Financial Clearance Specialist II - Rev Cycle

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

Join UTHealth Houston's Revenue Cycle team as an RCM Financial Clearance Specialist II
. In this senior-level role, you will lead complex insurance verification and authorization activities, ensure accurate financial clearance, resolve payer issues, and support patients through the healthcare journey. You'll also serve as a mentor to team members while maintaining excellence in Epic documentation, compliance, and customer service.

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

Remote within Texas

2-4 weeks onsite beginning November 3, 2026, at 1851 Crosspoint Ave., Houston, TX 77054

Occasional onsite meetings/training may be required. Lodging and mileage reimbursement are not provided.

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!

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!

The RCM Financial Clearance Specialist II is responsible for verifying insurance benefits and obtaining required authorizations and referrals to ensure financial clearance before patient services. This position supports new and established patients by ensuring accurate registration, eligibility, and authorization of services through effective communication with payers, providers, and patients. The Specialist also creates cost estimates and educates patients on financial responsibilities while maintaining compliance with internal policies and external regulations.

• Analyze benefit information and clinical documentation to ensure appropriate coverage and medical necessity per payer guidelines. The ability to perform all registration components from charge review to ensure accurate patient registration and compliance with payer requirements before claim submission.
• Obtain prior authorizations for services per insurance policies and initiate Peer-to-Peer (P2P) reviews as needed. Collaborate with clinical, scheduling, and financial teams for financial clearance. Communicate benefits and cost estimates with patients. In charge review function the ability to identify and update referral authorization numbers when applicable.
• Accurately input and maintain insurance data in Epic based on real-time eligibility response or payor portals; ensure insurance plan selection aligns with the UT Managed Care Payer Plan Tool.
• Identify and report trends in denials, payer issues, or workflow inefficiencies to support continuous improvement and…