Financial Counselor Lead

The Crossroads Center•Cincinnati, OH

About The Position

The Financial Counselor at The Crossroads Center is responsible for supporting patient access to mental health and substance use disorder services by providing financial education, verifying insurance coverage, and assisting with Medicaid and other financial assistance programs. This role ensures patients understand their financial responsibilities while helping to reduce barriers to care through accurate eligibility determination, compassionate communication, and compliant documentation. The Financial Counselor works collaboratively with Admissions, Clinical Teams, Utilization Review, and Billing to ensure services are financially cleared and appropriately supported within the CareLogic and MethaSoft systems.

Requirements

Associate’s or Bachelor’s degree in Healthcare Administration, Business, or Social Services
Minimum of one (5)years’ experience in healthcare financial counseling, insurance verification, or revenue cycle operations
Working knowledge of Medicaid and behavioral health payer requirements
Strong communication and interpersonal skills
Ability to explain sensitive financial information clearly and compassionately
Proficiency in electronic health records, preferably CareLogic
Experience in behavioral health or community mental health settings
Experience assisting clients with Medicaid or public assistance programs

Responsibilities

Explain insurance benefits, copays, deductibles, coinsurance, andoutofpocketresponsibilities to patients and families
Review The Crossroads Center’s financial policies, self-pay options, and payment plans
Provide cost estimates when available and appropriate
Address financial concerns with empathy, professionalism, and sensitivity to mental health needs
Support continued engagement in services by reducing financial confusion and stress
Verify eligibility and coverage for mental health services before intake, admission, or scheduling
Confirm benefit limits, service coverage, network status, and authorization requirements
Identify coverage gaps and coordinate resolution before service delivery when possible
Communicate verification results to Admissions, Utilization Review, and Billing staff
Assist clients with Medicaid applications, renewals, and redeterminations
Educate clients on eligibility requirements and responsibilities to maintain coverage
Track application status and follow up to prevent lapse in benefits
Support enrollment in state, grant-funded, orprogram specificservices when applicable
Establish payment plans in accordance with The Crossroads Center’s financial policies
Collect copayments or required payments at the time of service when applicable
Serve as a liaison between clients and Billing to resolve account questions
Focus on proactive intervention to reduce future balances and avoid collections issues
Document all financial discussions, insurance verifications, and payment arrangements in CareLogic and MethaSoft
Ensure documentation meets payer, Medicaid, and organizational requirements
Maintain accurate, timely records to support clean claims and audit readiness
Maintain strict compliance with HIPAA, Medicaid regulations, and payer requirements
Protect the confidentiality of client financial and health information
Adhere to The Crossroads Center policies and procedures related to revenue cycle operations
Report potential eligibility or compliance concerns to the Revenue Cycle Manager
Collaborate with Admissions, Clinical Teams, Utilization Review, Billing, and Finance
Serve as a consistent financial resource for clients and staff
Escalate complex financial or eligibility issues appropriately
Identify trends related to uninsured clients, Medicaid eligibility issues, and access barriers
Participate in process improvement initiatives to strengthen financial clearance workflows
Provide feedback to leadership to support operational and financial improvement
Assisting the Revenue Cycle Manager as needed.