHSA is seeking to create a diverse workforce and to establish an inclusive and culturally safe environment. We invite applications and enquiries from all people, particularly those belonging to the historically, systemically, and/or persistently excluded groups identified under the B.C. Human Rights Code.

 

One of PHSA’s North Star priorities is to eradicate Indigenous-specific racism, which includes ongoing commitments to Indigenous recruitment and employee experience as well as dismantling barriers to health care employment at every level. We welcome Indigenous individuals to apply and/or contact the Sanya’k̓ula Team (Indigenous Recruitment & Employee Experience) for support at indigenous.employment@phsa.ca.

 

Indigenous-specific anti-racism initiatives are rooted in addressing the unique forms of discrimination, historical and ongoing injustices, and exclusion faced by Indigenous peoples. These initiatives align with an Indigenous rights-based approach, recognizing the inherent rights and title of BC First Nations and self-determination of all First Nations, Inuit and Métis communities. PHSA is mandated to uphold legislative obligations and provincial commitments found in the foundational documents including the Truth & Reconciliation Commission’s Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan and Remembering Keegan: A First Nations Case Study.

 

 

Attention current employees of PHSA:

 

You must apply via your internal profile at http://internaljobs.phsa.ca.

 

The internal job posting expires on April 10, 2026 and will no longer be accessible. If the internal job posting has expired, please e-mail internaljobshelpu@phsa.ca with the six-digit job requisition number and your PHSA employee ID number to be considered as a late internal applicant. Please do not apply for the external job posting.

 

If you have not yet set up an internal profile, please e-mail internaljobshelpu@phsa.ca with your PHSA employee ID number to obtain your temporary password. Our business hours are Monday-Friday 8:30am-4:30pm, excluding Statutory Holidays and a Help Desk Representative will respond to you with 1-2 business days.

 

If you are not a current employee of PHSA and require assistance with your application, please contact the External Careers team at careers@phsa.ca.