Healthcare Eligibility & Coverage Specialist

Physician and Tactical Healthcare Services, LLC; Lumbrook (DE); On-site; USD 35,000 - 42,000; Full time

Benefits offered by this job

Paid Time Off

Paid Holidays

Medical Insurance

Dental Insurance

Life Insurance

STD

LTD

401(k) with match

Job summary

PATHS, LLC in Newark, Delaware is seeking an Account Representative to support eligibility efforts. The role focuses on assisting patients with Medicaid applications, resolving billing issues, and advocating for financial resources while ensuring HIPAA compliance and accurate documentation.

The position requires strong communication, organizational skills, and the ability to travel to client sites as needed.

Qualifications

• High school diploma or GED required.
• HIPAA compliance and patient privacy awareness.
• Proficiency with Microsoft Office; EMR and payer portals preferred.

Responsibilities

• Contact patients to assist with Medicaid applications.
• Verify patient health insurance information and eligibility.
• Coordinate with patients, employers, banks and offices for information.
• Document data accurately in systems and maintain records.
• Handle tasks like faxing, filing, emailing, and calls to complete applications.
• Provide coverage at hospital facilities, traveling to client locations as needed.
• Perform other related duties as assigned.

Skills

Verbal communication

Written communication

HIPAA compliance

Organizational skills

Microsoft Office

EMR & payer portals

Reliable transportation

Education

High school diploma or GED

Tools

Microsoft Office Suite

EPIC/EMR system

Job description

PATHS, LLC in Newark, Delaware is seeking an Account Representative to support eligibility efforts. The role focuses on assisting patients with Medicaid applications, resolving billing issues, and advocating for financial resources while ensuring HIPAA compliance and accurate documentation.

The position requires strong communication, organizational skills, and the ability to travel to client sites as needed.