Financial Clearance Center Patient Access Concierge

Employment Type

Full time

Shift

Day Shift

Description

At Loyola, we know you're more than your job. We see you and all your potential. That's why we invest in our people. Flexible scheduling, tuition reimbursement, and day-one benefits at Loyola, what's important to you is important to us. Join our family.

Benefits from Day One

Daily Pay

Career Development

Tuition Reimbursement

On-Site Fitness Center (Gottlieb Memorial Hospital & LUMC)

Referral Rewards

Financial Clearance Patient Access Concierge is responsible for verifying, confirming, and updating eligibility information in the patients registration record and obtaining referrals or authorizations for applicable services while providing excellent customer service to our patients, supporting departments, and external customers.

Responsibilities

• Facilitates and obtains the pre-authorization of various services between referring physicians and insurance carriers through the use of online tools and direct phone calls
• Ensures scheduled outpatient services are financially cleared before the patient receiving the service
• Performs medical necessity checks for scheduled services and communicates options to the patient if medical necessity fails
• Manages work schedule efficiently, completing tasks and assignments based on departmental goals
• Follows departmental process guidelines for proper documentation and recording of authorization information
• Forwards directs, and notifies PAC II, Supervisor, and Manager of issues
• Maintains patient confidentiality per HIPAA regulations
• Interacts with various hospital departments and physicians offices via emails / in-basket / phone calls
• Informs patients of any problems with securing the referral / authorization before the scheduled date
• Utilizes department and organization policies and procedures to complete assigned tasks
• Demonstrates teamwork by helping co-workers within and across departments
• Understand departmental and individual quality metrics
• Provides ideas and suggestions for process improvements within the department
• Adjusts processes as needed to meet goals and standards
• Other duties as assigned

Qualifications

Pay Range : $16.70 - $25.53 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.

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.