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At Natividad, our dedication to the people of Monterey County is at the heart of everything we do—from the health care services we provide to the specialized programs we promote. This commitment to our community spans more than 130 years and, more importantly, has touched countless lives. It has also earned us a Joint Commission ranking in the top percentile of hospitals nationwide. If you believe in inspiring healthy lives by focusing on community-based care, consider joining Natividad today.


Natividad is currently recruiting for several permanent full-time Patient Account Representative II positions. Under general supervision, the incumbent performs the full range of duties, and may do so on a rotational or specialization basis of assignment. The Patient Account Representative II (PAR II) is responsible for preparing patient accounts to generate and issue patient bills for services. This position interviews patients, evaluates patient financial resources, establishes payment terms, performs collections and performs other related work as assigned.

Minimum qualifications include one year of experience performing duties directly related to patient account billing, patient financial resources evaluation, account collection or assessment of patient eligibility for specialized medical care financial programs OR one year of experience at a level equivalent to Monterey County's Account Clerk OR two years of experience equivalent to Monterey County's Patient Account Representative I.

Requires knowledge of:

  • Federally Qualified Health Center billing procedures and operations
  • Insurance, other private workers compensation, governmental and special payor requirements, procedures, codes and forms 
  • Hospital/clinic billing procedures and operations
  • Sources and eligibility requirements for publicly funded medical care payment programs 
  • Clerical bookkeeping practices and procedures
  • General clerical office practices and procedures, including operation of common office equipment and filing systems 
  • Current procedural terminology and other reference and resource materials related to patient account activities 
  • CPT coding procedures

PRIORITY SCREENING DATE: Thursday, September 16, 2021 at 11:59 pm for a guaranteed review. Application materials will be reviewed in an ongoing basis until positions are filled.

For application materials, contact Natividad, HR, 1441 Constitution Blvd, Bldg 300, Salinas, CA 93906; call us at (831) 783-2700; or apply online at Like us on Facebook:  EOE/M/F/H/V

Senior Financial Analyst (Rancho Cordova, CA)

***This position will be remote/work from home with the occasional visit to the Rancho Cordova, CA office.

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly-skilled, qualities that are vital to maintaining excellence in care and service.

Position Summary:

As the key source of advanced financial expertise to Dignity Health Medical Foundation, the Senior Financial Analyst/Business Partner is the lead in providing financial business development, analytical services, and recommendations that influence sound business decisions, enable the delivery of business objectives and guide long term business planning choices for various departments. The Senior Financial Analyst/Business Partner interfaces primarily with Accounting, Decision Support, local and regional managers, directors, CFO and executive leadership. As an active contributor, the Senior Financial Analyst/Business Partner performs complex analysis of actual financial and statistical results, completes regional (client group) financial forecast/planning, and applies analytical capabilities and business acumen to recommend courses of action that enable the business unit to meet its financial and business objectives.

The Senior Financial Analyst/Business Partner is recognized as a technical expert in data mining and extraction using a variety of software tools. Finally, the Senior Financial Analyst/Business Partner is also expected to assume lead roles on high-profile projects, perform quality reviews of staff deliverables, delegate work and strive for continual professional development.

Minimum Qualifications:

  • Bachelor degree in Accounting or Finance (or equivalent experience) required
  • Five (5) years of experience in preparing and monitoring complex budgets required
  • Five (5) years of experience in performing complex project research and analysis
  • Requires:
    • Proficiency in Microsoft Office including Excel
    • Knowledge of research techniques sufficient to collect and interpret detailed financial data
    • Knowledge of descriptive statistics to analyze statistical data and prepare estimates
    • Knowledge of legal and fiscal requirements and regulations (i.e., GAAP)
    • Ability to interpret and analyze complex financial data
    • Ability to organize, coordinate and monitor project work
    • Ability to prepare comprehensive reports and prepare and conduct effective presentations
    • Exhibited integrity in all actions and communications
    • Excellent interpersonal, communication and organizational skills
    • Ability to lead others in a team environment and work well individually
    • Integrity and ethics in day-to-day tasks and decision making
    • Adherence to Dignity Health Medical Foundation's core values of dignity, collaboration, justice stewardship and excellence
    • Focus on self-development and seeks out continuous feedback and learning opportunities

