Epic Denials Manager

Position Summary

Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle performance. As an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client.

Recruiting Information

Recruiting for this role ends on 10/01/2026.

Work You'll Do

• Oversight and management of claims and denials management follow-up operations.
• Analyzes, plans and implements organizational systems and processes, and makes recommendations for improvements in hospital denials, claims submission, and A/R follow-up operations.
• Led activities related to operational analysis, financial analysis and process improvement initiatives.
• Maintains knowledge base of operational SOPs and workflows for relevant functional areas.
• Manages staff and employee performance, provides feedback, and leads training, education, and performance improvement activities for staff as required.
• Works closely with Manager of Billing and engagement leadership to resolve barriers to account and claim processing and identify and implement opportunity areas to remediate issues and improve workflows.
• Serves as line of escalation for high priority, complex accounts to be worked, including interactions with third party payers and client stakeholders as necessary to process accounts and claims.
• Regularly monitors work queues and workflows in Epic, claims clearinghouse, and other relevant technology systems.
• Collaborates closely with client managers and directors to ensure continuous open communication about hospital operations that impact delivery of services.
• Works with client team to develop and implement action plan to address trends as appropriate.
• Keeps current on insurance regulations, managed care contracts billing regulations, coding and fee schedules.
• Proactively manages access scorecards including user quality, productivity and team performance compared to Key Performance indicators and Service Level Agreements.

Qualifications

• 6+ years of experience as a Manager or Senior in processing and resolving third party payer denials, including technical and clinical denials for hospital/acute facility services.
• 3+ years experience in denials resolution for both commercial and government payers.
• Experience leading team of 10+ staff to exceed productivity, quality, and service targets.
• Proficient in Epic Resolute Hospital Billing application.
• Proficient in Epic Analytics and Reporting applications (e.g., SlicerDicer).
• Bachelor's degree, preferably in information technology, business, or healthcare related field; or equivalent experience.
• Limited immigration sponsorship may be available.
• Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.

Preferred

• Experience using Microsoft Word, Excel, and PowerPoint.
• Experience supporting clinical or healthcare business operations.
• Experience preparing and delivering technical demonstrations.
• Experience analyzing denials workflows, claim issues, or operational data.