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 primarily a remote role supporting enterprise Epic support, with minimal travel and scheduled onsite time as needed.
As an Epic Denials Management Operator, you will support review of denials received from third-party payers, perform denial categorization and root cause analysis, communicate with hospital and client stakeholders, work payer portals and phone calls to gather denial information, develop and submit appeal letters, rebill corrected claims, and route issues to the appropriate internal teams. You will also document denial research and follow-up activities in EMR and patient accounting systems, review A/R aging reports and work queues, and follow up on open denials and outstanding balances to resolve claim issues.
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
Location
Indianapolis, Indiana, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$70,000 - $90,000
Remote work allowed
Yes
Posted
3 weeks ago