Top 25 Operations claims processing Jobs in Columbus

Epic Denials Management Operator
Deloitte —Columbus, OH
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Risk Support Specialist
SCHOTTENSTEIN REALTY LLC —Columbus, OH
- Full-time
- Background check
- Microsoft Outlook
- Customer service
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Outbound Senior Logistics Manager
Gifthealth Inc —Columbus, OH
- $122,900 - $153,625 a year
- Full-time
- Hybrid work
- ERP systems
- HIPAA
- Analysis skills
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HR Generalist
Walor North America —Columbus, OH
- Overtime
- Mid-level
- 3 years
- Bachelor's degree
- Paid holidays
- Health insurance
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7d
Global Operations Data Analytics
Vertiv —Westerville, OH
- Computer Science
- 5 years
- SQL
Field Service Lead – Columbus, OH
Solventum —Columbus, OH
- $55,520 - $76,340 a year
- Extended hours
- 5 years
- Writing skills
- Mid-level
- Health savings account
- Disability insurance
Epic Denials Management Coordinator
Deloitte —Columbus, OH
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
LTL Operations Executive
Zipline Logistics LLC —Columbus, OH
- Full-time
- Customer service
- Research
- Mid-level
Quick Apply
Revenue Cycle Manager (Financial Manager) - 20039248
State of Ohio - Behavioral Health —Columbus, OH
- $43.09 an hour
- Online Application
- Background check
- Office
- Finance
- Paid holidays
- Health insurance
Retail Operations Associate
DICK'S Sporting Goods —Dublin, OH
- $12.50 - $19.50 an hour
- Part-time
- Merchandising
- Maintenance
- Entry level
Lead Field Technician
MasTec Advanced Technologies —Columbus, OH
- $24.50 an hour
- Overtime
- Microsoft Outlook
- Inventory management
- Mid-level
- Paid jury duty
- AD&D insurance
12d
Area Manager
LAZ Parking Midwest, LLC —Columbus, OH
- $57,000 - $60,000 a year
- Full-time
- Clean driving record
- Microsoft Excel
- Ability to walk for extended periods
Quick Apply
Thermal Returns Technician
Vertiv —Delaware, OH
- Oracle
- Microsoft Outlook
- Mid-level
Pharmacy Operations Manager
Walgreens —Grandview Heights, OH
- $22.50 - $31.00 an hour
- Weekends as needed
- English
- Mid-level
- High school diploma or GED
- Continuing education credits
- Health insurance
Lead Field Technician
MasTec Inc —Columbus, OH
- $16.49 - $26.01 an hour
- Overtime
- Microsoft Outlook
- Inventory management
- Mid-level
- Paid jury duty
- AD&D insurance
12d
Certified Pharmacy Technician
Matrix Pharmacy —Hilliard, OH
- Full-time
- Mid-level
- Medical terminology
- 2 years
- Health insurance
- Dental insurance
Quick Apply
3d

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Epic Denials Management Operator
Deloitte —Columbus, OH
Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to…
$70,000 - $90,000 a year
Risk Support Specialist
SCHOTTENSTEIN REALTY LLC —Columbus, OH
Receive, process, and distribute incoming invoices for payment to related companies. Request, review, process, and distribute Certificates of Insurance (COI)…
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Epic Denials Management Operator

Deloitte -
Columbus, OH

Apply Now

Job Details

Full-time
$70,000 - $90,000 a year

Qualifications

Appeals
Enterprise software
Clinical information systems
Medical insurance appeals management
Insurance claims appeal handling
Data analysis software

Full Job Description

Position Summary

Join Deloitte's AI & Engineering practice to support hospital denials management to 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 health care provider client. This is a primarily remote role supporting enterprise Epic support, with minimal travel and scheduled onsite time as needed.

Recruiting for this role ends on 01/01/2027.

Work you'll do

As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Conduct Denial categorization and root cause analysis based on remittance information received from payer. Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone calls to gather necessary information to understand denial reasons and root causes. Determine appropriate denial responses based on denial reasons. Use appropriate templates to develop denial appeal letters for denials and submit to third party payers. Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed. Provide additional documentation to payers as needed to resolve denial issues. Document denial details, research conducted, and follow-up activities conducted in relevant EMR and patient accounting systems. Review AR aging reports and work queues to identify unpaid and delayed claims. Follow up with third party payers on open denials, denial appeals, and other outstanding balances related to denials to understand claim status and payer requirements to adjudicate claim. Provide account information to payers and required and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.

Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows. Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management. A successful candidate would possess these skills:

Ability to work independently and collaborate as part of a team
Effective written and verbal communication skills
Meticulous attention to detail and 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 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:

2+ 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
Familiarity with Epic Analytics and Reporting applications
Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
Limited immigration sponsorship may be available.

Preferred:

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

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 $70,000 to $90,000.

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.

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Refine Your Search

operations claims processing jobs in columbus

Epic Denials Management Operator

Risk Support Specialist

Outbound Senior Logistics Manager

HR Generalist

Global Operations Data Analytics

Field Service Lead – Columbus, OH

Epic Denials Management Coordinator

LTL Operations Executive

Revenue Cycle Manager (Financial Manager) - 20039248

Retail Operations Associate

Lead Field Technician

Area Manager

Thermal Returns Technician

Pharmacy Operations Manager

Lead Field Technician

Certified Pharmacy Technician

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