Financial Care Coordinator III - Revenue Cycle
About The Position
The Financial Care Coordinator III serves as an advanced financial counseling resource and subject matter expert for patients with complex financial, insurance, and regulatory needs throughout the healthcare journey. The role provides expert guidance on insurance coverage, financial assistance programs, payment options, and patient financial responsibility while ensuring compliance with organizational policies and federal and state regulations. This position manages high-risk and complex financial cases, serves as the final escalation point for issues unresolved by Financial Care Coordinators I or II, and collaborates with clinical, operational, and revenue cycle departments to improve financial outcomes and deliver a concierge-level patient experience. The coordinator also mentors team members and supports process development, quality reviews, audits, and continuous improvement initiatives. The position is in the Revenue Cycle department and is full-time with a hybrid work arrangement. Initial training requires 2–4 weeks onsite at 1851 Crosspoint Ave, Houston, TX 77054; onsite attendance may also be needed for meetings and additional training. Employees must permanently reside and work in Texas.
Requirements
- High school diploma or equivalent required.
- At least 4 years of progressive healthcare-setting experience in financial counseling, insurance verification, benefit interpretation, financial assistance, patient access, or other revenue cycle functions.
- Demonstrated analytical and critical-thinking skills to interpret complex payer requirements, resolve financial clearance issues, and support sound financial decision-making.
- Ability to manage complex patient financial and insurance cases and exercise independent judgment.
- Must permanently reside and work in Texas.
- Ability to exert up to 20 pounds of force occasionally, up to 10 pounds frequently, and a negligible amount constantly to move objects.
- Ability to meet the security-sensitive position requirements described in the posting.
Nice To Haves
- Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field preferred.
Responsibilities
- Serve as the final escalation point for complex patient financial, insurance, coverage, and patient responsibility issues that Financial Care Coordinators I or II cannot resolve.
- Independently manage and resolve high-risk cases involving multiple payers, significant patient liability, coverage disputes, regulatory concerns, financial barriers to care, or multidisciplinary services.
- Analyze insurance coverage and financial responsibility, including benefits verification, coordination of benefits, payer requirements, coverage limitations, reimbursement considerations, and financial liability.
- Evaluate uninsured and underinsured patient circumstances and identify, explain, and assist with coverage opportunities and financial resources, including Medicaid, Medicare, Marketplace plans, commercial insurance, governmental programs, and financial assistance.
- Counsel patients on estimated responsibility, deposits, payment plans, financial assistance programs, billing processes, and available resources in accordance with organizational policies and regulatory requirements.
- Lead resolution of complex financial clearance and patient access issues for high-dollar procedures, specialty services, and other escalated cases in collaboration with internal teams, payers, and leadership.
- Identify, assess, and escalate financial, compliance, operational, and patient experience risks; recommend corrective actions and ensure adherence to applicable requirements.
- Analyze trends, workflow challenges, and recurring financial issues to identify root causes and recommend improvements to workflows, systems, training, patient communications, and standard work practices.
- Mentor and provide advanced guidance, training, and case support to Financial Care Coordinators I and II; assist leadership with process development, escalation pathways, and best practices.
- Maintain expertise in patient financial regulations and organizational policies, including the No Surprises Act, Good Faith Estimates, financial assistance requirements, and insurance discovery.
- Support quality reviews, audits, continuous improvement initiatives, and departmental productivity, quality, compliance, and patient experience goals.
- Perform other duties as assigned.
Benefits
- 100% paid medical premiums for full-time employees.
- Generous time off, including holidays, a preventative leave day, vacation, and sick time, totaling approximately 37–38 days per year.
- Vacation accrual increases with length of service.
- Monthly longevity payments after two years of service.
- Retirement/pension plan.
- Free financial and legal counseling.
- Free mental health counseling services.
- Gym membership discounts and access to wellness programs.
- Employee discounts, including entertainment, car rentals, and cell phones.
- Resources for child and elder care.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
