Epic Denials Management Operator

Join Deloitte's AI & Engineering practice to support hospital denials management and back-end revenue cycle management services for a healthcare provider client.

This role focuses on Epic support for denial review, appeal preparation, payer follow-up, and coordination with billing, coding, credentialing, and clinical teams. The position is primarily remote with minimal travel and scheduled onsite time as needed.

Key responsibilities include:

• Review denial transactions and remittance information from third-party payers
• Perform denial categorization and root cause analysis
• Research hospital account and payer records to determine denial reasons
• Communicate with internal stakeholders and payers via portals and phone
• Draft and submit appeal letters and supporting documentation
• Rebill corrected claims and route issues to the appropriate teams
• Track AR aging, open denials, appeals, and outstanding balances
• Document research, follow-up, and resolution details in EMR and patient accounting systems
• Work within Epic Resolute Hospital Billing, clearinghouse tools, payer portals, and related systems
• Meet productivity and quality standards