Patient Eligibility and Authorization Liaison
Theradynamics • New York, NY19d
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Patient Eligibility and Authorization Liaison
Theradynamics•New York, NY
About The Position
Theradynamics is seeking a detail-oriented and experienced team member to join its physical therapy practice as a Patient Eligibility and Authorization Liaison. The role handles insurance eligibility checks, benefits verification, and authorizations to help ensure a smooth start of care for patients. The liaison documents coverage and authorization information, tracks authorization limits and expiration dates, communicates with patients and insurers, and works with front-desk, billing, and clinical teams to support clean claims and reduce denials.
Requirements
- Prior experience with medical insurance verification, authorizations, benefits, and eligibility; experience in physical, occupational, or speech therapy or outpatient rehabilitation is preferred.
- Strong understanding of commercial plans, Medicare and 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.
Nice To Haves
- Experience with EMR, practice management, and billing systems.
Responsibilities
- Verify patients’ insurance eligibility and benefits for physical therapy and related rehabilitation services.
- Obtain pre-authorizations, referrals, and continued authorizations from insurance companies as required.
- Communicate coverage details, deductibles, copays or coinsurance, and estimated out-of-pocket costs to patients.
- Document verification and authorization details in the EMR or practice management system.
- Track authorization expiration dates and visit limits and 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.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
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