Jobs › R1 RCM

Financial Counseling Representative

R1 RCM · Elk Grove Village, IL · $18.59–$25.44 an hour · Full time

Posted Oct 5, 2026 · We last checked this listing on Oct 6, 2026

Apply at R1 RCM

Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a time you helped someone through a stressful money situation.

What they are checking: Whether they can stay calm and respectful when someone feels embarrassed or worried.

Tell me about a time you kept accurate records across more than one computer system.

What they are checking: Whether they are careful with documentation, which supports billing and audits later.

What interests you about the revenue cycle side of healthcare?

What they are checking: Whether they see this as a career path, which predicts effort and staying power.

What would you do

A patient learns their out-of-pocket cost will be much higher than they expected and gets upset. How do you handle that conversation?

What they are checking: Whether they can share hard financial news with empathy and offer real options.

A patient asks you to just waive the bill. How do you respond?

What they are checking: Whether they stay kind but within policy and point to legitimate assistance programs.

A nurse asks you to hold off on a financial conversation because the patient is not ready. What do you do?

What they are checking: Whether they work with care teams and respect the patient's condition over a checklist.

About the work

How would you explain a deductible, copay and coinsurance to a patient who has never heard those words?

What they are checking: Whether they understand insurance basics well enough to make them simple for patients.

What steps would you take to help an uninsured patient apply for Medicaid or financial assistance?

What they are checking: Whether they know how to guide patients through applications and follow up on missing documents.

How do you verify insurance eligibility and benefits, and what do you do when the information is unclear?

What they are checking: Whether they double-check coverage and escalate questions instead of guessing about costs.

How do you set up a payment plan that a patient can actually keep?

What they are checking: Whether they think about the patient's real situation instead of just closing the conversation.

Practice this interview out loud.

Offer builds a real interview for this exact role at R1 RCM from your resume and this job description, asks the questions one at a time, and tells you what landed. The first one is free.

Practice this out loud

The full job description

As published by R1 RCM.

At R1, we’re transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers. All Together Better defines our culture and the way we work. We’re a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what’s next for R1 and the future of healthcare. Financial Counseling Representative On-Site – Elk Grove Village, IL | Ascension, Il Alexian Brothers Elk Groive Village Schedule: Full Time 8a-4:30p M-Friday Are you passionate about supporting patients through the financial side of healthcare while building a career in revenue cycle and financial counseling ? We are the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. At R1, you’ll be part of a mission-driven team that blends advanced technology with real-world service to create exceptional patient experiences. As a Financial Counseling Representative , you will be a trusted guide for patients navigating insurance coverage, financial responsibility, and payment solutions. What You’ll Do: • Provide exceptional financial counseling support by helping patients understand insurance benefits and out-of-pocket costs • Meet with patients to discuss payment options and financial assistance programs • Verify insurance eligibility and explain benefits clearly • Assist with Medicaid and financial assistance applications • Build trust with patients during stressful financial situations • Collaborate with care teams and revenue cycle departments • Maintain accurate documentation across multiple systems What We’re Looking For: • Exceptional customer service experience, communication and interpersonal skills • Demonstrates genuine compassion, empathy, and patience when supporting the patients, clients and team members • Ability to explain financial and insurance concepts clearly • Ability to multitask and prioritize quickly with HIGH attention to detail . • Professionalism with sensitive financial conversations • High School Diploma or GED What You’ll Gain: • Experience in healthcare financial counseling and revenue cycle • Exposure to insurance/Medicaid and detailed Intakes • Opportunity for growth within R1 • A team environment focused on innovation, collaboration, and patient experience • Meaningful work supporting patients during sensitive and emotional moments Why You’ll Love This Job: • Make a Real Difference : Patients lean on you for support and reassurance. You’ll be more than a data collector - you’ll be a calm, helpful presence during stressful times • Learn Healthcare from the Ground Up : Build your expertise in healthcare financial services by navigating insurance programs, financial assistance options, and patient account needs in a fast-paced hospital environment. • Fast-Paced, Never Boring : You’ll move between systems, phone calls, and in‑person interactions - balancing accuracy with compassion, working alongside clinicians and emergency staff. • Supportive Team Environment : We’re invested in your professional journey. You’ll be surrounded by teammates who have your back and leaders who want to see you succeed R1 is the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. For this US-based position, the base pay range is $18.59 - $25.44 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package. R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance. CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent To learn more, visit: R1RCM.com Visit us on Facebook

Apply at R1 RCM

More financial counseling representative roles