Financial Counselor

Shorewood Behavioral Health; Madison (WI); On-site; USD 45,000 - 60,000; Full time

Job summary

Shorewood Behavioral Health in Madison, WI is seeking a knowledgeable Financial Counselor to help patients understand insurance benefits and financial responsibilities. This patient-facing role requires expertise in insurance verification, counseling, and upfront collections to support accessible care.

The ideal candidate has at least three years in related work, with Medicare/Medicaid knowledge, empathy, and strong data-records skills.

Qualifications

• Three or more years' experience in related field required.
• Extensive knowledge of Commercial Insurance and Medicare/Medicaid required.
• Strong financial counseling and customer-service skills.

Responsibilities

• Verify patient insurance benefits and determine financial responsibility.
• Provide financial counseling and collect out-of-pocket amounts.
• Arrange and document payment plans and financial assistance.
• Maintain accurate patient financial records and logs.
• Audit admission packets and update billing information.
• Communicate clearly with patients and guarantors about benefits.

Skills

Insurance verification

Financial counseling

Collections

Payment arrangements

Data entry

Empathy & communication

Education

High school diploma or equivalent

Job description

We are seeking a knowledgeable and compassionate Financial Counselor to help patients understand their insurance benefits and financial responsibilities. This role is responsible for insurance verification, financial counseling, upfront collections, payment arrangements, and maintaining accurate patient financial records.

The ideal candidate combines strong financial counseling and collections expertise with a genuine desire to help others. Because this is a patient-facing role within a behavioral health environment, we are seeking someone who demonstrates compassion, empathy, patience, and emotional intelligence while assisting patients through challenging situations. Three years of collecting experience is required for this role, five years is preferred.

This position is on-site and the work schedule is Monday - Friday.

Essential Functions

• Responsible for auditing the admission packets and for the verification of benefits along with all patient demographic information in the patient accounting system.
• Financial counseling of patients and/or guarantors and collecting any out of pocket (deductibles, copays, exhausted days, etc). Provide information to the patient and/or guarantors regarding their benefits and financial obligations.
• Complete financial disclosure paperwork for patients that request assistance including verifying income and expenses.
• Complete adjustment forms for any charity or administrative adjustments for approval.
• Complete promissory notes for patients that request payment arrangements.
• Update daily the upfront collection log, charity log, and admin adjustment log. Review with BOD on a weekly basis.
• Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.

Other Functions

• Perform other functions and tasks as assigned.

Education/Experience/Skill Requirements

• High school diploma or equivalent required.
• Three or more years' experience in related field required.
• Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required.

Licenses/Designations/Certifications

• Not applicable

Additional Regulatory Requirements

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

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