Patient Financial Services, Associate - Insurance

Patient Financial Services, Associate - InsuranceUnder 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.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.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.Job Field: Clerical/SecretarialPrimary Location: US-NY-Southampton Department/Hiring Area: Patient Financial ServicesSchedule: Full-timeShift: Day Shift Shift Hours: 08:00 AM - 04:00 PMPosting Start Date: Sep 18, 2026Posting End Date: Oct 19, 2026, 3:59:00 AM Salary: $26.56 - $28.52 / hour