Diagnostic Authorizations & PT Coordinator

DocCare is an established primary care and multi-specialty medical practice with locations in Queens and Hauppauge, NY. We provide compassionate, high-quality healthcare to our patients. We are seeking a full-time Diagnostic Authorizations & PT Coordinator who will be responsible for coordinating and obtaining insurance authorizations for diagnostic and radiology services, as well as physical therapy services across all insurance plans. You will play a key role in supporting timely access to patient care, maintaining accurate authorization records, communicating with insurance carriers and administrative teams, and ensuring authorization requirements are followed. The ideal candidate is highly organized, detail-oriented, team-oriented, and able to work independently.

Responsibilities:

Diagnostic & Radiology Authorization Duties:

• Obtain and coordinate prior authorizations for radiology and diagnostic services based on individual insurance plan requirements.
• Verify insurance eligibility, benefits, authorization requirements, and applicable service or visit limitations.
• Submit authorization requests accurately and in a timely manner.
• Follow up with insurance carriers and authorization departments regarding pending requests, additional documentation, approvals, and denials.
• Track approved, pending, denied, and expired authorizations.
• Communicate authorization status and requirements to appropriate administrative personnel.
• Assist with resolving authorization issues and obtaining additional information or documentation when required.
• Maintain accurate and organized authorization records.

Physical Therapy Authorization Duties:

• Coordinate and obtain physical therapy authorizations for patients across all insurance plans.
• Verify whether prior authorization is required and determine plan-specific visit limits and authorization requirements.
• Submit initial and continued PT authorization requests and monitor their status.
• Track authorized visits, visits utilized, remaining visits, and authorization expiration dates.
• Follow up proactively on pending authorizations to minimize interruptions in patient care.
• Communicate authorization status and requirements to staff, patients and management.
• Assist with denied, delayed, or incomplete authorization requests.
• Maintain accurate PT authorization logs and documentation.
• Identify unresolved authorization concerns and escalate them to leadership as appropriate.

Administrative Duties:

• Utilize insurance portals, electronic medical records, and other systems to submit and track authorization requests.
• Maintain accurate patient and authorization information.
• Communicate professionally with insurance representatives, patients, providers, and internal departments.
• Ensure patient information is handled confidentially and in accordance with HIPAA requirements.

Other:

• Other related duties as assigned.

Education:

High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration, medical billing, or a related field preferred. Minimum of 3 years of prior experience in medical insurance authorizations required.

Minimum Requirements:

Must have a minimum of 3 years of prior experience in medical insurance authorizations, including experience with diagnostic/radiology and/or physical therapy authorizations. Must have experience working with multiple insurance plans and understanding payer-specific authorization requirements. Must have strong communication skills, with the ability to work collaboratively across departments. Must be highly organized with strong multitasking skills and a high level of attention to detail. Ability to work independently, prioritize responsibilities, and follow through on pending authorization requests. Excellent verbal and written communication skills required. Proficiency with Microsoft Office Suite, including Word and Excel. Prior experience working with an EHR system and insurance portals required. Ability to maintain confidentiality and handle sensitive patient information necessary. Must demonstrate strong problem-solving skills and the ability to identify and escalate authorization issues appropriately.

Preferred Qualifications:

Strongly preferred experience working in a private medical practice or physician’s office. Experience with both radiology/diagnostic and physical therapy authorizations strongly preferred. Experience working with a broad range of commercial, Medicare, Medicaid, and managed care insurance plans preferred. Spanish-speaking skills are a plus. Prior experience using EHR, Criterions, strongly preferred. Experience coordinating authorizations across multiple practice locations preferred.

Pay: $20.00 - $23.00 per hour

Expected hours: 35.0 – 40.0 per week

Benefits:

• 401(k)
• Dental insurance
• Employee discount
• Health insurance
• Paid time off
• Vision insurance

Experience:

• of prior experience in medical insurance authorizations: 3 years (Required)

Language:

• Spanish (Preferred)

Ability to Commute:

• Ridgewood, NY 11385 (Required)

Work Location: In person

Salary : $20 - $23