Authorization Specialist – Frontier Sleep & Wellness
About The Position
Frontier Sleep is a leading healthcare provider specializing in diagnosing and treating sleep disorders. Our mission is to enhance patient well-being through advanced treatments and compassionate care. As we continue to expand, we are seeking a dedicated Authorization Specialist to join our team and contribute to our pioneering work in sleep medicine. The Authorization Specialist at Frontier Sleep and Wellness supports the day-to-day operations of our revenue cycle and administrative team. Under the direction of the Admin Manager, this role plays a key part in ensuring timely prior authorizations, verifying coverage, auditing workflows, and contributing to process improvements. This position is ideal for a proactive, detail-oriented individual who thrives in a collaborative, non-patient-facing environment and is passionate about operational excellence, team success, and maximizing reimbursement efficiency.
Requirements
- High school diploma or equivalent
- 1–3 years of experience in medical prior authorizations, medical billing, or revenue cycle
- Knowledge of insurance plans (Medicare and Commercial)
- Strong attention to detail and organizational skills
- Excellent written and verbal communication skills
- Proficiency in EMR/EHR and practice management systems
- Travel between office locations may be required based on staffing and operational needs
Nice To Haves
- Experience in DME and sleep medicine
- Experience working with high-volume authorization requests
Responsibilities
- Obtain Insurance Authorizations – Secure timely prior authorizations for procedures, diagnostics, and medications to prevent delays and denials.
- Verify Patient Insurance Coverage – Confirm eligibility, benefits, and authorization requirements prior to services.
- Communicate with Insurance Providers – Proactively follow up on pending requests, resolve issues, and clarify payer guidelines.
- Maintain Accurate Authorization Documentation – Record and track authorization requests, approvals, denials, peer-to-peers, and appeals in the practice management system.
- Coordinate Patient & Clinical Communication – Educate patients on authorization requirements and collaborate with clinical staff to ensure timely service delivery.
- Schedule & Coordinate Peer-to-Peer Reviews – Arrange and track peer-to-peer discussions with insurance medical reviewers as needed.
- Provide Cross-Coverage for FC/MR – Support Front Office (FC) and Medical Records (MR) functions as required.
- Prepare Weekly/Monthly Authorization Reports – Conduct audits and generate reports including impressions and authorization metrics.
Benefits
- Competitive salary and benefits package.
- Professional development opportunities and continuous learning.
- Innovative and supportive work environment focused on patient-centered care.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
