Account Representative​/Hospital Representative

Location: Newark, DE

Eligibility Services

Eligibility Manager

Monday -
Friday, 8:00
AM - 4:30
PM

This position will support Christiana Care Newark Emergency Department (CCHS Newark ED) accounts and may occasionally provide coverage at other assigned client locations as needed.

PATHS, LLC is seeking a Hospital Representative / Account Representative to support Eligibility Services for patients receiving care through Christiana Care Newark Emergency Department (CCHS Newark ED).

This position is responsible for screening uninsured and underinsured patients for government-sponsored healthcare programs, including Medicaid and other financial assistance programs. The Hospital Representative will work directly with patients in the Emergency Department, as well as conduct telephone outreach and follow-up with referred patients identified through hospital call reports.

The successful candidate will assist patients throughout the application process, including gathering required documentation, submitting applications to the appropriate state agencies, monitoring application status, and following up with state representatives as needed. This role requires excellent communication skills, attention to detail, and the ability to effectively interact with patients, healthcare staff, and government agencies in a fast-paced healthcare environment.

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 Pennsylvania, New Jersey, and Delaware are home to more than 450 employees serving over 100 healthcare clients. Our team has built long-term partnerships with clients and staff by cultivating a great experience and delivering exceptional service.

• Screen uninsured and underinsured patients for Medicaid, Charity Care, and other healthcare assistance programs.
• Meet with patients bedside in the Emergency Department to obtain demographic, financial, and insurance information.
• Conduct telephone outreach to referred patients generated through hospital call reports.
• Follow up with patients regarding eligibility requirements, requested documentation, and application status.
• Verify insurance coverage and identify available healthcare assistance programs.
• Obtain, review, and organize required documentation for application submission.

• Complete and submit Medicaid and other assistance program applications accurately and timely.
• Monitor submitted applications and follow up with state agencies regarding pending eligibility determinations.
• Maintain detailed notes and documentation regarding patient interactions and application status.
• Communicate eligibility outcomes and next steps to patients and hospital staff as appropriate.
• Ensure all applications are completed in accordance with state and federal regulations.

• Accurately document all patient encounters and account activity in designated systems.
• Perform administrative duties including faxing, filing, emailing, scanning, and telephone communication.
• Maintain compliance with HIPAA, PATHS policies, client requirements, and healthcare regulations.
• Complete all required onboarding and ongoing training programs.
• Meet productivity, quality, and accuracy standards established by PATHS and the client facility.
• Perform other duties as assigned.

• Ability to effectively communicate healthcare assistance options in a clear and…