Jobs · OTHR · New York

Patient Eligibility and Authorization Liaison

Theradynamics · New York, NY · 5 days ago
OTHRFull-time

About the role

We are seeking a detail-oriented and experienced team member to join our physical therapy practice as a Patient Eligibility and Authorization Liaison. This role ensures a smooth start of care for our patients by handling insurance eligibility checks, benefits verification, and obtaining authorizations.

Responsibilities

  • Verify patients’ insurance eligibility and benefits for physical therapy (and related rehab) services.
  • Obtain pre-authorizations, referrals, and continued authorizations from insurance companies as required.
  • Communicate with patients regarding coverage details, deductibles, copays/coinsurance, and estimated out-of-pocket costs.
  • Clearly document all verification and authorization details in the EMR/practice management system.
  • Track authorization expirations and visit limits; notify clinical and front-desk staff as needed.
  • Collaborate with front-desk, billing, and clinical teams to support clean claims and reduce denials.
  • Respond to insurance and patient inquiries in a timely and professional manner.

Requirements

  • Prior experience with medical insurance verification, authorizations, benefits, and eligibility (preferred in PT/OT/ST or outpatient rehab).
  • Strong understanding of commercial plans, Medicare/Medicaid, and HMO/PPO structures.
  • Excellent attention to detail and strong organizational skills.
  • Clear, professional communication skills with patients, payers, and staff.
  • Ability to work independently, prioritize tasks, and handle a fast-paced environment.
  • Experience with EMR/practice management and billing systems is a plus.

Pay

All rates offered are based on position, years of applicable experience, and employment type. Rate ranges shown include levels for per diems with no benefits and Independent Contractors.

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