Insurance & Patient Access Coordinator

Insurance & Patient Access Coordinator

The Insurance & Patient Access Coordinator is responsible for supporting front desk operations through the timely and accurate completion of insurance authorizations, referral management, and benefit verification. This role serves as a liaison between patients, providers, and payers to ensure coverage requirements are met prior to service delivery. The position also provides intermittent front desk coverage across clinic locations to support patient access functions and maintain continuity of care.

Primary Responsibilities:

• Coordinates and obtains prior authorizations in accordance with payer guidelines and service requirements
• Reviews, processes, and tracks incoming referrals to ensure completeness and compliance
• Performs comprehensive insurance benefit verification, including eligibility, coverage limitations, and patient financial responsibility
• Communicates effectively with insurance carriers, patients, and clinical staff regarding authorization status, coverage, and required documentation
• Accurately documents all interactions and updates within the electronic medical record (EMR) and related systems
• Identifies and escalates authorization or coverage issues that may impact patient care or reimbursement
• Provides cross-coverage for front desk operations as needed, including patient registration, scheduling, check-in/check-out, and inbound/outbound call management
• Travels to assigned clinic locations as necessary to support staffing needs (mileage reimbursement provided)

Minimum Qualifications:

• High school diploma or equivalent required; associate degree or higher preferred
• Minimum of 12 years of experience in healthcare patient access, insurance verification, or revenue cycle functions
• Working knowledge of insurance plans, authorization processes, and referral requirements (Physical Therapy experience preferred)
• Familiarity with medical terminology

Required Skills & Competencies:

• Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment
• Familiarity with Microsoft Office applications
• Effective verbal and written communication skills, with professional phone etiquette
• Attention to detail and commitment to accuracy
• Ability to work independently and collaboratively within a team setting
• Flexibility to adapt to changing clinic and patient needs

Working Conditions:

• Hybrid - Home and office-based with some interaction with patients and staff
• Provide 8 days of front office coverage within clinic locations each month, as needed.
• May require travel between clinic locations

Benefits:

• Group health, dental and vision insurance
• Paid leave
• Paid holidays
• Uniform reimbursement
• Mileage reimbursement
• Paid parental leave
• 401k and matching 401k program

Cypress Physical Therapy specializes in providing personalized physical therapy services and sports rehab regardless of age, activity level, or prior level of function. Cypress Physical Therapy is not just a place; it's a community of compassionate professionals driven by a singular purpose to guide you on your path to optimal health. With a legacy of excellence in physical therapy treatments, our team is united by the belief that everyone deserves to live life to the fullest.

Cypress Physical Therapy