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 health care provider clients.

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 the review of denials received from third-party payers, perform denial categorization and root cause analysis, communicate with client RCM and hospital stakeholders, outreach to payers, prepare denial appeal letters, rebill corrected claims, and route issues to the appropriate coding, billing, credentialing, denials, or clinical teams as needed.

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

The role requires working within Epic Resolute Hospital Billing, claims clearinghouse systems, payer portals, and related workflows while meeting productivity and quality standards.