Patient Eligibility and Authorization Liaison

Theradynamics; New York (NY); On-site; USD 45,000 - 60,000; Full time

Job summary

Theradynamics in New York is seeking a detail-oriented Patient Eligibility and Authorization Liaison to manage insurance eligibility checks, benefits verification, and authorizations for physical therapy.

You will collaborate with front desk, billing, and clinical teams to ensure smooth patient starts and accurate cost estimates, documenting everything in the EMR and reducing claim denials.

Qualifications

• Experience with medical insurance verification, authorizations, benefits, and eligibility.
• 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.
• Ability to work independently, prioritize tasks, and handle a fast-paced environment.
• Experience with EMR/practice management and billing systems 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

Authorization processing

Communication with patients

Attention to detail

Independent work

Billing systems experience

Tools

EMR / Practice management

Billing systems

Job description

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