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Financial Counselor

St Luke’s Health Memorial Hospital Livingston, Texas
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The posted compensation range of $18.96 - $26.78 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2026-494718 Employment Type Full Time Department Patient Financial Counseling Hours/Pay Period 80 Shift Day Weekly Schedule Monday- Friday (8:00am- 5:00pm) Remote No Category Administrative and Clerical

Job Summary and Responsibilities

As our Financial Counselor, you will help patients understand and manage their financial responsibility by administering our hospital financial assistance programs.

Every day you will counsel insured and uninsured patients, estimate patient liability, support point-of-service and pre-discharge collections, and set up payment plans according to policy. You will identify all potential payers, including auto insurance, workers' compensation, commercial and private insurance, third-party liability, and government programs, and act as a liaison between patients, physicians, patient access teams, and outside agencies. You will complete, submit, and follow up on financial assistance and charity applications, maintain accurate documentation, and escalate approvals or exceptions as needed.

To be successful in this role, you will bring knowledge of insurance and financial assistance programs, excellent communication skills, and a compassionate approach to sensitive financial conversations.

  • Counsel insured and uninsured patients regarding financial responsibility, estimated patient liability, and available financial assistance or payment options.
  • Screens patients for eligibility for hospital financial assistance, charity care, foundation programs, and other programs.
  • Complete, submit, and follow up on charity care and financial assistance applications to ensure timely eligibility determinations.
  • Collect patient portions as applicable and assist patients with establishing approved payment plans in accordance with hospital policies.
  • Coordinate with leadership as required for approval of payment plans or settlements based on established approval guidelines.
  • Perform account adjustments or write‑offs in accordance with hospital financial assistance policies as deemed necessary
Job Requirements

Required

  • High School Graduate , upon hire or
  • High School Graduate, upon hire and
  • None, upon hire


Preferred

  • Preferred 2 years of health care experience.
Where You'll Work

St. Luke's Health-Memorial Livingston is a 66-bed facility and member of CommonSpirit Health, a national nonprofit health system. Serving East Texas, St. Luke's Health-Memorial provides more than a quarter of a million patient services annually and contributes millions of dollars in local charity care and community support. This facility delivers more than 60,000 patient services annually—half through its Level IV trauma-designated emergency department. Patients have access to a wide range of services including orthopedic care, women’s health and a state-of-the-art sleep center. Advanced imaging services include MRI, CT, 3D mammography, 4D ultrasound, cardiac echo and more—all close to home.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.