Jobs › Northwestern Medicine

Financial Counselor

Northwestern Medicine · Chicago, IL · Full time · Health Care Provider

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

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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 turned around an upset customer.

What they are checking: Real service recovery skills, since this role sets the first impression of the hospital.

Why does financial counseling matter to a patient's care, not just the hospital's revenue?

What they are checking: Whether they see how financial worry affects patients getting the care they need.

What would you do

A patient is uninsured and scared about a large hospital bill. How do you start that conversation?

What they are checking: Warmth and clarity with a stressed patient, which the Patients First philosophy expects.

A patient refuses to pay the requested deposit before a scheduled service. What do you do?

What they are checking: Balancing collection goals with patient care and knowing when to escalate.

A family member calls asking about a patient's bill. What can you share?

What they are checking: HIPAA awareness and verifying authorization before discussing any account.

When would you bring an issue to your Team Lead or Operations Coordinator instead of handling it yourself?

What they are checking: Judgment about escalation, which keeps unusual cases from going wrong.

About the work

Walk me through how you help a patient complete a financial assistance application and make an eligibility decision.

What they are checking: Familiarity with the process and the documents and income checks involved.

How do you explain a deposit or estimate to a patient who doesn't understand their insurance?

What they are checking: Explaining deductibles, coinsurance and coverage in plain words patients can follow.

How do you spot accounts with financial risk before the patient's service?

What they are checking: Using reports and system data to act early, which the posting lists as a core duty.

How do you keep track of follow-ups when you're juggling many patient accounts?

What they are checking: Organization so applications and notices are handled promptly.

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The full job description

As published by Northwestern Medicine.

The Financial Counselor reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Responsibilities: • Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. • Responds to questions and concerns. • Forwards, directs and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. • Maintains patient confidentiality per HIPAA regulations. • Provides exceptional customer service to consumers which establish a positive first impression of Northwestern Medicine. • Exceed all consumer requests and alert management of issues or concerns that require escalation. • Identifies and works to minimize potential financial risk of patient accounts through financial reports, systems information or direct contact. • Identifies and counsels financially unsecured patients regarding payment options or financial assistance programs based on department policies and procedures. • Assists patients with completing financial assessment applications, makes eligibility determinations, and promptly notifies patients of outcome. • Requests and collects patient deposits for self-pay patients receiving future services. • Works closely with Facility MANG Representatives, Insurance Verification Team, Case Management, Central Scheduling, Ambulatory Registration, Admitting and Registration Departments, and Physician Practices to expedite prompt and appropriate resolution of patient accounts. • Identifies patients with potential insurance coverage issues, including but not limited to limited coverage, and lack of in-network status. • Follows department policies and procedures in regards to soliciting financial deposits, identification of in-network providers for out-of-network patients, and communication back to clinical team(s) and/or patient. • Provides walk-in availability for patients with financial concerns, facilitates payment arrangements including those for Package programs, and accepts payments as necessary. • Handles phone calls pertaining to aforementioned scope and provides price estimates as appropriate for the type of service requested. • Adheres to all financial counseling and collection guidelines as established by Northwestern Memorial HealthCare. • May conduct in-person interviews of patients receiving care while the patient is on-site. • Performs telephone follow-up with unsecured patients who were not interviewed during their visit. • Upon identification, Financial Counselor communicates with unsecured patients with identified patient liabilities. • Complies with and meets all provisions of 501R Regulations, Fair Billing Act, and Hospital Uninsured Discount Program. • Other duties as assigned. • Communication and Collaboration: • Reports on activities, issues, and any action items to management and staff. • Ensures responses to patient and customer inquiries, and assistance to others are performed completely, accurately, and within the time frames defined within division standards, objectives, and goals. • Works collectively to meet established Dept. goals. • Technology: • Documents all patient interactions in Billing System. • Efficiency, Process Improvement, and Business Growth: • Meets and/or exceeds departmental, divisional, and institutional goals. • Adheres to NM, divisional and departmental quality standards. Identifies opportunities for and participates in process improvement activities. • Creates work that is consistently accurate and reliable. • Identifies barriers to processes and performs corrective action in order to reduce or eliminate errors. • Shows attention to detail, uses reasoning skills and is sufficiently organized to produce quality work. AA/EOE Required: • High School Diploma or equivalent. • 2-3 years customer service or medical office experience. • Excellent interpersonal, verbal, and written communication skills. • Proficiency in computer data-entry/typing. • Excellent verbal and written communication skills. • Ability to read, write, and communicate effectively in English. • Basic Computer Skills. • Ability to type 40 wpm. • Ability to multi-task. • Customer service oriented. • Excellent organizational, time management, analytical, and problem solving skills. Preferred: • Bachelor's Degree • Additional language skills. • Healthcare finance and/or healthcare insurance experience. • Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration. Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Click on or copy and paste URL to your browser to view detailed benefits information NorthwesternMedicine Career Page https://jobs.nm.org/benefits Please refer to the Benefits Eligibility by Employment Classification to determine benefits eligibility for job postings. If sign-on bonus is included in a job posting eligibility is as followed: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign-on bonus. Exception : New graduate internal employees seeking their first licensed clinical position as a Registered Nurse at NM may be eligible.

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