Epic Denials Management Operator

Join Deloitte's AI & Engineering practice to support hospital denials management and deliver 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 healthcare provider client. 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 and 835/277 processing received from third-party payers. Responsibilities include denial categorization and root cause analysis, reviewing hospital account and payer remittance records, communicating with client RCM teams and internal hospital stakeholders, contacting payers through portals and phone calls, preparing denial appeal letters, rebilling corrected claims, routing issues to coding, billing, credentialing, denials, or clinical teams, and documenting research and follow-up activities in EMR and patient accounting systems.

Additional duties include reviewing AR aging reports and work queues, following up on open denials and unpaid claims, providing account information and supporting resolution of eligibility, authorizations, claim edits, coordination of benefits, and missing documentation. Work will be performed within Epic Resolute Hospital Billing, claims clearinghouse systems, payer portals, and related workflows.