Pre-Cert & Insurance Verification Specialist

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

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.