Authorization and Denials Coordinator

CompuGroup Medical•Richardson, MI

13h•Hybrid

About The Position

Create the future of e-health together with us by becoming an Authorization and Denials Coordinator At CompuGroup Medical we have the mission of building ground-breaking solutions for digital healthcare. Our vision is revolutionizing how healthcare professionals produce, access, and utilize information and thus enabling them to focus on the core value of their work: patient outcomes. We are seeking a dedicated candidate with excellent interpersonal skills. This position involves daily on-site relationship management with physicians, clinical staff, and practice administrators. The role offers a consistent Monday through Friday schedule, with no evening or weekend hours required.

Requirements

Minimum of 3 years of experience in healthcare authorizations/revenue cycle, cardiology, internal medicine, multi-specialty practice billing or authorizations, appeals, denial management, and payer escalation processes.
Strong working knowledge of insurance verification, referral management, and payer-specific authorization requirements.
Proficiency with medical software (e.g., Epic, Cerner, eClinicalWorks), clearinghouses, NextGen or comparable EHR/practice management system .
Strong understanding of CPT, ICD-10, and HCPCS coding concepts.
Experience navigating major insurance portals (e.g., Availity, UnitedHealthcare, Medicare/Medicaid portals).

Responsibilities

Own the full authorization cycle- verify insurance eligibility and benefits, gather clinical documentation, submit prior authorization requests, and track pending approvals daily to prevent scheduling delays
Manage denials and appeals — analyze root causes of denied claims, draft documentation-backed appeal letters, track deadlines, and recover outstanding revenue by overturning invalid denials
Drive process improvement — identify recurring denial trends by payer or department, report findings to management, and educate front-end staff to prevent authorization errors.