Epic Denials Management Operator

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.

As an Epic Denials Management Operator, you will support review of denials (835/277 processing) received from third-party payers, perform denial categorization and root cause analysis, communicate with client RCM and hospital stakeholders, outreach to payers, develop appeal letters, rebill corrected claims, and route issues to the appropriate teams as needed.

You will also document denial activity in EMR and patient accounting systems, review AR aging reports and work queues, follow up on open denials and appeals, and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.

The role requires adherence to defined SOPs and workflows while working in Epic Resolute Hospital Billing, claims clearinghouse systems, payer websites and portals, and other related systems. Performance expectations include meeting productivity and quality standards.