Authorization and Denials Coordinator

US15 eMDs, Inc.; Richardson (TX); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Medical, Dental and Vision

401k with employer matching

Hybrid work options

Personal Time Off

Job summary

CompuGroup Medical in Richardson, TX is seeking an Authorization and Denials Coordinator to manage the full authorization cycle, verify eligibility, gather documentation, submit requests, and track approvals daily.

You will analyze denials, draft appeal letters, and educate staff to reduce errors, with a Monday–Friday schedule and no evenings or weekends. This role requires 3+ years in healthcare authorizations or revenue cycle and proficiency with major EHR systems.

Qualifications

• 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.
• EHR/Billing Systems: Proficiency with medical software (e.g., Epic, Cerner, eClinicalWorks), clearinghouses, NextGen 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, 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.

Job description

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.

Your Contribution

• 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.

Your Qualification

• 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, NextGen 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, UnitedHealthcare, Medicare/Medicaid portals).

What you can expect from us

• 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