Financial Clearance Specialist I

UTHealth Houston; Houston (TX); À distance; USD 32 000 - 42 000; Plein temps

Avantages offerts par ce poste

100% paid medical premiums for full‑t​

Generous time off (holidays, vacation,

Longevity pay

Retirement/pension plan

Résumé du poste

UTHealth Houston Revenue Cycle is seeking a Financial Clearance Specialist I, an entry-level role that helps verify insurance coverage and prepare accounts for financial clearance. This remote position requires residency in Texas and occasional onsite training at 1851 Crosspoint Ave, 77054.

Under close supervision, you will confirm patient insurance information, communicate with patients and providers, and support the revenue cycle with accurate data entry and HIPAA compliance.

Qualifications

• High School Diploma or equivalent required.
• At least 6 months of customer service experience, preferably in healthcare.
• Excellent communication and data-entry skills.
• Ability to work remotely with occasional onsite meetings in Texas.

Responsabilités

• Verify basic insurance eligibility and policy status using electronic verification tools and payor portals.
• Confirm patient demographics and insurance information with accuracy and document outcomes.
• Communicate with patients, insurers, and internal departments to clarify details.
• Escalate complex coverage questions to senior staff when needed.
• Identify when prior authorization may be required and notify appropriate staff.
• Adhere to HIPAA and data confidentiality; perform other duties as assigned.

Connaissances

Customer service

Communication

Formation

High School Diploma or equivalent

Outils

EPIC

Care 4

Description du poste

UTHealth Houston Revenue Cycle is hiring a Financial Clearance Specialist I to join their team of professionals! The RCM Financial Clearance Specialist I is an entry-level role responsible for supporting the revenue cycle by verifying insurance coverage and benefits for scheduled services. Working under close supervision, the Specialist ensures accurate and timely confirmation of patient insurance information and assists in preparing accounts for financial clearance. This position is ideal for individuals with strong customer service skills looking to grow in a healthcare administrative role.

• Location: Remote (2- 4 weeks onsite for training @ 1851 Crosspoint Ave, 77054) , meetings, additional training, etc.
• Must live in Texas (TX). This is a Remote position, and you must reside in Texas
• Must be able to attend any required onsite meetings

What we do here changes the world.

UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.

Once you join us you won't want to leave.

It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), 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!

We take care of our employees!

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

• 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!

Position Key Accountabilities:

• Verify basic insurance eligibility and policy status using electronic verification tools, payor portals, and referring to Managed Care Payor plan tool when applicable. Confirm patient demographics and insurance information with accuracy and attention to detail. Document insurance information and verification outcomes in the appropriate system (e.g., EPIC, Care 4).
• Communicate with patients, insurance companies, and internal departments to gather or clarify insurance details. Maintain a high level of professionalism and customer service when interacting with patients and team members.
• Escalate complex coverage questions or issues to senior team members or supervisors.
• Assist with identifying when prior authorization may be required and notify appropriate staff.
• Adhere to organizational and regulatory standards, including HIPAA and data confidentiality.
• Performs other duties as assigned.

Certification/Skills:

• None

Minimum Education: High School Diploma or equivalent required

Minimum Experience: 6 months of experience in a customer service role required, preferably in a healthcare or call center setting required

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.

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.

• 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. Residency Requirement:

Employees must permanently reside and work in the State of Texas.