Ann & Robert H. Lurie Children's Hospital of Chicago · 2 months ago
Financial Clearance
Streeterville, IL
Full-time
Onsite
Entry Level
$19.50/hr - $30.23/hr
2+ years expAnn & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care, and they are seeking a Financial Clearance I to ensure required precertification and prior authorizations for various patient cases. The role involves managing precertification cases, maintaining knowledge of insurance requirements, and ensuring compliance with billing and payment processes.
ChildrenHealth CareHospitalMedical
Responsibilities
Ensures pre-certifications are completed prior to visit for all scheduled appointments
Manages precertification cases for outpatient surgery, admission authorizations, radiology, sleep studies, and referrals for office visits
Maintains current knowledge of insurance requirements, benefit provisions and pre-certification
Contacts patient and/or division teams to provide updates on precertification status and timeliness
Generates patient estimates and contacts patient to provide details on patient financial responsibility
Updates patient’s registration information as needed
Consistently meets quality and productivity requirements
Other job functions as assigned
Qualification
Required
High school graduate required; BS or BA preferred
Excellent communication/listening skills
Demonstrates knowledge of utilization management process including communication with payors and benefit authorization for applicable situations
Experience reviewing medical charts/records and abstracting relevant clinical data to support medical necessity of scheduled procedures
Minimum two years' experience in pre-certification initiation in a hospital/facility setting or physician office environment working precertification for inpatient, outpatient, outpatient surgery and admissions
Knowledge of medical terminology, third party billing, utilization management and managed care requirements
Proficient computer skills and aptitude
Substantial interpersonal skills sufficient to work effectively with pediatric patients, families, physicians, nursing and other allied health and medical center personnel
Problem solving ability and able to handle multiple priorities
Benefits
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various Voluntary Benefits
Supplemental Life, AD&D and Disability
Critical Illness, Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Children’s facilities
Discount purchasing program
Company
Ann & Robert H. Lurie Children's Hospital of Chicago
Ann & Robert H. Lurie Children's Hospital of Chicago is the largest pediatric healthcare provider in the region with a 130 year legacy of excellence.
1001-5000 employees
H1B Sponsorship
Ann & Robert H. Lurie Children's Hospital of Chicago has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (23)
2024 (19)
2023 (30)
2022 (16)
2021 (17)
2020 (11)
Funding
Current Stage
Late StageTotal Funding
$13.95MKey Investors
Baby Safety FoundationNational Cancer InstituteAce Hardware
2025-10-07Grant
2024-11-04Grant· $3.7M
2019-09-27Grant· $0.25M
Leadership Team
Audrey Rosenblatt
Director Advanced Practice Anesthesia Services
Recent News
2025-10-07
2025-07-16
Company data provided by crunchbase