SLEEPQUEST INC

Job DetailsLevel: ManagementJob Location: Corporate Office - SAN CARLOS, CA 94070Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $75,000.00 - $90,000.00 Salary/yearTravel Percentage: Up to 25%Job Shift: DayJob Category: AccountingLead Revenue, Drive Impact: Billing Manager & Credentialing Administrator Full-Time | Exempt | Remote Schedule: Monday – Friday, 8:30 AM – 5:00 PM (PST) Reports to: Director of Finance Compensation: $75,000 – $90,000 (depending on experience) About the Role We’re seeking a dynamic and results-driven Billing Manager & Credentialing Administrator to lead our medical billing team and elevate financial performance. This is a high-impact leadership role responsible for optimizing billing workflows, strengthening payer relationships, and ensuring compliance across all aspects of the revenue cycle. If you’re someone who thrives on improving processes, leading teams, and driving measurable results, this role is for you. Key Responsibilities Revenue Cycle & Billing Operations Management Lead and manage Billing Specialist and Patient Account Specialist teams, including billing, denial management, collections, reimbursement, and eligibility verification Ensure timely and accurate billing, invoicing, and claim submission Oversee adherence to billing policies, procedures, and payer guidelines Identify operational issues (EDI errors, payer changes, system issues) and implement corrective actions Ensure claims are reviewed and confirmed within two business days of date of service (DOS) Provide coverage for team members absent more than four business days Accounts Receivable & Collections Performance Monitor and manage all AR activity to ensure timely collections and strong cash flow Maintain and drive performance benchmarks: Improve collections over 90+ days by at least 30% month-over-month Limit 120+ day AR to no more than 15% of total receivables Track insurance and patient balances from DOS and account creation Analyze monthly AR aging reports to identify trends and improvement opportunities Claims Management & Follow-Up Ensure complete and accurate documentation (prescriptions, clinical records, delivery tickets) Verify claims meet payer requirements (ICD-10, HCPCS, CPT) prior to submission Resolve issues such as missing authorizations, documentation gaps, and inventory discrepancies Oversee third-party claim follow-up vendors to ensure adherence to SOPs Review escalated claims and implement resolutions Ensure revenue cycle worklists are completed within established timelines Patient Accounts & Customer Service Oversight Ensure Patient Accounts team meets established patient collection goals Oversee third-party billing customer service vendors (e.g., Brightree Live Agent Services) to ensure quality and compliance Operational Workflow & System Management Monitor and resolve system alerts, work queues, and hold/stop reports Address issues such as missing pricing, manual holds, and billing system flags Ensure Compliance and New Insurance teams meet required timelines Complete monthly billing pre-closing processes within established deadlines Cross-Functional Collaboration & Support Support Patient Relations in addressing insurance-related inquiries by providing billing expertise Partner with the Qualification Team to ensure accurate insurance verification for new patient referrals Serve as a subject matter expert on billing, insurance criteria, and reimbursement processes Mentor and train staff to improve collection performance and efficiency Credentialing & Contract Administration Manage credentialing for all new and existing payer contracts Maintain contract files, payer relationships, and centralized database Monitor and evaluate fee schedules to optimize reimbursement Track contracted plans, NPIs, and insurance portal access Coordinate updates with payers (locations, provider changes, etc.) Conduct quarterly reviews of payer medical policies (e.g., OSA trends) Monitor HCPCS and CPT updates and assess operational impact Support contract negotiations and implementations Review and approve Letters of Agreement for Workers’ Compensation referrals Qualifications & Skills Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred (or equivalent experience) 5–8+ years of medical billing or revenue cycle experience 2–4+ years of leadership experience Strong knowledge of billing operations, AR management, and insurance reimbursement Experience with credentialing and payer contract management strongly preferred Experience with Brightree or similar DME/healthcare billing platforms strongly preferred Strong analytical, organizational, and problem-solving skills High attention to detail and accuracy Excellent communication and leadership abilities SleepQuest is an equal opportunity employer and is committed to creating an inclusive environment for all employees. We provide equal employment opportunities to all qualified applicants and employees without regard to race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender identity or expression, sexual orientation, marital status, national origin, ancestry, citizenship, age, physical or mental disability, medical condition, genetic information, military or veteran status, or any other characteristic protected by federal, state, or local law. SleepQuest complies with all applicable state and local laws governing nondiscrimination in employment and will provide reasonable accommodations to qualified individuals with disabilities and for sincerely held religious beliefs, in accordance with applicable laws. Qualifications

