Join Deloitte's AI & Engineering practice to support hospital denials management and back-end revenue cycle management services for health care provider clients.
This is a primarily remote role supporting enterprise Epic support, with minimal travel and scheduled onsite time as needed.
You will support review of denials received from third-party payers, conduct denial categorization and root cause analysis, communicate with client and hospital stakeholders, and help resolve claim issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
You will also prepare and submit denial appeal letters, rebill corrected claims, route issues to the appropriate teams, document denial activity in EMR and patient accounting systems, and follow up on open denials and unpaid claims.
Required
- 1+ 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
- Ability to travel 10% on average
- Limited immigration sponsorship may be available
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
San Jose, California, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$50,000 - $60,000
Remote work allowed
Yes
Posted
3 weeks ago