Financial Care Coordinator II- Revenue Cycle
About The Position
The Financial Care Coordinator II serves as an advanced financial navigator, managing complex patient financial cases across multiple specialties and service lines. This role requires a subject matter expert in financial clearance, benefit interpretation, complex estimates, payer requirements, and specialty workflows while mentoring team members and supporting process improvement initiatives. This role partners with providers, clinical departments, operational leadership, and revenue cycle teams to improve financial outcomes and deliver an exceptional concierge-level patient experience. Join UTHealth Houston as a Financial Care Coordinator II and serve as an advanced financial navigator for patients with complex healthcare needs. This role provides expert financial counseling, insurance benefit review, cost estimates, authorization support, and financial clearance for specialty services. The ideal candidate will have 3+ years of progressive healthcare revenue cycle experience, including insurance verification, benefit interpretation, prior authorizations, financial counseling, and managing complex payer requirements. Join a collaborative team dedicated to delivering an exceptional patient experience while supporting financial transparency and operational excellence.
Requirements
- 3 years of progressive experience in a healthcare setting performing insurance verification, benefit interpretation, financial counseling, price estimation, prior authorizations, patient access, or other revenue cycle functions, including experience managing complex insurance plans, payer requirements, specialty workflows, and financial clearance activities required
Nice To Haves
- Associate's Degree preferred
Responsibilities
- Assists with managing complex patient financial cases by analyzing insurance benefits, coverage determinations, coordination of benefits, reimbursement methodologies, and payer requirements to support accurate financial clearance and resolution of coverage and billing issues.
- Prepares comprehensive patient cost estimates for complex surgical, procedural, diagnostic, and specialty services using verified insurance benefits, contractual allowances, and anticipated patient financial responsibility.
- Provides advanced financial counseling by educating patients and families on insurance coverage, financial obligations, payment options, financial assistance programs, and available resources to support informed healthcare decisions.
- Coordinates financial clearance for complex services by evaluating medical necessity, payer guidelines, benefit limitations, referral, authorization, and pre-certification requirements to facilitate timely access to care.
- Analyzes and resolve complex payer and reimbursement issues, coordinate escalations, assist with financial responsibility appeals, and advocate for appropriate coverage determinations to minimize patient financial burden.
- Provides knowledge sharing to Financial Care Coordinator staff, supports onboarding and training, and provides guidance on complex financial clearance, insurance, and regulatory matters.
- Partners with providers, clinic leadership, contracting, coding, referrals, authorizations, and revenue cycle departments to improve financial outcomes, standardize workflows, support process improvement initiatives, and enhance the patient financial experience.
- Adheres to departmental policies and procedures, revenue cycle standards, payer guidelines, organizational policies, and all applicable federal, state, and regulatory requirements to support compliant and effective financial operations.
- Maintains compliance with the No Surprises Act, Good Faith Estimate requirements, HIPAA, and all applicable federal, state, and organizational patient financial service regulations.
- Meets departmental productivity, quality, compliance, and customer service objectives.
- Performs other duties as assigned.
Benefits
- 100% paid medical premiums for our full-time employees
- Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
- The longer you stay, the more vacation you’ll accrue!
- Longevity Pay (Monthly payments after two years of service)
- Awesome retirement/pension plan
- Free financial and legal counseling
- Free mental health counseling services
- Gym membership discounts and access to wellness programs
- Other employee discounts including entertainment, car rentals, cell phones, etc.
- Resources for child and elder care
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
