LUHS_REGISTRATION SPECIALIST_3055

Trinity Health; Maywood (IL); On-site; USD 25,000 - 39,000; Full time

Job summary

Loyola Medicine, a member of Trinity Health, seeks a Financial Clearance Specialist to ensure patients are financially cleared prior to services. This role involves insurance verification, pre-certification duties, and documentation within PFS systems to support billing and collections.

Minimum education includes a high school diploma with relevant experience. Pay ranges per hour and compensation details are provided by the employer.

Qualifications

• High School Diploma plus training through work experience or education.
• 1-2 years of previous job-related experience.

Responsibilities

• Functions as a Pre-certification Representative to financially clear patients with pre-scheduled services.
• Completes insurance verification by contacting the patient's insurance carrier via phone or computer system.
• Documents information in billing systems and uses it for billing and collection purposes.
• Works with insurance carrier representatives and physicians to resolve pre-cert delays.

Skills

Insurance verification

Pre-certification

Communication with carriers

Education

High School Diploma

Tools

PFS computer systems

Job description

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. The three-hospital system includes Loyola University Medical Center, Gottlieb Memorial Hospital, MacNeal Hospital, as well as convenient locations offering primary care, specialty care and immediate care services from more than 1,500 physicians throughout Cook, Will and DuPage counties. All three of our hospital sites are within a short commute from the city!

If you are a Financial Clearance Specialist who’s interested in working for a regional leader in healthcare, delivering compassionate care and improving the lives of those in our communities, join the Loyola team and become Loyola Strong!

What you’ll do:

Functions as a Pre-certification Representative for ensuring that patients having pre-scheduled services are financially cleared before services are rendered. This is achieved primarily by completing insurance verification and pre-certification of a patient's insurance coverage. Completes insurance verification of patient's coverage by contacting the patient's insurance carrier via phone or computer system. The information obtained is documented in PFS computer systems and used for billing and collection purposes. Works with insurance carrier representatives and physicians to resolve pre-cert delays.

What you'll need for this job:

Minimum Education:

Required: High School Diploma plus training acquired through work experience or education

Minimum Experience:

Required: 1-2 years of previous job-related experience

Compensation:

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.

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