Remote Financial Clearance Specialist II

UTHealth Houston; Houston (TX); Remote; USD 52,000 - 78,000; Full time

Benefits offered by this job

Paid medical premiums

Generous time off

Longevity pay

Job summary

UTHealth Houston is seeking an RCM Financial Clearance Specialist II to verify insurance benefits, obtain authorizations, and educate patients on financial responsibilities. The role supports timely registration and eligibility checks, collaborating with payers, providers, and patients to ensure accurate clearance before services.

The ideal candidate has 3+ years in insurance verification/authorization within healthcare and familiarity with Epic.

Qualifications

• 3+ years of insurance authorization, verification, or healthcare financial clearance experience.
• Experience resolving complex insurance cases.
• Epic experience preferred.

Responsibilities

• Verify insurance benefits and obtain required authorizations and referrals for financial clearance before services.
• Communicate with payers, providers, and patients to confirm eligibility and authorization status.
• Input and maintain accurate insurance data in the system (Epic) based on real-time responses.
• Identify trends in denials or payer issues to support process improvements.
• Ensure compliance with HIPAA, HOOP policies, and payer guidelines.

Skills

Insurance verification

Insurance authorization

Healthcare financial clearance

Epic experience

Education

High School Diploma or equivalent

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

Job description

UTHealth Houston is seeking an RCM Financial Clearance Specialist II to verify insurance benefits, obtain authorizations, and educate patients on financial responsibilities. The role supports timely registration and eligibility checks, collaborating with payers, providers, and patients to ensure accurate clearance before services.

The ideal candidate has 3+ years in insurance verification/authorization within healthcare and familiarity with Epic.