Patient Eligibility and Authorization Liaison

Theradynamics; New York (NY); On-site; USD 42,000 - 66,000; Full time

Job summary

Theradynamics is seeking a detail-oriented Patient Eligibility and Authorization Liaison to ensure accurate eligibility checks, benefits verification, and timely authorizations for physical therapy patients.

You will verify coverage, obtain pre-authorizations, and clearly communicate costs to patients while documenting all data in the EMR. The role requires strong organization, clear communication, and the ability to work with a multidisciplinary team.

Qualifications

• Prior experience with medical insurance verification, authorizations, benefits, and eligibility.
• Strong understanding of commercial plans, Medicare/Medicaid, and HMO/PPO structures.
• Excellent attention to detail and strong organizational skills.
• Clear, professional communication with patients, payers, and staff.

Responsibilities

• Verify patients’ insurance eligibility and benefits for physical therapy and rehab services.
• Obtain pre-authorizations, referrals, and continued authorizations from insurers as required.
• Communicate coverage details, deductibles, copays/coinsurance, and estimated out-of-pocket costs to patients.
• Document all verification and authorization details in the EMR/practice management system.
• Track authorization expirations and visit limits; notify 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

Documentation in EMR

Attention to detail

Communication

Independent work

Tools

EMR systems

Billing systems

Job description

Patient Eligibility and Authorization Liaison

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 is responsible for insurance eligibility checks, benefits verification, and obtaining authorizations to ensure a smooth start of care for our patients.

Key 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.

Qualifications

• 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.
• 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