Job Description

Patient Financial Services, Associate - Insurance

POSITION SUMMARY:Under the direction of the PFS Team Lead and/or PFS Assistant Director, the Patient Financial Services (PFS) Associate is responsible for the accurate and timely review, billing, follow‑up, and resolution of assigned third‑party and/or patient accounts. This includes high‑dollar and complex service claims, ensuring that responsible payers are billed correctly and that payment is secured in accordance with payer requirements and organizational standards. JOB DUTIES & ESSENTIAL FUNCTIONS:The PFS Associate actively manages account activity throughout the revenue cycle by performing account analysis, follow‑up, and resolution, and by documenting all claim statuses, actions taken, and outcomes clearly and accurately within the patient accounting systems. The role requires independent judgment to identify billing errors, underpayments, and claim delays, and to take appropriate corrective action to promote clean claim resolution and timely reimbursement. The PFS Associate ensures a high level of customer satisfaction by providing timely, accurate, and professional responses to patient inquiries, requests for information, and claim appeals. This includes explaining account balances, insurance determinations, and billing outcomes in a clear and compassionate manner, while adhering to privacy, compliance, and customer service standards. In addition, the PFS Associate is responsible for identifying and analyzing complex claim issues, denial patterns, payment variances, and payer trends, and for communicating findings to leadership. The Associate escalates unresolved or high‑risk issues as appropriate and contributes recommendations to improve billing accuracy, workflow efficiency, and overall revenue cycle performance. This role requires a working knowledge of payer regulations, billing processes, and revenue cycle workflows, and plays a critical role in safeguarding hospital reimbursement and financial integrity.REQUIRED EXPERIENCE AND QUALIFICATIONS:High School diploma or equivalent.Must have 3+ years prior healthcare billing experience and knowledge of medical terminology.Knowledge of Word and Excel applications.Must be able to adapt to system changes, manage heavy call volume, be a self-starter, organized, detail oriented.PREFERRED EXPERIENCE AND QUALIFICATIONS:College degree and or certifications in billing and coding.Bilingual. PHYSICAL DEMANDS:Lift stored document boxes up to 10 lbs.As part of employment at Southampton Hospital, there may be occasions when travel to other locations is needed to support operational needs.Special Notes: Resume/CV should be included with the online application. Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.All Hospital positions may be subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair. This function/position maybe designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities. Anticipated Pay Range:The starting salary range (or hiring range) for this position has been established based on relevant experience.The above salary range (or hiring range) represents SBSH’s good faith and reasonable estimate of the range of possible compensation at the time of posting.Your total compensation goes beyond the number in your paycheck!Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Southampton Hospital’s Employee Health Services*Complete electronic reference check with a minimum of three (3) professional references.Successfully complete a 4 panel drug screen*Meet Regulatory Requirements for pre-employment screenings.Provide a copy of any required New York State license(s)/certificate(s).Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. *The hiring department will be responsible for any fee incurred for examination. Company Overview:Stony Brook Southampton Hospital as part of Stony Brook Medicine provides direct access to the highest level of academic-based medical care. Located in the heart of the village of Southampton, two hours from New York City, the hospital provides healthcare services to a diverse community of year-round residents, second homeowners and vacationers. The population, about 75,000 in the winter months, increases sharply to more than 300,000 in the summer. Stony Brook Southampton Hospital has been recognized as a Long Island Top Workplace by Newsday among large employers (defined as having 500+ employees). StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duty organized and registered under the New York Professional Employer Organization Law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Southampton employees and responsible for employment, including, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining. StaffCo is fully responsible for providing all payroll and human resource services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits.  SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.  Given StaffCo’s employment responsibilities, it is deemed the “employer” for employment and labor law purposes.  Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY.  The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board.Stony Brook Medicine is committed to excellence in diversity and the creation of an inclusive learning and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.Stony Brook Southampton Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.

Job Number

2603347

Job Field

: Clerical/Secretarial

Primary Location

: US-NY-Southampton

Department/Hiring Area: Patient Financial Services

Schedule

: Full-time

Shift

:Day Shift Shift Hours: 08:00 AM - 04:00 PM

Posting Start Date

: Sep 18, 2026

Posting End Date

: Oct 19, 2026, 3:59:00 AM

Salary:$26.56 - $28.52 / hour