Financial Clearance Coordinator

UT MD Anderson Cancer Center•Houston, TX

1d•$89,000 - $133,000•Remote

About The Position

The Financial Clearance Coordinator at The University of Texas MD Anderson Cancer Center coordinates clinical and financial clearance processes and supports patients throughout their care journey. The role applies clinical expertise and professional judgment to medical necessity reviews, authorization activities, peer-to-peer engagement, and financial counseling. It collaborates with patient access teams, payors, third-party vendors, and clinical staff to resolve barriers to care and support timely, accurate financial clearance. The position verifies patient eligibility and benefits, obtains and documents pre-authorizations, and maintains accurate records in the electronic health record. It supports clinical review and medical necessity activities, reviews clinical-trial coverage responsibilities, counsels patients about costs and financial responsibility, and collaborates with stakeholders to resolve clearance issues. The coordinator also escalates issues when appropriate and participates in training and professional development. The schedule is Monday through Friday, 8 a.m. to 5 p.m. The position is remote, with the ability to come onsite as needed. The annual salary range is $89,000 to $133,000, with a midpoint of $111,000.

Requirements

Graduation from an accredited school of nursing.
Two years of nursing experience, or one year of related nursing experience in utilization review, insurance, case management, or medical clearance.
Current State of Texas Registered Nurse (RN) professional nursing license.
Basic Life Support (BLS) or Cardiac Pulmonary Resuscitation (CPR) certification, as specified in the posting.
Ability to come onsite as needed despite the remote work location.

Nice To Haves

Two years of oncology nursing experience.
Two years of utilization review experience with external payors in a hospital or insurance setting.
Research, clinical-trial, and authorization experience.
Certified Case Manager (CCM) certification from the Commission for Case Manager Certification.
Certified Healthcare Access Manager (CHAM) certification from the National Association of Healthcare Access Management.
Advanced Cardiac Life Support (ACLS) certification, as required by the patient care area.
Pediatric Advanced Life Support (PALS) certification, as required by the patient care area.

Responsibilities

Verify and document patient eligibility, effective dates, and benefits using institutional and payor systems, web portals, and other available tools.
Notify Patient Access and patients when eligibility information is invalid or cannot be verified.
Enter accurate eligibility and benefits information into the electronic health record within established timeframes.
Manage worklists requiring pre-authorization and coordinate with payors or assigned third-party vendors to obtain authorizations.
Document authorization and reference numbers, payor contacts, outcomes, and communications with patients and other stakeholders.
Apply clinical knowledge and professional judgment to support pre-authorization, clinical interpretation, medical necessity justification, and clinical review.
Support peer-to-peer engagement activities related to authorization and utilization review.
Assess and interpret patients’ clinical conditions to help resolve financial clearance issues in a timely manner.
Stay current with clinical documentation requirements and professional publications.
Review clinical-trial participation and identify services covered by trial sponsors versus patient insurance.
Document and communicate clinical-trial coverage responsibilities to patients and payors.
Provide financial counseling regarding estimated costs, expected patient responsibility, payment requirements, payment plans, and financial assistance opportunities.
Calculate patient liability, including co-payments, deductibles, and co-insurance.
Review Advance Beneficiary Notices, Medicare Secondary Payer Questionnaires, account status, and financial clearance barriers with patients.
Collaborate with Patient Access to document updated or corrected insurance information in accordance with departmental policies and procedures.
Respond promptly to emails, phone calls, voicemails, and in-basket messages, with voicemails and in-basket messages addressed within one business day.
Maintain professional and courteous relationships with patients, physicians, payors, vendors, and business partners.
Escalate financial clearance or counseling issues to the Financial Clearance Supervisor when appropriate and seek assistance from other Financial Clearance Coordinators when needed.
Complete and submit required documents, including PFA and COBRA-related documentation requiring supervisor approval.
Participate in educational, training, and mentoring opportunities and perform other duties as assigned.

Benefits

Employer-paid medical coverage starting on day one for employees working 30 or more hours per week.
Optional group dental, vision, life, AD&D, and disability insurance.
PTO and Extended Illness Bank accruals.
Paid holidays and wellness, childcare, and other leave options.
Tuition Assistance Program after six months of service.
Wellness, fitness, and employee resource groups.
Defined-benefit pension through the Teachers Retirement System.
Voluntary retirement plans.
Employer-paid life and reduced salary protection programs.
Educational opportunities and individual and team recognition.