Hospital Representative/Field Representative

Description

Hospital Representative / Field Representative

Allentown, PA

Department

Eligibility

Reports To

Eligibility Manager

Work Schedule

Monday – Friday, 8:00 AM – 4:30 PM

This position is based out of PATHS' Allentown, PA office and requires regular travel to assigned hospital client sites throughout Pennsylvania, New Jersey, and Delaware. Mileage reimbursement is provided for approved business travel.

Job Summary

The Hospital Representative / Field Representative supports PATHS' mission by assisting patients and families in securing appropriate health coverage and financial assistance while providing both office-based and on-site support to hospital clients.

The representative works directly with patients, family members, healthcare providers, government agencies, and other third parties to facilitate Medicaid and other assistance applications, verify insurance coverage, obtain required documentation, and follow up on pending eligibility cases.

Field responsibilities include traveling between assigned client locations, meeting with patients and hospital staff, obtaining and transporting required documentation, providing on-site case follow-up, and serving as a liaison between PATHS and its hospital partners.

This position requires excellent customer service, flexibility, organization, confidentiality, and the ability to work independently across multiple client sites.

Company Information

Physician and Tactical Healthcare Services (PATHS), LLC is committed to providing the best possible environment for maximum development and goal achievement for all employees. Our practice is to treat each employee as an individual. We seek to develop a spirit of teamwork; individuals working together to attain a common goal. In order to maintain an atmosphere where these goals can be accomplished, PATHS provides a comfortable and progressive workplace. We take into account individual circumstances and the individual employee.

Founded in 2000, PATHS offers a broad range of accounts receivable management, patient advocacy, and consultation services to assist the needs of our healthcare clients. Our four offices in Pennsylvania, New Jersey, and Delaware are home to more than 450 employees serving over 100 healthcare clients. Our team has built flourishing long-term partnerships with clients and staff by cultivating a great experience.

Essential Duties & Responsibilities

• Assist patients with Medical Assistance and other applicable assistance programs.
• Interview patients and gather information needed to complete eligibility applications.
• Verify insurance coverage and eligibility information.
• Work with patients, families, employers, financial institutions, and government agencies to obtain required documentation.
• Travel to assigned hospital and client locations throughout Pennsylvania, New Jersey, and Delaware.
• Pick up, deliver, and securely transport case-related documents between approved locations.
• Conduct in-person follow-up with patients and hospital staff regarding outstanding documentation and eligibility cases.
• Provide on-site Field Representative coverage at assigned hospital locations.
• Serve as a liaison between PATHS and hospital staff, including case managers, social workers, nursing staff, and other healthcare professionals.
• Accurately document patient information, case activity, field visits, and follow-up efforts.
• Communicate eligibility requirements, application status, and next steps to patients.
• Manage assigned cases and field responsibilities independently.
• Meet established productivity, quality, and performance standards.
• Maintain patient confidentiality and comply with HIPAA and applicable federal and state requirements.
• Maintain a valid driver's license, reliable transportation, and automobile insurance.
• Perform other duties as assigned.

Requirements

Supervisory Responsibilities

This position has no supervisory responsibilities.

Required Skills & Abilities

• Excellent verbal and written communication skills.
• Strong customer service and interpersonal skills.
• Ability to work independently while managing responsibilities across multiple client locations.
• Strong organizational, analytical, and problem-solving skills.
• Ability to learn and apply Pennsylvania, New Jersey, and Delaware Medicaid eligibility guidelines and related assistance programs.
• Proficiency with Microsoft Outlook, Word, and Excel.
• Experience with EPIC, Soarian, PROMISE, NJMMIS, or other healthcare systems preferred.
• Strong attention to detail and commitment to accuracy.
• Ability to maintain confidentiality and comply with HIPAA requirements.
• Ability to adapt to changing priorities and work in a fast-paced healthcare environment.
• Must possess a valid driver's license, reliable transportation, and maintain automobile insurance.

Education & Experience

• High School Diploma or GED required.
• Associate's degree preferred.
• Previous experience in Medicaid Eligibility, Patient Advocacy, Financial Counseling, Healthcare Registration, Customer Service, or a related healthcare field preferred.
• Multi-state Medicaid eligibility experience is a plus.
• Experience working in a hospital or healthcare environment preferred.

Physical & Environmental Requirements

• Prolonged periods sitting at a desk and working on a computer.
• Frequent standing and walking within hospital environments.
• Regular travel to hospital client sites and PATHS offices.
• Frequent movement between patient rooms, nursing units, emergency departments, and administrative offices.
• Occasional lifting of up to 15 pounds.
• Must possess a valid driver's license and reliable transportation.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Pre-Employment Requirements

Offers of employment are contingent upon successful completion of applicable screenings consistent with federal, state, and local laws.

Screenings may include:

• Criminal background check
• Drug screening
• Physical examination
• PPD screening
• Verification of immunization records (role-specific)

Employment eligibility will be verified through I-9/E-Verify.

Because PATHS operates in the healthcare industry, certain screenings, including OIG/GSA exclusion checks and state Medicaid exclusion reviews, may be conducted on a recurring basis as required by federal and state laws, client contracts, and hospital compliance programs.

Compensation & Benefits

Compensation: $20-$22/hour

Benefits include:

• Paid Time Off (PTO)
• Paid Holidays
• Medical Insurance
• Dental Insurance
• Life Insurance
• Short-Term Disability (STD)
• Long-Term Disability (LTD)
• 401(k) Plan with Company Match

EEO & Compliance Statement

PATHS is an Equal Opportunity Employer and complies with all applicable federal, state, and local employment laws. We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, or any other status protected by applicable law. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position.