Care Access & Insurance Authorization Specialist

GetHired, Inc.; New York (NY); On-site; USD 42,000 - 60,000; Full time

Job summary

GetHired, Inc. is seeking a meticulous Patient Eligibility and Authorization Liaison to verify insurance eligibility and benefits for physical therapy and related rehab services.

You will obtain pre-authorizations and referrals, and communicate coverage details to patients, including out-of-pocket costs. You will document all verifications in the EMR, track expirations, and collaborate with front-desk, billing and clinical teams to minimize denials.

Qualifications

• Experience with medical insurance verification and authorizations.
• Understanding of commercial plans, Medicare/Medicaid, and HMO/PPO structures.
• Attention to detail and strong organizational skills.
• Clear, professional communication with patients, payers, and staff.
• Experience with EMR/practice management and billing is a plus.

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.

Skills

Insurance verification

Authorizations

Benefits verification

Patient communication

EMR systems

Education

High school diploma

Tools

EMR software

Job description

GetHired, Inc. is seeking a meticulous Patient Eligibility and Authorization Liaison to verify insurance eligibility and benefits for physical therapy and related rehab services.

You will obtain pre-authorizations and referrals, and communicate coverage details to patients, including out-of-pocket costs. You will document all verifications in the EMR, track expirations, and collaborate with front-desk, billing and clinical teams to minimize denials.