Job DetailsJob Location: Corporate Office - SAN CARLOS, CA 94070Salary Range: $25.00 - $27.00 HourlyJob Title: Resupply Coordinator Location: Remote (United States) Pay Range: $25.00 – $27.00 per hour (based on experience) About the Role SleepQuest is seeking a highly experienced and detail-driven Resupply Coordinator to support and elevate our resupply operations. This role is ideal for a candidate who thrives in a fast-paced, patient-focused environment and brings a strong background in DME, CPAP, or sleep therapy operations. As a key contributor, you will take ownership of complex resupply workflows, proactively resolve escalations, and collaborate cross-functionally to ensure operational excellence and a seamless patient experience. What You’ll Do Own the end-to-end processing and fulfillment of patient resupply orders, ensuring accuracy, compliance, and timeliness Proactively monitor order pipelines and identify risks or delays before they impact the patient experience Serve as a point of escalation for complex resupply issues, driving resolution through root cause analysis and cross-functional coordination Partner closely with Revenue Cycle Management (RCM) and patient-facing teams to validate documentation, insurance requirements, and billing readiness Deliver clear, professional communication to patients and internal stakeholders regarding order status and issue resolution Maintain thorough and accurate documentation within company systems Identify process inefficiencies and contribute to continuous improvement initiatives that enhance workflow and patient satisfaction What Sets You Apart: Core Competencies Proven ability to manage high-volume, patient-facing interactions with professionalism and empathy Strong critical thinking and problem-solving skills, with a proactive approach to issue resolution Exceptional attention to detail and ability to manage multiple priorities simultaneously Ability to work independently while collaborating effectively across teams Highly Preferred Experience Direct experience in Durable Medical Equipment (DME), CPAP therapy, or Sleep Apnea (OSA) Hands-on experience with Brightree or similar healthcare workflow systems Strong understanding of insurance verification, prior authorizations, and RCM processes Background in resupply operations or healthcare order management Prior experience in a high-volume call center or patient support environment Education & Experience High school diploma or equivalent required 3+ years of relevant experience in healthcare operations, DME, or patient support strongly preferred Experience with EHR systems and order management platforms is a plus Work Environment & Schedule Fully remote position: Must have a dedicated, professional workspace with a desktop and dual monitors Schedule: Monday – Friday, 8:30 AM – 5:00 PM PST 30-minute unpaid lunch Two paid 10-minute breaks Weekly team collaboration via Microsoft Teams (camera-on culture) Additional Information Occasional travel may be required for team meetings or company events Why SleepQuest? At SleepQuest, we are committed to delivering exceptional patient care through operational excellence. This role offers the opportunity to make a meaningful impact, work alongside a collaborative team, and contribute to a growing organization focused on improving patient outcomes. Qualifications

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description SleepQuest is seeking an experienced and personable Patient Relations Representative who thrives in a phone-centered environment and has a strong background in administrative phone-based support within healthcare. This role is crucial to supporting our patients through their journey by serving as the first point of contact, providing clear communication, and guiding them through the patient portal. The ideal candidate is proactive, patient-focused, tech-savvy, phone-savvy, and deeply familiar with the healthcare process, particularly when it comes to insurance navigation, scheduling, and administrative coordination. Key Responsibilities: - Serve as the primary phone contact for patient inquiries via phone and email - Inform patients that their referral has been received - Explain the referral process and outline next steps - Provide insurance coverage reviews, rental projections, and financial consultations - Schedule patient consultations - Collaborate with the team and the Manager to maintain educational materials and FAQs Qualifications - Minimum 3 years of administrative phone experience in a healthcare setting is highly preferred - Excellent communication and customer service skills — both verbal and written - Ability to multitask in a high-volume call environment - Proficient with Microsoft Office Suite; Brightree experience is a plus - Detail-oriented with strong organizational skills - High school diploma or equivalent required - Previous experience in a call center or high-touch patient support role strongly preferred - Must be able to work PST hours 8:30am - 5:00pm, Monday - Friday Requirements - High School Diploma - Minimum 1 Year Intake Experience - Minimum 1 Year Eligibility and Benefits Experience Physical & Work Environment Requirements - Prolonged periods of sitting and working at a computer - Comfortable with constant phone use and virtual communication