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Sleep Therapy Coordinator
SleepDoctorSleep Therapy Coordinator managing CPAP order intake and adherence monitoring for Sleep Doctor. Ensuring compliance, accurate documentation, and patient outreach for better coverage eligibility.
About the role
Key responsibilities & impact- Own the operational workflow from order intake through payer-required adherence monitoring.
- Manage intake inside of DME software (NikoHealth), validating prescriptions, sleep studies, demographic data, and insurance coverage.
- Confirm eligibility, document benefits, secure required documentation, and prepare clean, audit-ready orders for fulfillment and billing.
- Actively monitor CPAP compliance for patients in their initial adherence window.
- Review compliance status, identify patients trending non-adherent, and conduct outbound outreach to patients at risk of failing insurance requirements.
- Use standardized scripting and structured follow-up workflows to help patients improve usage and remain eligible for coverage.
- Ensure clean documentation before shipment and accurate insurance verification before billing.
Requirements
What you’ll need- 3+ years of experience in DME, CPAP, sleep medicine, intake, insurance verification, or medical billing.
- Working knowledge of Medicare 90-day CPAP compliance requirements and LCD L33718 criteria.
- Working knowledge of commercial payer coverage policies, prior authorization requirements, and how they differ from Medicare standards.
- Experience managing insurance verification and documentation for DME claims across multiple payer types.
- Familiarity with DME resupply eligibility schedules and outreach workflows.
- Experience identifying claim documentation deficiencies and supporting denial resolution in coordination with a billing team.
- Comfort communicating directly with physician offices and referral sources to resolve incomplete or deficient order documentation.
- Comfort conducting proactive outbound calls focused on behavior change and adherence.
- Strong documentation discipline and attention to detail.
- Experience using DME-specific order management software; NikoHealth experience a plus.
- Ability to manage multiple active patient files simultaneously.
- Clear and direct communication skills with the ability to explain insurance coverage and financial responsibility in straightforward terms.
- Strong organizational and time management skills.
- Ability to work independently in a metrics-driven environment.
- Prolonged computer use and close visual review of documentation required.
Benefits
Comp & perks- Medical, vision, and dental insurance with 100% of employee medical, vision, & dental premiums covered by the Company.
- Option to participate in both a medical FSA and dependent care FSA.
- 401(k) plan, with fully matching contributions up to 3% of salary and 50% matching from 3% to 5% of salary.
- Eligible for Paid Time Off in accordance with the company’s policies.
- Commuter benefits for Seattle-based employees.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
DMECPAP complianceinsurance verificationmedical billingdocumentation managementclaim documentationprior authorizationoutreach workflowsadherence monitoringaudit-ready orders
Soft Skills
attention to detailclear communicationorganizational skillstime managementindependent workproactive outreachproblem-solvinginterpersonal skillsdocumentation disciplineability to manage multiple files