Authorization and Denials Coordinator CompuGroup Medical - 2.5 Bloomfield Hills, MI Job Details Full-time 1 day ago Benefits Health insurance Dental insurance Vision insurance 401(k) matching Flexible schedule Qualifications Appeals Overseeing health insurance pre-certification Medical insurance coverage verification Patient management software Medical claims processing software ICD-10 Healthcare referral management HCPCS Case appeal in utilization management Health insurance referral requirements Insurance claims appeal handling Escalation handling Medical terminology Full Job Description 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.

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:

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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.

Equal Opportunity Employer:

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

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. Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date. 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.