Join Deloitte's AI & Engineering practice to support hospital denials management and back-end Revenue Cycle Management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds for a health care provider client.
This is a primarily remote role supporting enterprise Epic support, with minimal travel and scheduled onsite time as needed.
In this role, you will support review of denials received from third-party payers, perform denial categorization and root cause analysis, communicate with client and hospital stakeholders, and work with payer portals and phone calls to resolve denial issues. You will develop and submit appeal letters, rebill corrected claims, route issues to appropriate teams, document denial activity in EMR and patient accounting systems, and follow up on unpaid or delayed claims to determine claim status and payer requirements.
Required
- 2+ years of experience in hospital account denial management and appeals
- Experience using Epic Resolute Hospital Billing
- Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
- Experience working in claims clearinghouse systems
- Familiarity with Epic Analytics and Reporting applications
- Ability to travel 10% on average
Preferred
- Experience using Microsoft Word, Excel, and PowerPoint
- Experience supporting clinical or healthcare business operations
- Experience managing multiple projects or workstreams
- Experience preparing and delivering technical demonstrations
- Experience analyzing billing workflows, claim issues, or operational data
- Discretionary annual incentive program may be available
- Overtime pay possible
- Limited immigration sponsorship may be available
Location
Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$70,000 - $90,000
Remote work allowed
Yes
Posted
3 weeks ago