Hospital Representative at PATHS in Lancaster, PA

Description

 Job Title: Hospital Representative
Department: Eligibility
Location: Lancaster, PA
Work Schedule: Full Time / In Person – Monday–Friday, 8:00 AM – 4:30 PM
Willingness to work weekends and holidays required
Reports To: Eligibility Manager

Who We Are
Founded in 2000, Physician and Tactical Healthcare Services (PATHS, LLC) 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 PA, NJ, and DE are home to over 400 employees and serve more than 100 clients, including hospitals, physician groups, rehabilitation facilities, skilled nursing facilities, clinics, emergency departments, medical transport, home health, and behavioral health providers.

Job Summary
PATHS, LLC is seeking a Hospital Representative to assist patients in applying for Medical Assistance and other applicable state or federal programs. This role works directly with patients in hospital and office settings to complete eligibility applications, verify insurance coverage, and obtain required documentation while meeting productivity and compliance standards.

Essential Duties & Responsibilities

• Assist patients with applying for Medical Assistance and other applicable hospital, state, or federal programs.
• Interview patients in hospital or office settings to obtain and complete required application information.
• Verify patient health insurance coverage and eligibility.
• Work with patients, family members, employers, banks, and federal or state offices to obtain additional required information.
• Maintain accurate documentation in accordance with PATHS policies and HIPAA requirements.
• Meet weekly and monthly productivity goals.
• Complete all required initial and ongoing PATHS training, including compliance and role-specific workflows.
• Perform other duties as assigned.

Requirements

REQUIREMENTS

Qualifications  

• Minimum of two (2) years of experience in an office environment required.  
• Strong customer service skills with excellent written and verbal communication abilities.  
• Detail-oriented with the ability to multitask in a fast-paced environment.  
• Ability to meet productivity standards and deadlines.  
• Willingness to work weekends and holidays as required.  
• Ability to learn and work with multi-state Medicaid eligibility regulations (previous Medicaid experience preferred).  
• Working knowledge of Microsoft Outlook, Word, and Excel.

Training Requirement  

Must be available to train in the Allentown, PA office Monday–Friday, 8:00 AM – 4:30 PM for approximately 4-8 weeks.

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.

Compensation & Benefits

--- Compensation: $23-$25/hour (actual range provided in postings as required by applicable state pay transparency laws).

--- Benefits include: Paid Time Off, Paid Holidays, Medical, Dental, Life Insurance, Short-Term Disability (STD), Long-Term Disability (LTD), and a 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.