Financial Care Coordinator III - Revenue Cycle

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

About the role

The Financial Care Coordinator III serves as an advanced financial counseling resource, assisting patients with complex financial, insurance, and regulatory needs throughout the healthcare journey. This role acts as a subject matter expert by providing 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. The Financial Care Coordinator III mentors team members and partners with clinical, operational, and revenue cycle departments to improve financial outcomes and deliver an exceptional concierge-level patient experience.

Responsibilities

• Serve as the final escalation point for complex patient financial, insurance, coverage, and patient responsibility issues that cannot be resolved by Financial Care Coordinators I or II, exercising independent judgment to achieve appropriate resolutions.
• Independently manage and resolve the highest-risk and most complex patient financial cases, including those involving multiple payers, significant patient liability, coverage disputes, regulatory concerns, financial barriers to care, 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 financial liability determination.
• Evaluate uninsured and underinsured patient circumstances and identify, educate, and assist patients with available coverage opportunities, including Medicaid, Medicare, Marketplace plans, commercial insurance, governmental programs, financial assistance, and other financial resources.
• Provide advanced financial counseling and recommendations regarding estimated patient responsibility, deposits, payment plans, financial assistance programs, billing processes, and available financial resources while ensuring compliance with organizational policies and regulatory requirements.
• Lead the resolution of complex financial clearance and patient access issues for high-dollar procedures, specialty services, and other escalated cases through collaboration with Patient Access, Revenue Cycle, Managed Care, Customer Service, clinical departments, payers, and organizational leadership.
• Identify, assess, and escalate financial, compliance, operational, and patient experience risks, recommending corrective actions and ensuring adherence to applicable regulatory, payer, and organizational requirements.
• Analyze trends, workflow challenges, and recurring patient financial issues to identify root causes and recommend operational improvements, including enhancements to workflows, systems, training, patient communications, and standard work practices.
• 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, while assisting 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, insurance discovery, and related regulations; support quality reviews, audits, continuous improvement initiatives, and achievement of departmental productivity, quality, compliance, and patient experience goals.
• Perform other duties as assigned.

Requirements

• 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, resolve financial clearance issues, and support sound financial decision-making.
• High School Diploma or equivalent required; Bachelor's Degree in Healthcare Administration, Business, Finance, or a related field preferred.
• Must live in Texas (TX).

Schedule

Full-time, hybrid role requiring 2–4 weeks onsite for training at 1851 Crosspoint Ave, 77054, as well as additional onsite meetings and training. No lodging or mileage reimbursement provided for training.

Benefits

• 100% paid medical premiums for full-time employees.
• Generous time off (holidays, preventative leave day, vacation, and sick time totaling around 37–38 days per year).
• Vacation accrual increases with tenure.
• 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.
• Employee discounts on entertainment, car rentals, cell phones, and more.
• Resources for child and elder care.

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.

This position is security-sensitive pursuant to Texas Education Code 51.215 and Texas Government Code 411.094. Employees in this role may be required to research, work on, or have access to critical infrastructure, with ongoing reviews to ensure security and integrity.