Authorization and Denials Coordinator

About the role

We are seeking a dedicated Authorization and Denials Coordinator with excellent interpersonal skills. This position involves daily on-site relationship management with physicians, clinical staff, and practice administrators.

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.

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).

Schedule

Consistent Monday through Friday schedule, with no evening or weekend hours required.

Benefits

• Comprehensive all-round benefits package including Medical, Dental, and Vision insurance.
• 401k with employer matching.
• Personal Time Off to promote work-life balance.
• Modern workplaces with flexible working hours and hybrid work options.