Specialist Financial Clearance II

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 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 and become Loyola Strong!

What you’ll do:

The Financial Clearance Specialist II is responsible for supporting organizational and patient access objectives through advanced financial clearance, authorization, verification, and data analysis activities. This role utilizes specialized knowledge, critical thinking, and problem-solving skills to process and coordinate financial clearance for complex, high-dollar healthcare services, including surgical procedures, observation stays, inpatient admissions, and facility-based ancillary testing across multiple facilities and states.

The Specialist researches, analyzes, and interprets operational and financial data to identify opportunities for process improvement, support leadership decision-making, and enhance patient experience and program efficiency. Responsibilities include performing complex insurance verification and authorization functions, developing and distributing analytical reports, monitoring key performance metrics, and providing actionable recommendations based on data trends and outcomes.

Working across multiple areas of verification, including outpatient services, elective procedures, urgent admissions, and inpatient scheduling, the Specialist serves as a subject matter resource and peer influencer while ensuring compliance with federal, state, and local regulations, Trinity Health policies, and organizational standards for quality, confidentiality, and ethical conduct.

Qualifications

What We offer​:

• Benefits from Day One
• DailyPay! Work today/Get paid today
• Tuition Reimbursement
• Career Development
• Strong Team Culture
• Career Growth Opportunities

What you’ll need for this job

• High School Diploma or Equivalent
• 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.
• Comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities and insurance verification processes with three (3) years scheduling experience in an acute care setting
• Experience in complex facility based ancillary testing across multiple facilities/states
• Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures.

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.

Benefits:

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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.