Specialist Financial Clearance II

Trinity Health • Maywood, IL

12d • $19 - $30

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 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

Requirements

• 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.

Nice To Haves

• Associates Degree, preferred.

Responsibilities

• 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

Benefits

• 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 This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees