• Specialist Financial Clearance I

    Trinity Health (Maywood, IL)


    Employment Type:

    Full time

    Shift:

    Description:

    Loyola Medicine, a member of Trinity Health, is a nationally ranked academic, quaternary care system based in Chicago's western suburbs. With its main campus at Loyola University Medical Center, Loyola Medicine is part of a comprehensive three-hospital system including Loyola University Medical Center (https://www.loyolamedicine.org/location/lumc) , Gottlieb Memorial Hospital (https://www.loyolamedicine.org/location/gmh) , and MacNeal Hospital (https://www.loyolamedicine.org/location/macneal-hospital) .

     

    If you’re passionate about delivering exceptional care and making a difference in the lives of our communities, join the Loyola team as a Specialist, Financial Clearance II and become Loyola Strong!

     

    The Specialist, Financial Clearance I is responsible for verifying, confirming, and updating patient eligibility information and obtaining required referrals or authorizations for scheduled services. This role ensures accurate financial clearance while delivering excellent customer service to patients, internal departments, and external partners.

     

    •What you’ll do:

    + Facilitate and obtain pre-authorizations for services using online tools and direct communication with insurance carriers and physician offices

    + Manage a medium-volume authorization workload accurately and efficiently

    + Ensure all scheduled outpatient services are financially cleared before service dates

    + Perform medical necessity checks and discuss alternative options with patients when necessary

    + Document authorization details in accordance with departmental guidelines

    + Communicate issues to PAC II, Supervisor, or Manager as needed

    + Maintain patient privacy and comply with HIPAA regulations

    + Collaborate with hospital departments and physician offices via phone, email, and EPIC in-basket messages

    + Notify patients proactively regarding issues with referrals or authorizations

    + Meet departmental productivity and quality metrics

    + Support process improvements and team collaboration

    + Demonstrate professionalism, reliability, and strong problem-solving skills

    + Perform other duties as assigned

    What We Offer

    + Benefits starting Day One

    + Daily Pay option

    + Career development and growth opportunities

    + Tuition reimbursement

    + On-site fitness center (Gottlieb Memorial Hospital & Loyola University Medical Center)

    + Employee referral rewards

     

    Pay Range: $18.16 - $28.14 per hour

     

    _Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles._

     

    Trinity Health Benefits Summary (https://www.trinity-health.org/sites/default/files/my-benefits/Health-and-Wellbeing/Compliance/Illinois-Transparency-Law/Trinity-Health-Summary-of-Benefits-Illinois-Job-Req-Discloser-Law.pdf)

     

    Our Commitment

     

    Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

    Our Commitment to Diversity and Inclusion

    Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

     

    Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

     

    EOE including disability/veteran