Specialist Financial Clearance II

  • IA_MOCEN01 Catholic Health Initiatives - Iowa Corp
  • Loyola Medicine - Loyola University Medical Center
  • 4mo ago
  • Full-Time
  • On-site

Employment Type:

Full time

Shift:

Day 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 CenterGottlieb Memorial Hospital, and 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! 

 What you’ll do:

  • Support Trinity Health’s strategic and operational objectives by applying advanced financial clearance expertise, data analysis, and critical thinking to ensure accurate and timely processing of complex, high-dollar services

  • Process financial clearance and authorizations for complex services, including surgical, observation, inpatient, in-house cases, and facility-based ancillary testing across multiple facilities and states

  • Perform verification activities across outpatient services, elective short procedures, inpatient cases, and urgent admissions to ensure services are financially cleared prior to delivery

  • Serve as a peer influencer and lead or support projects and initiatives that improve operational efficiency, patient experience, and financial outcomes

  • Research, collect, synthesize, and analyze program and operational data to support ad-hoc projects and organizational initiatives

  • Develop, prepare, and distribute analytical reports, graphical data presentations, and educational materials that illustrate trends, outcomes, and return on investment (ROI)

  • Collaborate with colleagues and leadership on performance improvement efforts and provide actionable recommendations to support informed decision-making

  • Ensure compliance with applicable federal, state, and local regulations, Trinity Health policies, the Integrity & Compliance Program, Code of Conduct, and confidentiality requirements

  • Incorporate and demonstrate Trinity Health’s Mission, Vision, Values, Actions, and Promise in daily work, behaviors, and decisions

  • 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

What you’ll need for this job:

  • High school diploma or GED. 

  • Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access.
  • National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire. Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.

Additional Qualifications (nice to have)

  • Associates Degree, preferred.

Compensation: 

Pay Range: $19.07 - $29.55 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.