Join Deloitte's AI & Engineering practice to support hospital denials management and back-end revenue cycle management services for healthcare provider clients.
This role is primarily remote, with minimal travel and scheduled onsite time as needed. You will work within Epic Resolute Hospital Billing and related claims systems to support denials resolution, appeal processing, and follow-up activities.
Requirements & Qualifications
Responsibilities
- Support review of denials and remittance files, including 835/277 processing
- Conduct denial categorization and root cause analysis using payer remittance information
- Review hospital account records and payer remittance records
- Communicate with client RCM teams, hospital stakeholders, and third-party payers
- Prepare and submit denial appeal letters using approved templates
- Rebill corrected claims and route issues to coding, billing, credentialing, denials, or clinical teams as needed
- Provide documentation to payers to resolve denial issues
- Document research, follow-up, and denial details in EMR and patient accounting systems
- Review AR aging reports and work queues to identify unpaid and delayed claims
- Resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation
Qualifications
- 1+ 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 related field, or equivalent experience
- Experience working in claims clearinghouse systems
- Ability to travel 10% on average
Location
Houston, Texas, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$50,000 - $60,000
Remote work allowed
Yes
Posted
3 weeks ago