Authorization and Denials Coordinator

Authorization and Denials Coordinator

At Compu Group 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.

• 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.

• Experience:
  
  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.
• EHR/Billing Systems:
  Proficiency with medical software (e.g., Epic, Cerner, eClinicalWorks), clearinghouses, Next Gen or comparable EHR/practice management system.
• Medical Terminology:
  Strong understanding of CPT, ICD-10, and HCPCS coding concepts.
• Payer Portals:
  Experience navigating major insurance portals (e.g., Availity, United Healthcare, Medicare/Medicaid portals).

• Monday–Friday schedule:
  Enjoy a consistent Monday–Friday schedule with no night or weekend shifts. Work-life balance matters here — you'll have your evenings and weekends free.
• Purpose:
  
  Become a part of a significant initiative. At the intersection of healthcare and digital innovation, we are shaping the future of e‑health.
• Career Opportunities:
  We are offering a variety of internal career opportunities and numerous long‑term perspectives.
• Security:
  We offer a secure workplace in a crisis‑proof market.
• All‑round benefits package:
  Medical, Dental and Vision as well as 401k with employer matching.
• Personal Time Off to promote work life balance.
• Work environment:
  Modern workplaces, flexible working hours, hybrid work options and much more.

Equal Opportunity

Employer:

At CGM, we value our team members and strive to create an environment where everyone has the opportunity to succeed.

We create the future of e-health. Join us in a cause that shapes the very future of hope and healing. At the powerful crossroads of healthcare and innovation, we are passionately building the next chapter of e-health—a revolution that saves lives, transforms care, and brings compassion into the digital age. Together, we can make a lasting difference. We create the future of e-health.

CGM is one of the leading e-health companies in the world with more than 8.700 highly qualified employees Sustainable solutions for constantly growing demands in healthcare Locations in 19 countries and products in 60 countries worldwide