Work you'll do As an Epic Denials Management Coordinator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.
Work you'll do As an Epic Denials Management Coordinator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.
Epic Denials Management Operator
Raleigh, NC · Remote
$17.50 - $23.25/hr
... claim edits, coordination of benefits, and missing documentation. Adhere to defined SOPs and ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...
Epic Denials Management Operator
Raleigh, NC · Remote
$17.50 - $23.25/hr
... claim edits, coordination of benefits, and missing documentation. Adhere to defined SOPs and ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...
Job: Operations and Billing Coordinator Location: Raleigh, NC Position Type: Full-time Are you a ... Monitor unpaid insurance claims and work to resolve denials, rejections, and outstanding balances ...
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Job: Operations and Billing Coordinator Location: Raleigh, NC Position Type: Full-time Are you a ... Monitor unpaid insurance claims and work to resolve denials, rejections, and outstanding balances ...
Program Coordinator
Smithfield, NC · On-site
The Program Coordinator is an Administrative position responsible for the development and oversight ... and denials. * Develops and implements a system to ensure all required billing elements are in ...
Program Coordinator
Smithfield, NC · On-site
The Program Coordinator is an Administrative position responsible for the development and oversight ... and denials. * Develops and implements a system to ensure all required billing elements are in ...
Insurance Coordinator - CBO
Wake Forest, NC · On-site
$19 - $23/hr
Correspond with insurance companies to review treatment coverage or denials * Handle all inquiries concerning insurance daily with a helpful and positive attitude * Willing to help in other areas as ...
Insurance Coordinator - CBO
Wake Forest, NC · On-site
$19 - $23/hr
Correspond with insurance companies to review treatment coverage or denials * Handle all inquiries concerning insurance daily with a helpful and positive attitude * Willing to help in other areas as ...
Revenue Cycle Representative
Chapel Hill, NC · On-site +1
$18.12 - $25.51/hr
May be responsible for posting payments, contractual adjustments, and denials in a timely, accurate ... PFE Coverage Coordination Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.12 ...
Revenue Cycle Representative
Chapel Hill, NC · On-site +1
$18.12 - $25.51/hr
May be responsible for posting payments, contractual adjustments, and denials in a timely, accurate ... PFE Coverage Coordination Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.12 ...
Revenue Cycle Representative
Chapel Hill, NC · On-site +1
$18.12 - $25.51/hr
May be responsible for posting payments, contractual adjustments, and denials in a timely, accurate ... PFE Coverage Coordination Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.12 ...
Revenue Cycle Representative
Chapel Hill, NC · On-site +1
$18.12 - $25.51/hr
May be responsible for posting payments, contractual adjustments, and denials in a timely, accurate ... PFE Coverage Coordination Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.12 ...
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Monitors denials, corrects and/or assists in the resolution of denial and reimbursement issues ... In coordination with the Practice Coordinator, tracks all invoices. * Handles all building-related ...
Monitors denials, corrects and/or assists in the resolution of denial and reimbursement issues ... In coordination with the Practice Coordinator, tracks all invoices. * Handles all building-related ...
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Support denials management activities for assigned practices, including identifying root causes, analyzing trends, coordinating solutions and monitoring improvement efforts in collaboration with RCM ...
Support denials management activities for assigned practices, including identifying root causes, analyzing trends, coordinating solutions and monitoring improvement efforts in collaboration with RCM ...
Support denials management activities for assigned practices, including identifying root causes, analyzing trends, coordinating solutions and monitoring improvement efforts in collaboration with RCM ...
Support denials management activities for assigned practices, including identifying root causes, analyzing trends, coordinating solutions and monitoring improvement efforts in collaboration with RCM ...
... and Coordination of Care. This role involves evaluating patient admissions and ongoing care to ... Manage denials and appeals in collaboration with management and payors, ensuring timely responses.
... and Coordination of Care. This role involves evaluating patient admissions and ongoing care to ... Manage denials and appeals in collaboration with management and payors, ensuring timely responses.
Utilization Manager
Durham, NC · On-site
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Utilization Manager
Durham, NC · On-site
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Utilization Manager
Durham, NC · On-site
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Utilization Manager
Durham, NC · On-site
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Utilization Manager
Durham, NC · On-site
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Utilization Manager
Durham, NC · On-site
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Supports denials management by documenting activities related to denials adjudication according to ... Maintains effective communication with health care team members related to care coordination and ...
