Join Deloitte's AI & Engineering practice to support hospital denials management and back-end revenue cycle management services for a health care provider client. This role is primarily remote, with minimal travel and scheduled onsite time as needed.
In this position, you will support review of denials and remittance processing, perform denial categorization and root cause analysis, communicate with client and hospital stakeholders, and contact payers to gather information needed to understand denial reasons. You will prepare and submit appeal letters, rebill corrected claims, route issues to the appropriate teams, provide documentation to payers, and document denial research and follow-up activities in EMR and patient accounting systems.
You will also review AR aging reports and work queues to identify unpaid and delayed claims, follow up on open denials and appeals, and help resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation. Work is performed in Epic Resolute Hospital Billing, claims clearinghouse systems, and payer portals while following defined SOPs and workflows.
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
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
Detroit, Michigan, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$50,000 - $60,000
Remote work allowed
Yes
Posted
3 weeks ago