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 health care 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 (835/277 processing) received from third-party payers, perform denial categorization and root cause analysis, communicate with client and hospital stakeholders, and work with payers to gather information needed to resolve denial reasons. You will also develop and submit appeal letters, rebill corrected claims, route issues to appropriate teams, document findings in EMR and patient accounting systems, and follow up on open denials and unpaid claims.

You will work within Epic Resolute Hospital Billing, claims clearinghouse systems, payer portals, and related tools while meeting productivity and quality standards.