Managed Care Refund Clerk

Trinity Health•Maywood, IL

16d•$16 - $22

About The Position

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, Gottlieb 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 Managed Care Refund Clerk and become Loyola Strong! What you’ll do: The Managed Care Refund Clerk is responsible for maintaining accurate patient and guarantor accounts through the review and processing of refunds, payments, and adjustments. This role ensures billing accuracy, account integrity, and compliance with policies by analyzing refund requests, monitoring credit balances, and performing detailed account maintenance. The position also supports Patient Financial Services and Physician Billing through research, reconciliation, and reporting activities.

Requirements

High School Diploma or GED
Minimum 1 year of job related experience

Responsibilities

Analyze patient, internal, insurance, and government refund requests to determine validity and process refunds accordingly
Monitor and adjust credit balances in accordance with policy; report credit balances to leadership on a monthly basis
Review refund import files, identify errors, and report issues for follow-up
Work assigned patient account queues to ensure accurate payment posting and reconciliation
Move payments to the appropriate accounts when needed and assist with resolving multiple guarantor accounts
Review explanation of benefits (EOBs), apply adjustments, correct posting errors, and work missing payment reports
Process charge corrections, submit claims to the correct payer, and apply discounts as appropriate
Conduct account research, reconciliation, and patient follow-up as needed
Document all account activity accurately within the billing system
Support special projects and perform additional duties as assigned