Epic Denials Manager

Position Summary 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 for this role ends on 10/01/2026. Work you'll do Epic Denials Manager on the AI & Engineering team, you will be responsible for the following areas. 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. Leads 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. This is a remote role with minimal travel requirements. A successful candidate would possess these skills: Ability to work independently and collaborate as part of a teamEffective written and verbal communication skillsMeticulous attention to detail and quality of work productAbility to build and sustain professional relationshipsAbility to lead projects or workstreamsAbility to manage and prioritize multiple tasks in a fast-paced and dynamic environmentStrong interpersonal skills and professional demeanorAbility to meet deadlines The team AI & Engineering 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 powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements. Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector. Qualifications Required: 6+ years of experience as a Manager or Senior in processing and resolving third party payer denials, including technical and clinical denials6+ years processing and resolving third party payer denials, including technical and clinical denials, for hospital/acute facility services3+ years experience in denials resolution for both commercial and government payersExperience leading team of 10+ staff to exceed productivity, quality, and service targetsProficient in Epic Resolute Hospital Billing applicationProficient in Epic Analytics and Reporting applications (e.g., SlicerDicer)Bachelor’s degree, preferably in information technology, business, or healthcare related field; or equivalent experienceLimited immigration sponsorship may be availableAbility to travel 10%, on average, based on the work you do and the clients and industries/sectors you serveRole is remote Preferred: Experience using Microsoft Word, Excel, and PowerPointExperience supporting clinical or healthcare business operationsExperience preparing and delivering technical demonstrationsExperience analyzing denials workflows, claim issues, or operational data The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $140,000 to $160,000 with overtime pay possible. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. Deloitte is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to participate in the recruiting process, please direct your inquiries to the Global Call Center (GCC) at View email address on click.appcast.io. Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters. BenefitsAt Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you. Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ways of thinking, ideas, and perspectives, and bring more creativity and innovation to help solve our clients' most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte’s purpose is to make an impact that matters for our people, clients, and communities. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. Learn more. Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career. As used in this posting, "Deloitte" means Deloitte Consulting LLP, a subsidiary of Deloitte LLP. Please see for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law. Qualified applicants with criminal histories, including arrest or conviction records, will be considered for employment in accordance with the requirements of applicable state and local laws, including the Los Angeles County Fair Chance Ordinance for Employers, City of Los Angeles’s Fair Chance Initiative for Hiring Ordinance, San Francisco Fair Chance Ordinance, and the California Fair Chance Act. See notices of various fair chance hiring and ban-the-box laws where available. Fair Chance Hiring and Ban-the-Box Notices | Deloitte US Careers Requisition code: 364269 Job ID 364269 Package and Technology Enablement | Package Managed ServicesSame job available in 79 locations