Sleep Therapy Coordinator

About Us

At Sleep Doctor, we’re helping millions get a full night's rest. As the most trusted name in sleep health, we make better sleep possible with proven support, clear answers, and hands-on care that fits real life. Across our brands—SleepDoctor.com, SleepFoundation.org, and SleepApnea.org—we combine clinical expertise with consumer-first experiences to help people understand their sleep, tackle real challenges, and wake up to healthier, more energized lives. If you’re passionate about making better sleep possible—and want to help reshape the future of sleep care—we’d love to meet you.

The Role

The Sleep Therapy Coordinator owns the operational workflow from order intake through payer-required adherence monitoring. This role ensures every CPAP order is complete, billable, and compliant before shipment—and that every patient remains on track to meet insurance adherence requirements after setup.

On the front end, you manage intake inside of our DME software (NikoHealth), validating prescriptions, sleep studies, demographic data, and insurance coverage. You confirm eligibility, document benefits, secure required documentation, and prepare clean, audit-ready orders for fulfillment and billing.

On the back end, you actively monitor CPAP compliance for patients in their initial adherence window (including Medicare 90-day requirements). You review compliance status, identify patients trending non-adherent, and conduct outbound outreach to patients at risk of failing insurance requirements. You use standardized scripting and structured follow-up workflows to help patients improve usage and remain eligible for coverage.

You are accountable for:

• Clean documentation before shipment
• Accurate insurance verification before billing
• Proactive intervention when patients fall into non-compliant or “needs attention” status
• Maintaining audit-ready records across intake, billing, and compliance monitoring

What You Get To Do Every Day 

Order Intake

• Oversee the full patient and CPAP intake lifecycle, ensuring a seamless transition from referral to therapy start
• Validate prescriptions and sleep studies against payer requirements to ensure all clinical documentation is complete and compliant
• Coordinate directly with ordering physicians and referral sources to resolve incomplete or deficient documentation — including missing Rx elements, unsigned orders, or insufficient sleep study data — before orders advance
• Verify benefits and coverage criteria while documenting financial details and securing necessary prior authorizations
• Navigate payer-specific documentation requirements across Medicare and commercial insurers, including LCD criteria, prior auth protocols, and payer-specific coverage rules that vary from Medicare standards
• Execute accurate order entry within NikoHealth and coordinate with fulfillment teams to ensure timely delivery of equipment and supplies
• Handle all patient and order-related PHI in strict accordance with HIPAA requirements, and serve as a point of escalation for compliant handling of sensitive inquiries

CPAP Compliance Monitoring & Outreach

• Proactively track patient usage data during initial periods to identify those at risk of non-compliance and execute targeted outreach to prevent insurance coverage failure
• Use structured scripting to troubleshoot common therapy barriers — such as mask discomfort or pressure issues — and provide clinical education to improve nightly usage
• Maintain detailed interaction logs and adherence reports to ensure audit readiness and track overall outreach performance
• Act as a key point of contact for patients and referral sources regarding order status, insurance coverage, and HIPAA-compliant PHI inquiries
• Facilitate follow-up care through scheduled appointments while consistently meeting defined productivity, accuracy, and quality benchmarks

Resupply Coordination

• Track patient resupply eligibility and initiate outreach at appropriate intervals to ensure patients receive replacement supplies on schedule
• Coordinate with fulfillment to process resupply orders accurately and document all resupply activity within NikoHealth

Billing Support & Denial Triage

• Identify and flag claim documentation deficiencies before submission to reduce denial risk
• Support the billing team by triaging incoming denials — gathering documentation, clarifying order details, and escalating complex cases to billing or clinical staff as appropriate
• Recognize when a denial or coverage issue requires escalation versus resolution at the intake level, and route accordingly

What You Bring To The Role (Qualifications)

• 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

Who We Are

• We’re committed to a vision of millions waking rested and ready.
• We are Human First because our patients and teammates are why we’re here.
• We are growing rapidly but sustainably because we are committed to Relentless Progress.
• Run into a challenge or a new opportunity? We tackle it as a team because we know that we are Stronger Together.
• We embody rapid, sustainable growth. Run into a challenge or a new opportunity? Everyone on the team rolls up their sleeves and digs in.

Compensation Range

$25-32 per hour.  Note that final compensation is subject to the candidate’s specific qualifications and location, as well as the needs of the company.

The Company currently provides medical, vision, and dental insurance with 100% of the employee  medical, vision,   and   dental   premiums  covered   by   the   Company.  There is an option to participate in both a medical FSA and dependent care FSA. We offer a 401(k) plan, with fully matching contributions up to 3% of salary and 50% matching from 3% to 5% of salary.  You will be eligible for Paid Time Off in accordance with the company’s policies. Our Seattle-based employees will receive commuter benefits.

Sleep Doctor is committed to bringing together individuals from diverse backgrounds and perspectives. We strive to create an inclusive environment where everyone can thrive and be their authentic self, feel a sense of community, and do great work together. We are proud to be an equal opportunity employer open to all qualified applicants