Coordinator, Sleep Study

PACT and PACT MSO•Orange, CT

About The Position

The Sleep Study Coordinator coordinates sleep study services, including patient scheduling, insurance verification, prior authorization, referral management, and communication with patients, providers, and sleep testing vendors. The role supports a seamless patient experience from referral through testing and follow-up while maintaining compliance with payer requirements and organizational standards. The position travels between the Orange and Guilford locations weekly; reliable transportation is required. The coordinator manages sleep study referrals, schedules in-lab and home sleep studies, obtains required documentation, monitors work queues and study status, arranges follow-up appointments, and communicates testing instructions to patients. The role verifies insurance eligibility and benefits, obtains and tracks authorizations, submits clinical documentation, addresses denials and appeals, and documents activity in the electronic medical record. As a primary patient contact, the coordinator responds to inquiries, explains procedures and insurance requirements, and works with providers, nursing staff, and ancillary departments to resolve concerns or barriers to care. Administrative duties include maintaining accurate records, prioritizing work queues, tracking performance indicators, meeting documentation requirements, and participating in quality improvement and workflow optimization.

Requirements

High school diploma or equivalent.
At least 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 record 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.
EPIC experience required, preferably in an EMR context.

Nice To Haves

Associate degree in healthcare administration or a 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.

Responsibilities

Coordinate and manage sleep study referrals from providers.
Schedule in-lab and home sleep studies in a timely manner.
Ensure required documentation, clinical notes, and orders are obtained before scheduling.
Monitor referral and testing work queues and track sleep study status through result completion.
Coordinate provider follow-up appointments after testing.
Communicate testing instructions and expectations to patients.
Verify patient insurance eligibility and benefits for sleep-related services.
Obtain and maintain prior authorizations; submit required clinical documentation and monitor approval status before testing.
Address authorization denials, appeals, and requests for additional documentation.
Document insurance verification and authorization activity accurately in the EMR.
Serve as the primary patient contact for sleep study scheduling, preparation, and follow-up; respond to inquiries promptly and professionally.
Educate patients about 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.
Maintain accurate patient records and scheduling information.
Monitor and prioritize work queues to support timely patient access.
Generate reports and track performance indicators related to scheduling and authorization completion.
Ensure documentation meets organizational, payer, and regulatory requirements.
Participate in quality improvement initiatives and workflow optimization.
Travel between the Orange and Guilford locations weekly.