Hospital Representative

Description

Hospital Representative 

Location: Allentown, PA
Department: Eligibility
Reports To: Assistant Director of Eligibility
Schedule: Monday–Friday, 8:30 AM – 5:30 PM (Full-Time, On-Site)

Training Requirement:
New hires will complete paid training at our Allentown, PA office (Monday–Friday, 8:30AM - 5:00PM) for 8–12 weeks. Mileage reimbursement is provided during the training period.

Job Overview

PATHS, LLC is seeking a compassionate and detail-oriented Hospital Representative to support patients within hospital and healthcare facility settings. In this role, you will serve as a trusted resource—guiding patients and families through medical assistance applications, insurance verification, and benefit eligibility processes.

This is an excellent opportunity for professionals with experience in healthcare administration, patient advocacy, social services, or insurance billing who are motivated by making a meaningful impact in patients’ lives.

About PATHS, LLC

Physician and Tactical Healthcare Services (PATHS), LLC is committed to provide 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 account receivable management, patient advocacy, and consultation services to assist the needs of our healthcare clients. Our 4 offices in PA, NJ, and DE are home to 450 employees and that serve over 100 clients. Our team has built flourishing long-term partnerships with clients and staff by cultivating a great experience.

Key Responsibilities 

• Assist patients with applying for Medical Assistance (Medicaid) and other eligible hospital, state, or federal programs
• Conduct patient interviews in hospital or office settings to gather required information and complete applications
• Verify health insurance coverage and eligibility
• Accurately document patient information and complete assigned tasks in a timely manner
• Collaborate with patients, family members, employers, banks, and state/federal agencies to obtain necessary documentation
• Maintain compliance with all confidentiality and healthcare regulations
• Perform other related duties as assigned

Requirements

Required Qualifications 

• Excellent interpersonal skills both written and verbal
• Ability to work independently and as part of a team
• Trustworthy, detail oriented and organized
• Working knowledge of Microsoft applications: Outlook, Word, and Excel
• Ability to learn and work with multi-State Medicaid eligibility regulations  (previous Medicaid experience a plus)
• Work Schedule:  Monday- Friday 8:30AM-5:30PM
• Training Schedule: Monday - Friday 8:30AM - 5:00PM

Preferred Experience

• Healthcare  facility experience
• Insurance billing or revenue cycle management
• Medicaid eligibility or public assistance programs
• Patient  advocacy or social work background

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 screen, physical exam, PPD  screening, and 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 (e.g., OIG/GSA exclusion checks, state Medicaid exclusion lists) may be conducted on a recurring basis as required by federal and state law, client contracts, and hospital compliance programs.

Physical & Environmental Requirements

• Prolonged periods sitting at a desk and working on a computer.
• Frequent movement in hospital or office settings, including walking between patient  rooms and departments.
• Occasional lifting of up to 15 pounds.
• Must have reliable transportation and valid driver’s license for travel to client sites as required.
• Reasonable accommodations may be made to enable individuals with disabilities to  perform the essential functions.

Compensation & Benefits

• Hourly  Pay: $20–$22/hour (based on experience and in compliance with  state pay transparency laws)
• Benefits  Package Includes: 
• Paid  Time Off (PTO) & Paid Holidays
• Medical,  Dental, and Life Insurance
• Short-Term  and Long-Term Disability
• 401(k)  retirement 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.