Jobs › City of Hope Chicago

Senior Financial Counselor

City of Hope Chicago · Zion, IL · Full time

Posted Sep 14, 2026 · We last checked this listing on Oct 6, 2026

Apply at City of Hope Chicago

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

The role prefers Spanish. Tell me about a time you explained a complex bill or benefit to someone in their first language or across a language barrier.

What they are checking: Ability to make financial information clear to Spanish-speaking patients and families.

Tell me about a time you found a financial assistance option that made a real difference for a patient.

What they are checking: Resourcefulness and follow-through on behalf of patients who might not ask for help.

What would you do

A new cancer patient learns their insurance will leave them with a large bill and starts crying. How do you handle that conversation?

What they are checking: Compassion paired with practical help when money stress meets a frightening diagnosis.

A patient's treatment is scheduled for Monday and the authorization still has not come through on Friday. What do you do?

What they are checking: Urgency and coordination with clinical teams and payers to avoid treatment delays.

As a senior counselor, how would you help a newer team member who keeps getting stuck on complex cases?

What they are checking: Mentoring and knowledge sharing expected in a senior role.

About the work

Walk me through how you verify insurance benefits and estimate a patient's out-of-pocket costs for a treatment plan.

What they are checking: Knowledge of benefits verification, deductibles, out-of-pocket maximums and prior authorizations.

What options do you look at for an uninsured or underinsured patient?

What they are checking: Familiarity with Medicaid, marketplace plans, charity care and drug assistance programs.

How do you explain terms like coinsurance and out-of-network to a patient with no background in insurance?

What they are checking: Turning confusing financial terms into plain language patients can act on.

How do you keep track of many patients' accounts and follow-ups with a hybrid schedule?

What they are checking: Organization and reliability across a full caseload with one remote day each week.

How do you protect patient financial and health information when working remotely?

What they are checking: Understanding of HIPAA and privacy habits in a hybrid setup.

Practice this interview out loud.

Offer builds a real interview for this exact role at City of Hope Chicago 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 City of Hope Chicago.

Senior Financial Counselor About City of Hope , City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations in the U.S., and one of the leading research centers for diabetes and other life-threatening illnesses. City of Hope research has been the basis for numerous breakthrough cancer medicines, as well as human synthetic insulin and monoclonal antibodies. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope’s uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas. The successful candidate: Schedule: Monday - Friday, 8:00 AM - 4:30 PM Work Arrangement: Hybrid (1 day remote per week) Highly Preferred: Bilingual in Spanish Position Summary The Sr Financial Counselor is responsible for assisting patients, primarily oncology patients, and their caregivers by delivering a high-quality advocacy experience focused on providing clear, accurate, and timely information regarding financial obligations and insurance benefits. This role supports patients through financial counseling, patient assistance programs, benefit verification, charity care qualification, and Stem Cell Transplant financial counseling services. The specialist works collaboratively with inpatient and outpatient clinics, Financial Counselors, Care Management, Guest Services, the Stem Cell Transplant team, and Travel & Accommodation Representatives to ensure patient financial concerns are addressed throughout the continuum of care and inpatient stay. Minimum Qualifications • Associate degree in Business, Healthcare Administration, or a related field preferred; equivalent combination of education and experience considered. • In lieu of a degree, a minimum of six (6) years of experience in hospital admissions, patient access, registration, business office operations, financial counseling, or insurance-related services. • Minimum two (2) years of experience with financial counseling, patient assistance programs, benefits verification, and charity care qualification. • Strong knowledge of Medicare, Medicaid, insurance company requirements, and regulatory compliance standards. • Ability to interpret insurance terminology, coverage quotes, reimbursement percentages, out-of-network benefits, secondary networks, and national insurance plans. • Proficiency with Microsoft Outlook, basic computer applications, and standard office equipment. • Strong analytical, organizational, and problem-solving skills. • Excellent written and verbal communication skills, with the ability to effectively interact with patients, caregivers, insurance representatives, assistance organizations, and hospital leadership. • Knowledge of HIPAA, EMTALA, patient rights, privacy and security regulations, and hospital compliance requirements. • Medical terminology knowledge required. • CPT/ICD coding knowledge preferred. • Demonstrated professionalism, reliability, and strong attendance record. Preferred Qualifications • Bilingual in Spanish. • Experience supporting oncology and/or Stem Cell Transplant patient populations. • Experience working in a healthcare financial counseling or patient access environment. City of Hope is an equal opportunity employer. City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location. Please note : City of Hope is committed to a safe and transparent hiring experience. Please be aware that scammers may attempt to impersonate our organization through fake job postings, emails or interviews. • Apply only through our official website or trusted partner platforms. • City of Hope will never request payment or fees at any stage of the hiring process. • We will not request sensitive personal or financial information prior to the acceptance of a formal offer. • All communications will come from official @coh.org email addresses. • Interviews are conducted only through approved, professional channels. • Be cautious of unsolicited communications, urgent requests or opportunities that seem inconsistent with standard hiring practices. • If you receive any suspicious communication, please report it to careers@coh.org .

Apply at City of Hope Chicago