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Sleep Therapy Coordinator
SleepDoctor. Own the operational workflow from order intake through payer-required adherence monitoring.
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