Inpatient Hospital Representative

Inpatient Hospital Representative

Department: Eligibility
Reports To: Eligibility Supervisor / Manager
FLSA Classification: Non-Exempt

Job Summary

The Inpatient Hospital Representative supports PATHS’ mission by assisting patients and families in securing appropriate medical assistance and insurance coverage within inpatient and emergency department hospital settings. This role ensures accurate documentation, timely completion of applications, and compliance with HIPAA and healthcare regulations while contributing to patient advocacy and revenue cycle support for PATHS’ hospital clients.

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. To support this environment, PATHS provides a comfortable and progressive workplace that considers individual circumstances and employee needs.

Founded in 2000, PATHS offers a broad range of account receivable management, patient advocacy, and consultation services to meet the needs of our healthcare clients. Our four offices across PA, NJ, and DE are home to approximately 450 employees and support more than 100 client facilities. Our team has built long-term partnerships by cultivating a positive experience for both staff and clients.

Essential Duties & Responsibilities

• Assist patients with applying for Medical Assistance (Medicaid) in inpatient and emergency department hospital settings, both bedside and desk-based
• Verify patient health insurance coverage and eligibility
• Work with patients, family members, employers, banks, and federal/state agencies to obtain required documentation
• Accurately document patient and application information in multiple systems
• Perform administrative support tasks including faxing, filing, emailing, and phone communication
• Provide coverage at hospital facilities on an as-needed basis
• Meet established productivity and accuracy standards
• Complete all required initial PATHS training (HIPAA, compliance, security, client protocols, role-specific workflows) within onboarding timelines
• Participate in required ongoing training and demonstrate the ability to retain and apply new knowledge
• Perform other related duties as assigned

Supervisory Responsibilities

This position has no supervisory responsibilities.

Required Skills & Abilities

• Excellent verbal and written communication skills
• Strong interpersonal and customer service skills, with the ability to communicate effectively with diverse patient populations
• Ability to maintain confidentiality of protected health information (HIPAA compliance required)
• Strong organizational, analytical, and problem-solving skills
• Ability to meet monthly productivity requirements
• Proficiency with Microsoft Office applications, including Outlook, Word, and Excel
• EPIC system knowledge preferred but not required
• Ability to function well in a high-paced hospital environment and adapt to multiple client sites

Education & Experience

• High school diploma or GED required
• Prior healthcare, Medicaid eligibility, patient access, or revenue cycle experience preferred

Physical & Environmental Requirements

• Prolonged periods sitting at a desk and working on a computer
• Prolonged periods standing and walking while on site in the hospital
• Occasional lifting of up to 15 pounds
• Must have reliable transportation and a valid driver’s license to travel between PATHS’ Newark, DE office and client hospital facilities in Dover, DE
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Pre-Employment Requirements

Offers of employment are contingent upon successful completion of applicable pre-employment screenings consistent with federal, state, and local laws and role-specific requirements.
These may include criminal background check, drug screening, physical examination, PPD screening, and verification of immunization records.

Employment eligibility will be verified through the Form I-9 process and E-Verify.
Because PATHS operates in the healthcare industry, certain compliance-related screenings—including OIG/GSA exclusion checks and state Medicaid exclusion lists—may be conducted on a recurring basis as required by law, client contracts, and hospital compliance programs.

Compensation & Benefits

Compensation: $17.00 – $20.00/hour (actual range provided in postings as required by applicable pay transparency laws)

Benefits include:

• Paid Time Off (PTO)
• Paid Holidays
• Medical, Dental, and Life Insurance
• Short-Term Disability (STD)
• Long-Term Disability (LTD)
• 401(k) retirement plan with company match

Training & Work Schedule

• Training Schedule: Monday–Friday, 8:30 AM – 5:00 PM (Newark, DE office)
• Work Schedule: 8:00 AM – 4:30 PM or 8:30 AM – 5:00 PM

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.