Coordinator, Sleep Study

Connecticut, LLC; Orange (CT); On-site; USD 52,000 - 66,000; Full time

Job summary

PACM, Inc. in Orange, CT is seeking a Sleep Study Coordinator to manage referrals, schedule in-lab and home studies, verify insurance, obtain prior authorizations, and liaise with patients and providers to ensure a seamless care pathway from referral to testing.

The role travels weekly between Orange and Guilford locations with reliable transportation required. The position requires EMR experience (EPIC preferred) and a background in healthcare administration or related field, with strong

Qualifications

• Associate degree in healthcare administration or related field is required.
• Minimum of 2 years healthcare administrative, scheduling, referral coordination or insurance authorization experience.
• Experience with insurance verification and prior authorization processes.
• EMR experience, preferably EPIC.
• Strong organizational, communication and customer service skills.

Responsibilities

• Coordinate and manage sleep study referrals from providers and schedule in-lab and home studies promptly.
• Ensure all required documentation, clinical notes and orders are obtained prior to scheduling.
• Monitor referral and testing work queues to ensure timely completion and track status from referral through result.
• Coordinate follow-up appointments with providers after testing and communicate instructions to patients.
• Verify patient insurance eligibility and benefits for sleep-related services; obtain prior authorizations.
• Submit required documentation to carriers and monitor authorization status; address denials and requests.
• Maintain accurate EMR documentation of verification and authorization activity; serve as primary patient contact.
• Respond to patient inquiries promptly, educate on testing procedures and next steps; collaborate with providers and nursing staff.
• Maintain accurate patient records and scheduling information; generate reports and track KPIs related to scheduling and approvals.
• Ensure documentation meets organizational, payer and regulatory requirements; participate in quality improvement initiatives.

Skills

Organization

Communication

Customer service

Payer requirements knowledge

Multitasking

Education

Associate degree in healthcare administration

High school diploma or equivalent

Experience in sleep medicine

Tools

EPIC EMR

Microsoft Office

Job description

PACT and PACT MSO Pulmonary Orange, CT 06477, USA

• On-site
• Administrative Support for Medical Practices
• Full-Time
• Requisition #: COORD001852

Description

Summary

The Sleep Study Coordinator is responsible for coordinating all aspects of sleep study services, including patient scheduling, insurance verification, prior authorization acquisition, referral management, and communication with patients, providers, and sleep testing vendors. This role serves as a key liaison to ensure a seamless patient experience from referral through testing and follow-up care while maintaining compliance with payer requirements and organizational standards. The position travels between the Orange and Guilford locations weekly. Reliable transportation is required.

Sleep Study Coordination

• Coordinate and manage sleep study referrals from providers.
• Schedule in-lab and home sleep studies in a timely manner.
• Ensure all required documentation, clinical notes, and orders are obtained prior to scheduling.
• Monitor referral and testing work queues to ensure timely completion.
• Track sleep study status from referral through result completion.
• Coordinate follow-up appointments with providers after testing is completed.
• Communicate testing instructions and expectations to patients.

Insurance Verification & Authorization

• Verify patient insurance eligibility and benefits for sleep-related services.
• Obtain and maintain prior authorizations for sleep studies and related services.
• Submit clinical documentation required by insurance carriers.
• Monitor authorization status and ensure approvals are received prior to scheduled testing.
• Address authorization denials, appeals, and additional documentation requests.
• Maintain accurate documentation of insurance verification and authorization activity in the electronic medical record (EMR).
• Serve as the primary contact for patients regarding sleep study scheduling, preparation, and follow-up.
• Respond to patient inquiries promptly and professionally.
• Educate patients on testing procedures, insurance requirements, and next steps in care.
• Collaborate with providers, nursing staff, and ancillary departments to address patient concerns and barriers to care.

Administrative Responsibilities

• Maintain accurate patient records and scheduling information.
• Monitor and prioritize work queues to ensure timely patient access.
• Generate reports and track key performance indicators related to scheduling and authorization completion.
• Ensure all documentation meets organizational, payer, and regulatory requirements.
• Participate in quality improvement initiatives and workflow optimization efforts.

Skills and Knowledge

• EMR preferably EPIC experience required
• Associate degree in healthcare administration or related field.
• Experience in sleep medicine, pulmonary medicine, neurology, or specialty practice operations.
• Knowledge of payer requirements related to sleep testing services.
• Experience working with home sleep testing programs.

Education and Experience

• High school diploma or equivalent.
• Minimum of 2 years of healthcare administrative, scheduling, referral coordination, or insurance authorization experience.
• Experience with insurance verification and prior authorization processes.
• Knowledge of medical terminology and healthcare workflows.
• Proficiency with electronic medical records (EMR) systems and Microsoft Office applications.
• Strong organizational, communication, and customer service skills.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Valid driver's license and reliable transportation.

Equal Opportunity Employer
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