Authorization Specialist – Frontier Sleep & Wellness at H & W SLEEP PLLC – Cedar Park, Texas

About Frontier Sleep:

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.

• 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.

• 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

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

Skills & Competencies

• Strong follow-up and time management skills
• Ability to work independently and meet deadlines
• Problem-solving and critical thinking abilities
• Ability to manage multiple tasks with accuracy
• Customer service mindset when working with patients and payers

• Competitive salary and benefits package.
• Professional development opportunities and continuous learning.
• Innovative and supportive work environment focused on patient-centered care.

If you are passionate about improving sleep health and are looking for an opportunity to grow in a specialized medical field, we encourage you to apply!