Epic Denials Management Coordinator

Role: Epic Denials Management Coordinator

Location: Primarily Remote (with minimal travel and scheduled onsite time as needed)

Recruiting Closes: 01/01/2027

Position Summary

Join Deloitte’s AI & Engineering practice to support hospital denials management. This role delivers back-end Revenue Cycle Management (RCM) services for health care provider clients, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds. The position supports enterprise Epic support.

What You'll Do

As an Epic Denials Management Coordinator on the AI & Engineering team, you will be responsible for:

• Supporting the review of denials (835/277 processing) received from third-party payers.
• Conducting Denial categorization and root cause analysis based on remittance information received from the payer.
• Reviewing hospital account records and payer remittance records, and communicating with relevant Client RCM and internal hospital stakeholders.
• Conducting outreach to payers via payer portals and phone calls to gather information needed to understand denial reasons and root causes.
• Determining appropriate denial responses based on the identified denial reasons.
• Developing denial appeal letters using appropriate templates and submitting them to third-party payers.
• Rebilling corrected claims and routing issues to coding, billing, credentialing, denials, and/or clinical teams as necessary.
• Providing additional documentation to payers as needed to resolve denial issues.
• Documenting all denial details, research conducted, and follow-up activities within relevant EMR and patient accounting systems.
• Reviewing AR aging reports and work queues to identify unpaid and delayed claims.
• Following up with third-party payers regarding open denials, denial appeals, and other outstanding balances to understand claim status and payer adjudication requirements.
• Providing account information to payers and resolving issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
• Adhering to defined Standard Operating Procedures (SOPs) and workflows, working within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other required systems.
• Meeting and exceeding minimum productivity and quality standards, submitting to performance improvement plans as guided by engagement management.

Skills and Abilities

A successful candidate should possess the following skills:

• Ability to work independently and collaborate effectively as part of a team.
• Effective written and verbal communication skills.
• Meticulous attention to detail and high quality of work product.
• Ability to build and sustain professional relationships.
• Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment.
• Strong interpersonal skills and professional demeanor.
• Ability to meet established deadlines.

Qualifications 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, based on work demands and client engagement needs.

Preferred Qualifications

• 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.

About the AI & Engineering Team

The AI & Engineering team leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are engineered for business advantage, transforming mission-critical operations. We enable clients to stay ahead of the latest advancements by modernizing technology and data platforms. Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations, combining integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Compensation and EEO

The wage range for this role is estimated to be $50,000 to $60,000. This range considers various factors including skill sets, experience, training, and organizational needs, and has not been adjusted for specific geographic differentials.

Deloitte is committed to providing reasonable accommodations for people with disabilities. If you require an accommodation during the recruiting process, please contact the Global Call Center (GCC) at USTalentCICInbox@deloitte.com.

Deloitte fosters an inclusive culture that empowers its people to contribute unique perspectives and drive innovation. Our purpose is to make an impact that matters for our people, clients, and communities, supported by opportunities for continuous professional development.

As used in this posting, "Deloitte" means Deloitte Consulting LLP, a subsidiary of Deloitte LLP.

Important Notice

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