Join Deloitte's AI & Engineering practice to support hospital denials management and deliver 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 role is primarily remote, supporting enterprise Epic operations with minimal travel and scheduled onsite time as needed.
As an Epic Denials Management Coordinator, you will support review of denials received from third-party payers, conduct denial categorization and root cause analysis, review hospital account and payer remittance records, communicate with client and internal stakeholders, and work with payers through portals and phone calls to gather denial information. You will determine appropriate denial responses, prepare and submit appeal letters, rebill corrected claims, route issues to appropriate teams, provide supporting documentation, and document denial research and follow-up activities in EMR and patient accounting systems.
You will also review A/R aging reports and work queues, follow up on open denials and appeals, and help resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation while adhering to standard operating procedures and workflows in Epic Resolute Hospital Billing and related systems.
Required
- 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 a related field; or equivalent experience
- Experience working in claims clearinghouse systems
- Ability to travel 10% on average
- Limited immigration sponsorship may be available
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
Location
Austin, Texas, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$50,000 - $60,000
Remote work allowed
Yes
Posted
3 weeks ago