ED Hospital Representative

ED Hospital Representative

Location: Dover, DE

Job Title: ED Hospital Representative

Department: Eligibility

Reports To: Eligibility Manager

Work Schedule: 8:00 AM – 4:30 PM or 8:30 AM – 5:00 PM

Training Schedule: 8:30 AM – 5:00 PM at our Newark, Delaware office.

This position is based at a hospital client site in Dover, DE and may require travel to other client facilities as needed. Mileage reimbursement is provided for approved business travel.

Job Summary

The ED Hospital Representative supports PATHS' mission by assisting patients and families in securing appropriate health coverage and financial assistance while receiving care in Emergency Department and inpatient hospital settings. This role serves as a patient advocate, helping individuals navigate Medical Assistance programs, verify insurance coverage, obtain necessary documentation, and complete eligibility applications. The position requires strong customer service skills, attention to detail, and the ability to work in a fast-paced healthcare environment.

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, with 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 applying for Medical Assistance in Emergency Department and inpatient hospital settings, both bedside and at designated workstations.
• Verify patient health insurance information and eligibility.
• Work with patients, family members, employers, financial institutions, and state or federal agencies to obtain required information and supporting documentation.
• Accurately document patient information and case activity in various systems.
• Complete administrative tasks including faxing, filing, emailing, scanning, and phone communications to facilitate application processing.
• Provide coverage at assigned hospital facilities and other client locations as needed.
• Maintain confidentiality of protected health information in accordance with HIPAA regulations.
• Meet established productivity, quality, and accuracy standards.
• Perform other duties as assigned.

Supervisory Responsibilities

This position has no supervisory responsibilities.