Job Title: SSI Account Representative
Department: Eligibility
Reports To: Office Manager
FLSA Classification: Non-Exempt
 

Job Summary

The SSI Account Representative supports PATHS' mission by assisting patients in applying for Supplemental Security Income (SSI) benefits and identifying available financial resources. This role works directly with patients, families, healthcare providers, and insurance representatives to facilitate benefit applications, provide financial advocacy services, and ensure accurate documentation while maintaining compliance with HIPAA and healthcare regulations. The position is based out of PATHS' Allentown, PA office and supports patient advocacy and eligibility efforts for healthcare clients throughout the region.

Company Information

Physician and Tactical Healthcare Services (PATHS), LLC is committed to provide 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; 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 account receivable management, patient advocacy, and consultation services to assist the needs of our healthcare clients. Our 4 offices in PA, NJ, and DE are home to 400 employees and serve over 100 clients. Healthcare providers we service include hospitals, physician groups, rehabilitation facilities, skilled nursing facilities, clinics, emergency departments, medical transport, home health, and behavioral health providers.

Essential Duties & Responsibilities

• Assist patients in applying for Supplemental Security Income (SSI) benefits.
• Counsel patients regarding medical bills, insurance benefits, and available financial assistance programs.
• Work directly with patients, physicians, nursing staff, pharmaceutical companies, and insurance carriers to obtain and verify required information.
• Travel  to client facilities and healthcare provider locations as needed to provide patient support and program coverage.
• Maintain accurate and timely documentation in accordance with PATHS policies, client requirements, and HIPAA regulations.
• Monitor application progress and follow up with patients and external agencies as necessary.
• Meet established productivity, documentation, and quality standards.
• Complete all required initial PATHS training (HIPAA, compliance, security, client  protocols, role-specific workflows) within onboarding timelines.
• Participate in required ongoing training (compliance updates, client requirements, systems changes) and demonstrate ability to retain and apply new knowledge in daily work.
• Perform other related duties as assigned. 

Supervisory Responsibilities

This position has no supervisory responsibilities.

Required Skills & Abilities

• Excellent verbal and written communication skills.
• Excellent interpersonal and customer service skills, including the ability to interact with diverse patient populations and healthcare professionals.
• Ability to maintain confidentiality of protected health information (HIPAA compliance required).
• Strong organizational, analytical, and problem-solving skills.
• Strong attention to detail with the ability to manage multiple priorities.
• Ability  to meet established productivity and accuracy standards.
• Proficient with Microsoft Office Suite (Outlook, Word, Excel); familiarity with healthcare systems and payer portals preferred.
• Ability to function well in a fast-paced healthcare environment and adapt to multiple client sites.

Education & Experience

• High  school diploma or GED required.
• Previous social work experience preferred.
• Experience working in a healthcare facility, insurance billing, Medicaid eligibility, patient advocacy, or social services preferred.
• Experience working with government assistance programs or SSI applications preferred.
• Valid  driver's license, reliable vehicle, and current automobile insurance required.

Physical & Environmental Requirements

• Prolonged  periods sitting at a desk and working on a computer.
• Frequent movement throughout hospitals and healthcare facilities.
• Regular interaction with patients, families, and healthcare professionals.
• Occasional lifting of up to 15 pounds.
• Must have reliable transportation and valid driver's license for travel to client facilities and healthcare provider locations as required.
• 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 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.

Proof of COVID-19 vaccination is required.

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: $20.00 - $22.00 per hour (actual range provided in postings as required by applicable state pay transparency laws).

Benefits include:

• Paid Time Off
• Paid Holidays
• Medical Insurance
• Dental Insurance
• Life Insurance
• Long-Term Disability (LTD)
• 401(k)  Plan with Company Match

Work Schedule: Monday-Friday, 8:00 AM – 4:30 PM

Work Location: Allentown, PA

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.