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Customer Experience Representative

Job Description - Customer Experience Representative

About the Role
We're looking for a Customer Experience Representative who's passionate about helping people and solving problems, with hands-on experience in physical therapy insurance verification and authorizations. In this role, you'll be the primary point of contact for our patients — ensuring every interaction is handled with professionalism, empathy, and efficiency, while also managing the insurance and authorization details that keep care on track. You'll play a key part in shaping how patients experience our company, from initial insurance verification through active treatment.

What You'll Do

  • First contact with scheduling patients and ensuring a positive experience

  • Following up with PTs regarding reschedules, documentation or communication between patient and PT

  • Verify physical therapy insurance benefits, including visit limits, co-pays, deductibles, and plan-specific coverage rules

  • Respond to patient inquiries via phone, email, and/or chat regarding insurance coverage, billing questions, and scheduling

  • Resolve patient issues and complaints efficiently, aiming for first-contact resolution

  • Accurately document all patient interactions, tickets, and resolutions in internal systems

  • Identify patterns in patient feedback or recurring issues and escalate to leadership

  • Collaborate with scheduling, revenue cycle management (RCM), and clinical teams to prevent care disruptions

  • Maintain a strong understanding of company services, payer policies, and procedures to provide accurate information

  • Meet or exceed individual performance metrics (response time, resolution time)


What We're Looking For


Required:

  • 3+ years of experience working within a physical therapy company or outpatient rehab setting

  • Direct experience verifying physical therapy-specific insurance benefits (visit limits, PT/OT/ST caps, co-insurance, deductibles)

  • Experience managing insurance authorizations, including tracking and renewing approvals

  • Strong customer service background, with the ability to communicate clearly and empathetically with patients

  • Excellent attention to detail and ability to manage multiple patient cases/tickets simultaneously

  • Strong written communication skills for accurate documentation and ticket notes

  • Comfortable working with customer support/ticketing software


Preferred:

  • Experience using Zendesk or a similar customer support/ticketing platform

  • Familiarity with Medicare and commercial payer requirements related to PT documentation and clinical holds

  • Experience working cross-functionally with scheduling, billing/RCM, or clinical teams

  • Bilingual candidates encouraged to apply


What Success Looks Like

  • Accurate, timely insurance verification that prevents downstream billing and scheduling issues

  • Authorizations tracked and renewed proactively, avoiding care disruptions

  • High customer satisfaction and strong first-contact resolution rate

  • Clean, complete documentation across all tickets and patient communication logs

  • Positive, proactive collaboration with cross-functional teams

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