Financial Care Coordinator II- Revenue Cycle

What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care.

About the role

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.

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 resolves complex payer and reimbursement issues, coordinates escalations, assists with financial responsibility appeals, and advocates 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.

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.
• Must live in Texas (TX).
• Remote (2-4 weeks onsite for training at 1851 Crosspoint Ave, 77054), meetings, additional training, etc. We DO NOT provide lodging or mileage reimbursement for training.

Qualifications

• High School Diploma or Equivalent (Required).
• Associate's Degree (Preferred).

Certification/Skills

None

Physical Requirements

Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

Benefits

Our total rewards package includes the benefits you’d expect from a top healthcare organization, plus:

• 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).
• Build your future with our 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.
• Plus many more!

As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as:

Security Sensitive

This position is a security-sensitive position pursuant to Texas Education Code 51.215 and Texas Government Code 411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code 117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R.791.4.