Top 59 Denials Jobs in Rochester, Ny

Epic Denials Management Operator
Deloitte —Rochester, NY
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
HIM Release of Information Rep III
University of Rochester —Rochester, NY
- $19.15 - $25.85 an hour
- Full-time
- Remote
- HIPAA
- Research
- Mid-level
Med Rec Coder III
University of Rochester —Rochester, NY
- $21.78 - $30.53 an hour
- Full-time
- Remote
- Anatomy knowledge
- Mid-level
- Office
Medical Billing Specialist
Dermatology Associates of Rochester —Rochester, NY
- $19 - $21 an hour
- Full-time
- Surgery
- Computer literacy
- Medical office experience
- Health savings account
- Health insurance
Quick Apply
4d
Referral & Prior Authorization III
University of Rochester —Rochester, NY
- $20.30 - $27.41 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Pediatrics
Clinical Document Spec
University of Rochester —Rochester, NY
- $81,307 - $109,761 a year
- Full-time
- Remote
- Nursing
- Medicine
- Surgery
Epic Resolute Hospital Billing Associate Analyst
Deloitte —Rochester, NY
- $50,000 - $60,000 a year
- Full-time
- Computer Science
- Mid-level
- Bachelor's degree
Medical Records Coder III, Complex
University of Rochester —Rochester, NY
- $23.27 - $32.60 an hour
- Full-time
- Remote
- Anatomy knowledge
- Mid-level
- Office
Epic Denials Management Coordinator
Deloitte —Rochester, NY
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Procedure Scheduler
Allied Digestive Health —Rochester, NY
- $21 - $26 an hour
- Full-time
- Writing skills
- Clinic experience
- Mid-level
Referral & Prior Auth Rep III
University of Rochester —Brighton, NY
- $20.30 - $27.41 an hour
- Full-time
- Mid-level
- Office
- High school diploma or GED
605-Rochester- Store Compliance Spec. - Wage: $27.88 - $33.45/Hr
Sportsman's Warehouse —Rochester, NY
- $27.88 - $33.45 an hour
- Full-time
- Mid-level
- Office
- Continuous improvement
- Employee stock purchase plan
- Dental insurance
Med Rec Coder III, Complex
University of Rochester —Rochester, NY
- $23.27 - $32.60 an hour
- Full-time
- Remote
- Anatomy knowledge
- Mid-level
- Office
Med Records Coder IV, Complex
University of Rochester —W Henrietta, NY
- $25.14 - $35.24 an hour
- Full-time
- Remote
- Anatomy knowledge
- Office
- 3 years
10d
Revenue Cycle Coordinator IV
University of Rochester —Rochester, NY
- $21.97 - $29.66 an hour
- Full-time
- Hybrid work
- Research
- Office
- 3 years
Pharmacy Access Representative
University of Rochester Medicine - Pharmacy —Rochester, NY
- From $21.97 an hour
- Full-time
- Background check
- Mid-level
- In-person
Quick Apply
Clm Resltion Rep III, Hosp/Prv
University of Rochester —Rochester, NY
- $20.30 - $27.41 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- Associate's degree
Business Office Representative
Genesee Region Home Care Association Inc —Rochester, NY
- $18.50 - $22.50 an hour
- Full-time
- Writing skills
- Medical office experience
- HIPAA
Quick Apply
Gender Affirming Care Patient Navigator (PT)
Planned Parenthood CWNY —Rochester, NY
- $21.89 - $25.36 an hour
- Part-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Paid holidays
Referral and Prior Authorization Rep III
University of Rochester —Rochester, NY
- $19.62 - $26.49 an hour
- Full-time
- Surgery
- Mid-level
- High school diploma or GED
4d

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denials jobs near rochester, ny

Epic Denials Management Operator

Deloitte -
Rochester, NY

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.

Apply Now

Refine Your Search

denials jobs in rochester, ny

Epic Denials Management Operator

HIM Release of Information Rep III

Med Rec Coder III

Medical Billing Specialist

Referral & Prior Authorization III

Clinical Document Spec

Epic Resolute Hospital Billing Associate Analyst

Medical Records Coder III, Complex

Epic Denials Management Coordinator

Procedure Scheduler

Referral & Prior Auth Rep III

605-Rochester- Store Compliance Spec. - Wage: $27.88 - $33.45/Hr

Med Rec Coder III, Complex

Med Records Coder IV, Complex

Revenue Cycle Coordinator IV

Pharmacy Access Representative

Clm Resltion Rep III, Hosp/Prv

Business Office Representative

Gender Affirming Care Patient Navigator (PT)

Referral and Prior Authorization Rep III

I want to receive the latest job alert for denials in rochester, ny

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