Ambulatory Nurse - RN
Henderson, NC · On-site
... insurance denials, formulary restrictions, and unavailable medications. * Review incoming ... Support providers with patient care coordination and workflow management. * Monitor patient ...
Ambulatory Nurse - RN
Henderson, NC · On-site
... insurance denials, formulary restrictions, and unavailable medications. * Review incoming ... Support providers with patient care coordination and workflow management. * Monitor patient ...
Denials Coordinator information
See Raleigh, NC salary details
$13.32 - $15.66
6% of jobs
$15.66 - $17.99
17% of jobs
$18.20 is the 25th percentile. Wages below this are outliers.
$17.99 - $20.33
21% of jobs
The median wage is $21.13 / hr.
$20.33 - $22.67
17% of jobs
$22.67 - $25
9% of jobs
$26.66 is the 75th percentile. Wages above this are outliers.
$25 - $27.34
6% of jobs
$27.34 - $29.67
2% of jobs
$29.67 - $32.01
1% of jobs
$32.01 - $34.35
6% of jobs
$34.35 - $36.68
9% of jobs
$36.68 - $39.02
4% of jobs
$13
$24
$39
How much do denials coordinator jobs pay per hour?
As of Aug 13, 2026, the average hourly pay for denials coordinator in Raleigh, NC is $24.10, according to ZipRecruiter salary data. Most workers in this role earn between $18.22 and $29.42 per hour, depending on experience, location, and employer.
What is the difference between Denials Coordinator vs Claims Specialist?
| Aspect | Denials Coordinator | Claims Specialist |
|---|---|---|
| Credentials | Typically requires healthcare or insurance-related certifications, such as CPC or equivalent | Often requires similar certifications, with a focus on claims processing |
| Work Environment | Healthcare facilities, insurance companies, or billing departments | Insurance companies, healthcare providers, or billing offices |
| Employer & Industry | Hospitals, clinics, insurance payers | Insurance carriers, healthcare providers, third-party administrators |
Both roles involve working with healthcare claims, but Denials Coordinators focus on resolving denied claims and appeals, while Claims Specialists handle the initial processing of claims. The roles often overlap in credentials and work environment, but their primary responsibilities differ in claim resolution versus processing.
What are the key skills and qualifications needed to thrive as a denials coordinator, and why are they important?
To thrive as a Denials Coordinator, you need a strong understanding of medical billing, insurance claims processing, and healthcare regulations, typically supported by experience in healthcare administration or a related field. Familiarity with electronic health record (EHR) systems, claims management software, and knowledge of coding standards such as ICD-10 and CPT are crucial. Excellent attention to detail, problem-solving abilities, and effective communication skills help in resolving claim denials and collaborating with payers and providers. These skills ensure accurate and timely resolution of denied claims, which is essential for maintaining healthcare revenue cycles and patient satisfaction.
What are the most common challenges faced by a denials coordinator, and how can they be managed effectively?
Denials Coordinators often encounter challenges such as resolving complex insurance denials, navigating evolving payer requirements, and managing large volumes of appeals within tight deadlines. To address these issues, it's important to stay organized, communicate efficiently with both clinical staff and insurers, and maintain up-to-date knowledge of payer policies. Developing strong analytical skills and attention to detail can also help in identifying denial trends and implementing corrective actions, ultimately improving reimbursement rates and workflow efficiency.
What is a denials coordinator?
A Denials Coordinator is a healthcare professional responsible for managing and resolving insurance claim denials. They review denied claims, investigate the reasons for denial, gather necessary documentation, and submit appeals to insurance companies. Their goal is to ensure that healthcare providers receive appropriate reimbursement for services rendered and to minimize financial losses due to claim denials. Denials Coordinators often work closely with billing departments, healthcare providers, and insurance representatives to resolve issues efficiently.
What are popular job titles related to Denials Coordinator jobs in Raleigh, NC? For Denials Coordinator jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Denials Coordinator jobs in Raleigh, NC look for? The top searched job categories for Denials Coordinator jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Denials Coordinator jobs? Cities near Raleigh, NC with the most Denials Coordinator job openings:
Deloitte rating
8.2
Based on 92 frontline employees who took The Breakroom Quiz
45th of 150 rated financial services
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 Coordinator 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:
- 1+ 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
- 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 $50,000 to $60,000.
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.
Qualifications: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 Coordinator 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:
- 1+ 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
- 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 $50,000 to $60,000.
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.
Education:Bachelor's DegreeEmployment Type: