Patient Eligibility and Authorization Liaison

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

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