Epic Denials Management Coordinator

Join Deloitte's AI & Engineering practice to support hospital denials management and deliver back-end revenue cycle management services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for a healthcare provider client.

This is a primarily remote role supporting enterprise Epic support, with minimal travel and scheduled onsite time as needed.

In this role, you will:

• Support review of denials and 835/277 processing received from third-party payers
• Conduct denial categorization and root cause analysis based on payer remittance information
• Review hospital account records and payer remittance records
• Communicate with client RCM teams and internal hospital stakeholders
• Contact payers through portals and phone calls to gather denial details
• Determine appropriate denial responses and prepare appeal letters
• Rebill corrected claims and route issues to coding, billing, credentialing, denials, and clinical teams as needed
• Provide additional documentation to payers to resolve denial issues
• Document denial details, research, and follow-up in EMR and patient accounting systems
• Review A/R aging reports and work queues to identify unpaid and delayed claims
• Follow up on open denials, appeals, and outstanding balances to understand claim status and payer requirements
• Resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation
• Work within Epic Resolute Hospital Billing, claims clearinghouse tools, payer websites, and portals while adhering to SOPs and workflows