Hospital Representative

Description

Hospital Representative

Thomas Jefferson University Hospital – Philadelphia, PA

Department: Eligibility

Reports To: Eligibility Manager

Work Schedule

Monday – Friday: 8:00 AM – 4:30 PM
Rotating Saturday and Sunday shifts: 9:00 AM – 1:00 PM (as scheduled)

Training Schedule: Monday – Friday, 8:00 AM – 4:30 PM in our Cherry Hill, NJ office for approximately 6–8 weeks. Mileage reimbursement available for training travel.

Job Summary

The Hospital Representative supports PATHS' mission by assisting patients and families in securing appropriate health coverage, resolving billing issues, and advocating for financial resources. This role ensures accurate documentation, compliance with HIPAA and healthcare regulations, and contributes to timely revenue recovery for PATHS' healthcare clients. The position is based onsite at Thomas Jefferson University Hospital in Philadelphia, PA and serves as a liaison between patients, families, healthcare providers, and government assistance programs.

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 in applying for Medical Assistance and other applicable hospital, state, or federal assistance programs.
• Interview patients in a hospital setting to obtain information and complete required eligibility and financial assistance forms.
• Verify insurance coverage and eligibility information.
• Work directly with patients, family members, employers, financial institutions, and governmental agencies to obtain required documentation.
• Maintain accurate patient records and documentation in accordance with HIPAA and organizational standards.
• Communicate professionally with hospital staff, case managers, social workers, and healthcare providers.
• Follow established procedures for account follow-up and case management.
• Perform other related duties as assigned.

Supervisory Responsibilities

This position has no supervisory responsibilities.

Requirements

Required Skills & Abilities

• Excellent verbal and written communication skills.
• Ability to complete training in the Cherry Hill, NJ office for approximately 6–8 weeks.
• Bilingual (English/Spanish) preferred.
• Excellent interpersonal and customer service skills, including the ability to interact with diverse patient populations and healthcare professionals.
• Ability to maintain confidentiality of protected health information (HIPAA compliance required).
• Strong organizational, analytical, and problem-solving skills.
• Ability to meet established productivity and accuracy standards.
• Proficient with Microsoft Office Suite (Outlook, Word, Excel); familiarity with EMR systems and payer portals preferred.
• Ability to learn and work with Medicaid eligibility regulations and healthcare assistance programs.
• Ability to function effectively in a fast-paced healthcare environment.
• Strong attention to detail and ability to manage multiple priorities simultaneously.

Education & Experience

• High School Diploma or GED required.
• Previous healthcare, patient advocacy, eligibility, customer service, or related experience preferred.
• EPIC and/or EMR system knowledge preferred.
• Medicaid eligibility experience is a plus.

Physical & Environmental Requirements

• Prolonged periods sitting at a desk and working on a computer.
• Frequent movement throughout hospital and office environments, including walking between patient rooms and departments.
• Occasional lifting of up to 15 pounds.
• Must have reliable transportation and a valid driver's license.
• 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: $20.00 – $23.00 per 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.