Insurance Specialist (Prior Authorization Coordinator)

Job Description

Job Description

Description:

Are you organized, proactive, and someone who loves solving problems and keeping things moving? We’re looking for a Prior Authorization Coordinator to join our growing administrative team!

This role is an important part of our revenue cycle operations and plays a key role in helping patients move through the authorization process efficiently. Under the direction of the Admin Manager, you’ll work closely with insurance companies and internal teams to obtain timely authorizations, verify coverage, identify opportunities for improvement, and help keep our workflows running smoothly.

This is a great opportunity for someone who enjoys a fast-paced, collaborative, non-patient-facing environment, takes pride in accuracy and follow-through, and wants to make a meaningful impact on both team success and the patient experience.

What You'll Do

• Obtain Insurance Authorizations – Secure timely prior authorizations for procedures, diagnostics, and medications to help prevent delays and denials.
• Verify Insurance Coverage – Confirm eligibility, benefits, and authorization requirements before services are provided.
• Work with Insurance Providers – Follow up proactively on pending requests, resolve issues, and clarify payer requirements.
• Track & Maintain Documentation – Accurately document authorization requests, approvals, denials, peer-to-peers, and appeals in the practice management      system.
• Support Patient & Clinical Communication – Help ensure patients and clinical teams have the information they need to move forward with care.
• Coordinate Peer-to-Peer Reviews – Schedule and track peer-to-peer discussions with insurance medical reviewers when needed.
• Provide Team Support – Assist with Front Office and Medical Records functions as needed and help provide coverage across the administrative team.
• Analyze & Report – Prepare weekly and monthly authorization reports, perform audits, and identify trends or opportunities to improve our processes.

What We're Looking For

• High school diploma or equivalent
• 1–3 years of experience in medical prior authorizations, medical billing, or revenue cycle
• Working knowledge of Medicare and commercial insurance plans
• Strong attention to detail and excellent organizational skills
• Excellent written and verbal communication skills
• Comfortable working with EMR/EHR and practice management systems
• Ability to travel between office locations as needed based on staffing and operational needs

• Experience in DME and sleep medicine
• Experience working with high-volume authorization requests

Skills & Competencies

The ideal candidate is someone who:

• Takes ownership and follows tasks through to completion
• Is highly organized and able to manage competing priorities
• Works well independently while also being a strong team player
• Enjoys problem-solving and finding ways to make processes better
• Communicates clearly and professionally with both payers and internal teams
• Is comfortable working in a fast-paced environment
• Takes pride in accuracy, efficiency, and getting the details right
• Brings a positive, team-oriented attitude to their work

• Competitive salary and benefits package
• Opportunities for professional growth and development
• Ongoing training and learning opportunities
• Collaborative, supportive team environment
• Opportunity to make a meaningful impact within a growing organization
• A role where your organization, problem-solving, and follow-through truly make a difference

About North American Dental Sleep Management:

North American Dental Sleep Management (NADSM) is an administrative and management services organization dedicated to supporting a growing network of Dental and Sleep Medicine PLLCs across the country. We partner with dental and sleep medicine providers to deliver the operational infrastructure, administrative expertise, and management support they need to focus on what matters most — providing exceptional patient care.

Our team works behind the scenes to keep the practices we support running efficiently and effectively. From revenue cycle operations and administrative support to process improvement and day-to-day practice management, we help navigate the complexities of healthcare so providers can focus on their patients.

NADSM is part of an exciting and rapidly growing space at the intersection of dental care and sleep medicine. We’re building a team of people who care about doing great work, supporting one another, and continually finding better ways to serve the practices and patients who rely on us.

If you’re detail-oriented, motivated, enjoy being part of a team, and are looking for an opportunity to grow with an organization, we’d love to hear from you!