Loyola Medicine a member of Trinity Health is a nationally ranked academic quaternary care system based in Chicagos western suburbs. With its main campus at Loyola University Medical Center Loyola Medicine is part of a comprehensive three-hospital system includingLoyola University Medical CenterGottlieb Memorial Hospital andMacNeal Hospital.
If youre 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!
TheSpecialist Financial Clearance Iis 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 youll do:
Facilitate and obtain pre-authorizations for services using online tools and direct communication with insurance carriers and physician offices
Manage amedium-volume authorization workloadaccurately 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
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.
Required Experience:
IC
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity ... View more