Accounting Contractor

Position Summary

We are seeking an Accounting Contractor with experience in Patient Financial Services (PFS) / Revenue Cycle Management (RCM) to support teams in designing and validating AI solutions for backend billing, denials, accounts receivable, payment reconciliation, underpayments, and self-pay workflows.

Roles and Responsibilities

• Collaborate with engineering teams to translate PFS workflows into system logic and AI requirements.
• Suggest on billing, denial management, AR follow-up, underpayment identification, payment posting, reconciliation, and self-pay AR.
• Elaborate payer policies, contract terms, fee schedules, denial codes, timely filing rules, and escalation thresholds.
• Develop workflow documentation, policies, procedures, templates, and reference materials for AI solutions.
• Review AI-generated appeal drafts, dispute packages, classifications, and recommendations for operational accuracy.
• Define quality standards, judgment criteria, exception scenarios, and human-review thresholds.
• Identify gaps between proposed system logic and actual PFS operations.
• Participate in working sessions, product demonstrations, testing, and pressure-testing activities.
• Help evaluate AR aging, collection probability, write-offs, adjustments, refunds, and credit balance resolution.

Preferred Qualifications

• Good experience in backend PFS, medical billing, denials, AR follow-up, underpayments, payment posting, or claims operations.
• 10+ years of experience: Account Reconciliation Cloud Services (ARCS) and medical billing.
• 6–9 years of experience: Allscripts EHR and RCM.
• Strong knowledge of CARC/RARC codes, payer contracts, fee schedules, appeal deadlines, 835/837 transactions, AR aging, COB, and write-off classification.
• Understanding of 271 eligibility responses, 277CA acknowledgments, clearinghouse rejections, claim edits, and upstream billing impacts.
• Experience with self-pay AR, statement cycles, payment plans, and bad debt classification.
• Familiarity with Epic, Oracle Health/Cerner, Meditech, Athena, and EHR-based PFS work queues.
• Ability to assess AI-generated work product using supervisor-level judgment.
• Prior experience with RCM automation, AI, or transformation initiatives is preferred.

The expected pay range for this contract assignment is $65 - $70 per hour. The exact pay rate will vary based on skills, experience, and location and will be determined by the third-party whose employees provide services to Deloitte.

Candidates interested in applying for this opportunity must be geographically based in the United States and must be legally authorized to work in the United States without the need for employer sponsorship.

We do not accept agency resumes and are not responsible for any fees related to unsolicited resumes.

Deloitte is not the employer for this role. This work is contracted through a third-party whose employees provide services to Deloitte.