Financial Care Coordinator III -...

UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. The Financial Care Coordinator III serves as a senior financial counseling expert and trusted resource for patients with complex insurance, financial, and regulatory needs.

Department: Revenue Cycle
Status: Full‑time
Location: Hybrid (2‑4 weeks onsite for training at 1851 Crosspoint Ave, Houston, TX 77054) with additional meetings and training; must reside in Texas. We do NOT provide lodging or mileage reimbursement for training.

Position Summary

The Financial Care Coordinator III provides advanced financial counseling, assists patients with complex financial, insurance, and regulatory issues throughout the healthcare journey, and acts as a subject‑matter expert. The role mentors team members and collaborates with clinical, operational, and revenue‑cycle departments to improve financial outcomes and deliver a concierge‑level patient experience.

Key Responsibilities

• Serve as the final escalation point for complex patient financial, insurance, coverage, and responsibility issues that cannot be resolved by Financial Care Coordinators I or II.
• Independently manage and resolve the highest‑risk and most complex patient financial cases, including multi‑payer scenarios, significant patient liability, coverage disputes, regulatory concerns, and multidisciplinary services.
• Perform advanced analysis of insurance coverage and financial responsibility, including benefits verification, coordination of benefits, payer requirements, coverage limitations, reimbursement considerations, and liability determination.
• Evaluate uninsured and underinsured patient circumstances and identify, educate, and assist patients with coverage opportunities such as Medicaid, Medicare, Marketplace plans, commercial insurance, governmental programs, and financial assistance.
• Provide advanced financial counseling and recommendations regarding estimated patient responsibility, deposits, payment plans, financial assistance programs, billing processes, and available resources while ensuring compliance with policies and regulations.
• Lead resolution of complex financial clearance and patient access issues for high‑value procedures and specialty services through collaboration with Patient Access, Revenue Cycle, Managed Care, Customer Service, clinical departments, payers, and leadership.
• Identify, assess, and escalate financial, compliance, operational, and patient‑experience risks, recommending corrective actions and ensuring adherence to regulatory, payer, and organizational requirements.
• Analyze trends, workflow challenges, and recurring patient financial issues to identify root causes and recommend operational improvements, including workflow, system, training, communication, and standard work enhancements.
• Serve as a senior subject‑matter expert, mentor, and consultant by providing advanced guidance, training, and case support to Financial Care Coordinators I and II, and assist leadership with process development and best practices.
• Maintain expertise in patient financial regulations and organizational policies (e.g., No Surprises Act, Good Faith Estimates, financial assistance requirements, insurance discovery) and support quality reviews, audits, continuous‑improvement initiatives, and departmental productivity, quality, compliance, and patient‑experience goals.
• Perform other duties as assigned.

Requirements

• Education: High School Diploma or equivalent required; Bachelor’s Degree in Healthcare Administration, Business, Finance, or related field preferred.
• Experience: Minimum 4 years of progressive experience in a healthcare setting performing 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 and resolve financial clearance issues are required.
• Certification/Skills: None required.
• Physical Requirements: Ability to exert up to 20 lb of force occasionally, up to 10 lb frequently, and negligible force constantly to move objects.
• Security Sensitive: Position is security‑sensitive pursuant to Texas Education Code 51.215 and Texas Government Code 411.094. Candidates must be able to maintain the security or integrity of critical infrastructure and may be subject to background reviews related to foreign adversary connections.
• Residency Requirement: Employees must permanently reside and work in the State of Texas.

Benefits

• 100 % paid medical premiums for full‑time employees.
• Generous time off (holidays, preventative leave day, vacation and sick time – approximately 37‑38 days per year), with increased accrual the longer you stay.
• Longevity Pay (monthly payments after two years of service).
• Comprehensive retirement/pension plan.
• Free financial and legal counseling.
• Free mental health counseling services.
• Gym membership discounts and access to wellness programs.
• Employee discounts on entertainment, car rentals, cell phones, etc.
• Resources for child and elder care.
• Additional employee perks and many more.