Patient Care Representation Job

About the role

We’re seeking a Patient Care Representative with a strong background in insurance verification and authorizations to support our mission of helping patients move, live, and feel their best. This role is focused on the coordination of patient care in a physical therapy clinic, not sales.

Responsibilities

• Verify insurance benefits daily using payer portals and direct calls
• Schedule therapy sessions with patients, based on Plan of Care created by clinicians
• Obtain and track authorizations for therapy services
• Submit and monitor authorization requests for timely approvals
• Provide accurate verification/authorization details to clinic staff
• Follow up on marketing leads and convert inquiries into scheduled evaluations
• Communicate professionally with patients and carriers

Requirements

• Minimum 1+ years of recent, full-time insurance verification and authorization experience in a physician practice, specialty clinic, hospital, or home health setting
• Bilingual (Spanish/English) speaking candidates will receive $750 signing/retention bonus after six months of employment

Preferred Experience

• Bilingual (Spanish/English) speaking candidates will receive $750 signing/retention bonus after six months of employment

What We Offer

• $20–$25/hour (based on experience)
• Performance & Productivity Bonuses
• Flexible Schedule Options, including potential 3-day weekends
• 3 Weeks Paid Time Off (PTO) + paid holidays (depending upon schedule)
• $400 Monthly Stipend for health insurance
• Tuition Reimbursement Plan
• Future Profit-Sharing Opportunities
• Supportive, family-like team culture that values your ideas and individuality

What You'll Bring

• 2+ years of full-time insurance verification and authorization experience in a physician, medical specialty, hospital, or home health setting
• Strong knowledge of insurance plan terminology, billing guidelines, claims processing, and EOBs
• Hands-on experience with payer portals and high-volume insurance calls
• Excellent communication, accuracy, and deadline management skills
• Proficiency in Microsoft Excel, Word, Outlook and EMR system
• Schedule patients; coordinate evaluations, re-evaluations, appointment reminders and cancellations
• Gather new patient data; keep track of all patient referrals
• Follow-up on marketing leads, converting 50% to evaluations
• Contact insurance payers to determine patient eligibility of benefits and co-pays
• Disseminate information to patients; act as a go-between for patients and physicians
• Collect all payments; insurance verification
• Collect/open mail; distribute mail to proper areas/people
• Work closely with billing company to ensure accurate and timely billing