Preferred Qualifications:

  • Master's in Accounting or Finance or CPA designation preferred
  • Five (5) years of experience preparing and monitoring complex budgets and multi-regional budget experience preferred
  • Three (3) years of experience in healthcare finance is strongly preferred
  • Previous experience and demonstrated proficiency using Microsoft Office Access, Lawson, and Axiom preferred

To apply, please visit the following links:

The Manager, Hospital Billing is responsible for planning, coordinating, and managing the hospital billing team related to the activities required to ensure effective accounts receivable management, timely billing, timely follow-up while maintaining satisfactory staff productivity levels. Responsibilities include direct supervision, providing guidance, training, mentoring, and following/implementing policies and procedures that ensure that compliance standards are met with all payers and involvement in the PFS Department's budget process as required.


Plans organize, assigns, and supervises the activities of the team and staff engaged in the processing of hospital claims, collection of unpaid amounts, including responding to patient billing concerns. Interprets, implements, and enforces policies and procedures related to billing, collections, and accounts receivable management. Ensures appropriate write-off/adjustments and refunds are accurately applied to accounts in accordance with contractual language, accepted accounting practices and regulatory requirements. Provides feedback to Revenue Cycle Leadership regarding payer edits, contractual changes or other issues impacting the production of clean claims, timely claims submission and accurate payments. Identifies opportunities to reduce claim edits, CFB/DNFB totals, rejections, and payment delays. Collaborates with other teams to implement process improvements to reduce billing delays and denials. Collaborates with Patient Access, HIMS, Revenue Integrity teams to ensure billing information provided is accurate and complete. Provides feedback for training purposes to these areas as necessary.

Monitor’s area KPI goals. Develop and initiate action plans in response to identified gaps in processes or workflows. Identifies, recommends, and implements changes to comply with department initiatives and department-specific goals. Works with the Director to develop policies and procedures, departmental goals, key performance indicators and performance standards. Completes annual employee evaluations for staff assigned, including employee feedback on the performance appraisal discussion. Mentors, coaches, and councils Hospital Billing staff. Acknowledges and responds to staff attitudes, concerns, and performance to make appropriate recommendations and/or suggestions for improvement

Collaborates with other departments to ensure departmental and Cottage policies and procedures are adhered to and to identify opportunities for improvement. Works closely with other departments to foster positive working relationships. Develops, monitors, and coordinates consistent workflows and procedures across all areas. Actively pursues, participates, and recommends system improvements and solutions for existing and new systems.

Collaborates closely with the Director and Manager of Professional Billing to facilitate the incorporation of external requirement changes into operational procedures for revenue cycle staff and works toward cash flow efficiency, while serving the interests of CH patients. Supports our customer service team and vendor partner to provide excellent patient first customer service

Participates in the analysis and resolution of complex issues related to billing and collections that could have impact to revenues, including working/partnering with staff inside and/or outside of the revenue cycle.

Attends, facilitates and/or participates in meetings and/or projects involving the activities that directly impact or involve the PFS's Hospital Billing Team.

LEVEL OF EDUCATION Minimum: Bachelor's Degree


Preferred: Epic Certification - ARCR: Resolute Hospital Billing Insurance Follow-Up Readiness, Resolute Hospital Billing Curriculum or ARCR: Resolute Hospital Billing Director


Minimum: Excellent computer skills with intermediate or better use of Excel (i.e, sorting, pivot tables, graph creation, etc.) and Word. Ability to extract and analyze data from various software systems. Knowledge off billing regulations and requirements for both Government and Non-government payers.

Preferred: Epic experience, past/present hospital billing experience in a hospital/health system


Minimum: Possession of (5) years of billing, collection or accounts receivable experience as a Senior/Lead Patient Account Representative or one (1) year as a supervisor or Manager in a Hospital Patient Financial Services/Revenue Cycle Department.

Preferred: Three (3) years of PFS/Revenue Cycle experience as a Supervisor or Manager.


Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love.

Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices.  We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work. 

Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter.