Managed Care Refund Clerk

Overview

Loyola Medicine, a member of Trinity Health, is a nationally ranked academic, qua ternary 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 Mac Neal Hospital.

Description Loyola Medicine is seeking a Managed Care Refund Clerk. 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!

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.

• 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

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

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

Compensation:

Pay Range: $15.76- $22.11 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.

Trinity Health Benefits Summary

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.