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Financial Counselor

  • St Luke’s Health Memorial Hospital
  • Livingston, Texas
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About Us

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

Our Mission

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values.

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
Weekly Schedule
Monday- Friday (8:00am- 5:00pm)
Shift
Day
Remote
No
Category
Administrative and Clerical
Travel
No
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.

#LI-CHI

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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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 [PDF].

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.

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