Financial Clearance Specialist II - Revenue Cycle

UTHealth Houston • Houston, TX

8d • Remote

About The Position

UTHealth Houston is seeking a motivated Financial Clearance Specialist II to join our Revenue Cycle team. This role handles daily operations for assigned providers, including verifying insurance benefits, obtaining authorizations, and ensuring accurate referrals. Specialists maintain productivity, meet UTHealth metrics, and resolve insurance issues while delivering excellent patient service. We’re looking for a team member who values efficiency, accuracy, and creating positive patient experiences.

Requirements

• High School Diploma or equivalent required
• 3 years experience in healthcare financial clearance, insurance verification, or a related revenue cycle role required
• Must live in Texas (TX)

Nice To Haves

• Associate's Degree in healthcare or business-related field preferred

Responsibilities

• Analyze benefit information and clinical documentation to ensure appropriate coverage and medical necessity per payer guidelines.
• Perform all registration components from charge review to ensure accurate patient registration and compliance with payer requirements before claim submission.
• Obtain prior authorizations for services per insurance policies and initiate Peer-to-Peer (P2P) reviews as needed.
• Collaborate with clinical, scheduling, and financial teams for financial clearance.
• Communicate benefits and cost estimates with patients.
• Identify and update referral authorization numbers when applicable.
• Accurately input and maintain insurance data in Epic based on real-time eligibility response or payor portals; ensure insurance plan selection aligns with the UT Managed Care Payer Plan Tool.
• Identify and report trends in denials, payer issues, or workflow inefficiencies to support continuous improvement and leadership decision-making.
• Maintain compliance with HOOP policies, HIPAA, and payer guidelines.
• 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)
• Longevity Pay (Monthly 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
• Other employee discounts including entertainment, car rentals, cell phones, etc.
• Resources for child and elder care

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED