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.
