H-1B Visa Financial Counselor Jobs
Financial Counselor roles qualify for H-1B visa sponsorship when the position requires a bachelor's degree in finance, accounting, or a related field. Employers file a Labor Condition Application with DOL before sponsoring, certifying the offered wage meets the prevailing wage for your location and SOC code.
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Location State College, PA
Job Category Revenue Management
Schedule Days
Work Type Full time
Department Revenue Management Patient Financial Counselor Team
Date posted 11/02/2026
Job ID R-91036
Job Summary
Provides financial counseling either in person or via telephone for all patients for designated areas; admissions-scheduled and/or elective, in/out surgeries and/or outpatient clinical services. Provides coordination and completion of patient billing and collection functions either at the time of the initial interview, prior to the services being rendered and/or after the insurance carrier has paid. Maintains a close working relationship with the staff of the assigned clinical departments to ensure clear communication and handling of all patients’ financial needs. Provides accurate and efficient service to patients. Completes collections including co-payments, deductibles, and remaining estimated balances at point of service (POS).
Job Duties
- Interviews patients with inadequate and no insurance coverage to obtain suitable financial arrangements prior to the services being rendered, when applicable for admissions, in and out surgeries and outpatient clinical departments.
- Follows Revenue Management policies and procedures regarding financial matters and payment arrangements.
- Conducts detailed discussion with patients, obtains information and completes required tasks to determine patient’s eligibility for Medicaid and other federal, state, and local government or private sources as appropriate.
- Meets with patients on a one-on-one basis to discuss the price of care and patient’s current financial situation, obtaining all pertinent demographic and financial data to ensure resolution of account. Serves as an advocate to the patient to educate them on what to expect regarding financial matters.
- Responsible to be personally available to answer patient questions pertaining to financial, billing, and account status. Takes ownership of a customer’s problem and ensures the matter is resolved timely and that the customer is satisfied with the solution.
- Provides oversight for assigned department and may be the first point of contact for the department regarding Patient Financial Services.
- Able to provide back-up support and coverage for any department as well as provide report analysis to departments and areas not covered by a Coordinator.
- Acts as coordinator between all Revenue Management teams and departments including Practice Consultants, Utilization Management and Care Management, Providers, Geisinger departments, clinical departments, and the patients concerning financial counseling activity.
- Calculates patient’s outstanding balances and then discusses and finalizes the method of resolving those balances through pre-service financial counseling, point of service collections, payment plans, or other arrangements.
- Performs accounts receivable review for special pricing packages and ensures appropriate allocation of funds.
- This includes the ability to identify areas of opportunities and provide trending information and detailed documents outlining findings and recommendations.
- Prepares receipts for payments collected (both past and future). Promotes day of service cash collections and collections of outstanding balances system wide.
- Requests and assists patients by preparing pre-service price estimations, educating patients on insurance benefits, and arranging mutually agreeable payment terms.
- Conducts research and follow-up activities on assigned accounts according to established procedures and time frames.
- Assists in maintaining control of self-pay accounts receivables.
- Resolves accounts via charity, vendor referrals, financial status determination, and other options as defined by Revenue Management policies and procedures.
- Performs troubleshooting activities surrounding Revenue Management financial advising and service issues and trends for assigned service lines.
- Maintains ability to manage assigned projects and tasks associated with these efforts.
- Assists physicians, insurance companies, employers, and others with requests concerning financial clearance and patient accounts to result in positive resolution.
- Coordinates efforts with other departments to resolve financial clearance, insurance, billing, collection, and other related concerns and issues.
- Completes and updates Electronic Medical Record for all patients interviewed, via billing systems and Geisinger approved guidelines.
- Advises supervisor of unusual situations, chronic financial, medical, and legal problems.
- Ensures compliance with federal, state, and other third-party billing requirements.
- Position executes work functions while demonstrating a global knowledge of how their work interacts with other units in the revenue life cycle.
