Financial Clearance Coordinator - Cell Therapy Team

Financial Clearance Coordinator

The University of Texas MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The Financial Clearance Coordinator plays a critical role in coordinating clinical and financial clearance processes while supporting patients throughout their care journey.

As part of UT MD Anderson, the Financial Clearance Coordinator applies clinical expertise and sound judgment to support medical necessity reviews, authorization activities, peer-to-peer engagement, and financial counseling. The Financial Clearance Coordinator collaborates with patient access teams, payors, third-party vendors, and clinical staff to resolve barriers to care. The Financial Clearance Coordinator helps ensure timely and accurate financial clearance while contributing to the organization's mission of exceptional patient care.

The ideal candidate has an accredited nursing education, oncology nursing experience, utilization review experience with external payors, and strong knowledge of healthcare authorizations and reimbursement processes. Preferred qualifications include knowledge of cell therapy treatment, authorization experience, and professional certifications such as Certified Case Manager, Certified Healthcare Access Manager, Advanced Cardiac Life Support, or Pediatric Advanced Life Support.

Salary Range (Annual): Minimum $89,000.00 Midpoint $111,000.00 Maximum $133,000.00 Hourly Equivalent (40-hour work week): Minimum $42.79 Midpoint $53.37 Maximum $63.94 Work Schedule: Monday - Friday 8am - 5pm. Work Location: Remote but must be able to come onsite as needed.

Responsibilities

Documentation & Authorization Processing

Obtain and document verification of patient eligibility and applicable effective dates using institutional systems, payor systems, web portals, and available tools within established departmental timeframes.

Notify Patient Access and patients when eligibility information is invalid or cannot be verified.

Obtain and document verification of patient benefits, including product type, network status, co-payments, deductibles, co-insurance amounts, pre-existing condition indicators, and lifetime or annual maximums.

Enter accurate eligibility and benefits information into the electronic health record in a timely manner.

Manage worklists for cases requiring pre-authorization and coordinate directly with payors or assigned third-party vendors.

Obtain required pre-authorizations through online portals and available authorization tools whenever possible.

Accurately document authorization numbers, reference numbers, payor contacts, and authorization outcomes in the electronic health record.

Maintain complete and accurate documentation of all communications with patients, payors, vendors, Patient Access personnel, and other stakeholders.

Clinical Review & Medical Necessity Support

Apply clinical knowledge and professional judgment to support pre-authorization activities.

Assist associates when clinical interpretation, medical necessity justification, and clinical review are required.

Support peer-to-peer engagement activities related to authorization and utilization review processes.

Assess and interpret patients' clinical conditions to facilitate timely resolution of financial clearance issues.

Stay current with appropriate clinical documentation requirements and professional publications.

Financial Counseling & Customer Collaboration

Provide financial counseling to patients regarding estimated costs and expected financial responsibility.

Assist with calculating patient liability including co-payments, deductibles, and co-insurance obligations.

Discuss payment requirements, available payment plan options, and patient financial assistance opportunities when applicable.

Review Advance Beneficiary Notices (ABN), Medicare Secondary Payer Questionnaires (MSPQ), account status, and financial clearance barriers with patients.

Collaborate with Patient Access to document updated or corrected insurance information according to departmental policies and procedures.

Answer emails and phone calls promptly and respond to voicemails and in-basket messages within one business day.

Maintain professional and courteous relationships with patients, physicians, payors, vendors, and business partners.

Operational Excellence & Professional Development

Promptly escalate financial clearance or counseling issues to the Financial Clearance Supervisor when appropriate.

Seek assistance from Financial Clearance Coordinators when additional support is needed.

Complete and submit required documents, including PFA and COBRA-related documentation, requiring supervisor approval.

Participate in educational, training, and mentoring opportunities to enhance performance and professional growth.

Perform all other duties as assigned.

Education

• Required: Graduation from an accredited school of nursing.

Work Experience

• Required: 2 years Oncology nursing experience.
• Required: 2 years Experience in utilization review with external payors within a hospital or insurance setting.
• Preferred: Knowledge of cell therapy treatment experience.

Licenses and Certifications

• Required: RN - Registered Nurse - State Licensure State of Texas Professional Nursing license (RN). Upon Hire and
• Required: BLS - Basic Life Support Upon Hire or
• Required: CPR - Cardiac Pulmonary Resuscitation Upon Hire
• Preferred: CCM - Certified Case Manager Commission for Case Manager Certification. Upon Hire
• Preferred: CHAM - Certified Healthcare Access Manager National Association of Healthcare Access Management. Upon Hire
• Preferred: ACLS - Advanced Cardiac Life Support Certification as required by patient care area. Upon Hire
• Preferred: PALS - Pediatric Advanced Life Support Certification as required by patient care area. Upon Hire

The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition. This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.