Work is typically performed in a clinical and office environment. Travel may be required. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Education
High School Diploma or Equivalent (GED) - (Required), Associate's Degree - (Preferred)
Experience
Minimum of 3 years - Related work experience (Required)
Skills
Teamwork; Working Independently; Computer Literacy; Customer Service
About Geisinger
Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.
Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.
Our Vision & Values
Everything we do is about making better health easier for our patients, our members, our students, our Geisinger family and our communities.
KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
EXCELLENCE: We treasure colleagues who humbly strive for excellence.
LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
Our Benefits
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.
See all 80+ H-1B Visa Financial Counselor Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Financial Counselor
Verify your degree meets specialty occupation
USCIS requires your degree field to directly relate to financial counseling duties. A business or accounting degree typically qualifies, but a general studies degree may not. Pull the O*NET profile for Financial Counselors to see the education requirements USCIS officers reference.
Check prevailing wages before salary negotiations
Use the OFLC Wage Search to find the Level I through Level IV prevailing wage for Financial Counselor roles in your target city. Your offered salary must meet or exceed the certified wage, so knowing these numbers before negotiating protects your petition.
Target employers with active LCA filing history
Search Migrate Mate to filter Financial Counselor openings by employers who have filed Labor Condition Applications for this role. These employers already understand the H-1B process, which shortens the offer-to-filing timeline significantly.
Ask about cap-exempt employer status early
Universities, nonprofits affiliated with higher education, and certain research institutions are cap-exempt, meaning your petition skips the lottery. Financial Counselor roles exist at these organizations, and filing year-round removes the April registration deadline pressure.
Confirm the employer uses E-Verify before accepting
STEM OPT extensions require E-Verify enrollment, but for H-1B, E-Verify participation signals the employer has experience with employment eligibility verification. Ask HR directly rather than assuming, since not all financial services firms are enrolled.
File premium processing if your start date is fixed
USCIS premium processing upgrades adjudication to 15 business days. Financial Counselor roles often have client-facing start dates tied to onboarding cycles. If your employer agrees to pay, request it at the I-129 filing stage, not after an RFE arrives.
H-1B Visa Financial Counselor: Frequently Asked Questions
Does a Financial Counselor role qualify as a specialty occupation for H-1B purposes?
Yes, provided the employer's job description requires a bachelor's degree or higher in a specific field like finance, accounting, economics, or a closely related discipline. Generic roles where any bachelor's degree is accepted can face USCIS scrutiny. The O*NET profile for Financial Counselors supports the specialty occupation argument when the duties align with the documented degree requirement.
Which employers sponsor H-1B visas for Financial Counselor positions?
Banks, credit unions, wealth management firms, insurance companies, and nonprofit credit counseling agencies all sponsor H-1B visas for Financial Counselors. Cap-exempt institutions like universities and hospital systems are also worth targeting since they can file year-round. Migrate Mate lets you browse Financial Counselor openings filtered by employers with verified H-1B LCA filing history.
How does the prevailing wage requirement affect Financial Counselor H-1B petitions?
Your employer must certify on the Labor Condition Application that your offered wage meets or exceeds the DOL prevailing wage for the Financial Counselor SOC code in your work location. Wages are tiered by experience level, and USCIS can issue an RFE if the offered salary appears inconsistent with your stated role level. Use the OFLC Wage Search to verify the wage floor before your offer is finalized.
Can I transfer my H-1B to a new Financial Counselor employer mid-status?
Yes. Under H-1B portability rules, you can start working for a new employer as soon as the transfer petition is filed with USCIS, without waiting for approval, provided you're maintaining valid status. The new employer files a new I-129 and LCA for the Financial Counselor role. You don't need to leave the country or restart the cap process.
What documents should I have ready before a Financial Counselor employer agrees to sponsor?
Prepare your official transcripts confirming a relevant degree, any professional certifications such as AFC or CFP credentials, and a resume that maps your duties to the specialty occupation definition. Employers need these to support the I-129 petition. If your degree is from outside the U.S., get a credential evaluation from a NACES-member evaluator before the employer starts the LCA process.