Epic Denials Manager
Mclean, VA · Remote
Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... Collaborates closely with client managers and directors to ensure continuous open communication ...
Epic Denials Manager
Mclean, VA · Remote
Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... Collaborates closely with client managers and directors to ensure continuous open communication ...
Epic Denials Manager
Rosslyn, VA · Remote
Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... Collaborates closely with client managers and directors to ensure continuous open communication ...
Epic Denials Manager
Rosslyn, VA · Remote
Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... Collaborates closely with client managers and directors to ensure continuous open communication ...
Epic Denials Manager
Richmond, VA · Remote
Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... Collaborates closely with client managers and directors to ensure continuous open communication ...
Epic Denials Manager
Richmond, VA · Remote
Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... Collaborates closely with client managers and directors to ensure continuous open communication ...
Anesthesiology Physician
Suffolk, VA · On-site
$380K/yr
Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials Management, Appeals ...
Anesthesiology Physician
Suffolk, VA · On-site
$380K/yr
Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials Management, Appeals ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Manager Patient Financial
Chesapeake, VA · On-site
... Director of Patient Financial Services to assign goals for the Insurance Follow-up and Denials management Monitor levels of productivity for each specific individual through productivity, quality ...
Manager Patient Financial
Chesapeake, VA · On-site
... Director of Patient Financial Services to assign goals for the Insurance Follow-up and Denials management Monitor levels of productivity for each specific individual through productivity, quality ...
... Director of Patient Financial Services to assign goals for the Insurance Follow-up and Denials management Monitor levels of productivity for each specific individual through productivity, quality ...
... Director of Patient Financial Services to assign goals for the Insurance Follow-up and Denials management Monitor levels of productivity for each specific individual through productivity, quality ...
... Director of Patient Financial Services to assign goals for the Insurance Follow-up and Denials management Monitor levels of productivity for each specific individual through productivity, quality ...
... Director of Patient Financial Services to assign goals for the Insurance Follow-up and Denials management Monitor levels of productivity for each specific individual through productivity, quality ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Manager Patient Financial
Chesapeake, VA · On-site
Collaborate with the Director of Patient Financial Services to assign goals for the Insurance Follow-up and Denials management * Monitor levels of productivity for each specific individual through ...
Manager Patient Financial
Chesapeake, VA · On-site
Collaborate with the Director of Patient Financial Services to assign goals for the Insurance Follow-up and Denials management * Monitor levels of productivity for each specific individual through ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Keywords : #LI-AR2 , Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials ...
Manager Patient Financial
Chesapeake, VA · On-site
... the Director of Patient Financial Services to assign goals for the Insurance Follow-up and Denials management § Monitor levels of productivity for each specific individual through productivity ...
Manager Patient Financial
Chesapeake, VA · On-site
... the Director of Patient Financial Services to assign goals for the Insurance Follow-up and Denials management § Monitor levels of productivity for each specific individual through productivity ...
Lead denials management including peer-to-peer discussions and appeal letters* Collaborate with hospital leadership, case management, and medical staff* Provide education to physicians on ...
Lead denials management including peer-to-peer discussions and appeal letters* Collaborate with hospital leadership, case management, and medical staff* Provide education to physicians on ...
SENIOR DIRECTOR PATIENT FINANCIAL SERVICES (REVENUE CYCLE)
Lynchburg, VA · On-site
$125K - $201K/yr
The Revenue Cycle Director identifies opportunities for improvement and manages the implementation ... denials and rejections are logged for measurement and analysis Ensure compliance with relevant ...
SENIOR DIRECTOR PATIENT FINANCIAL SERVICES (REVENUE CYCLE)
Lynchburg, VA · On-site
$125K - $201K/yr
The Revenue Cycle Director identifies opportunities for improvement and manages the implementation ... denials and rejections are logged for measurement and analysis Ensure compliance with relevant ...
SENIOR DIRECTOR PATIENT FINANCIAL SERVICES
Lynchburg, VA · On-site
$141K - $225K/yr
The Revenue Cycle Director identifies opportunities for improvement and manages the implementation ... denials and rejections are logged for measurement and analysis Ensure compliance with relevant ...
SENIOR DIRECTOR PATIENT FINANCIAL SERVICES
Lynchburg, VA · On-site
$141K - $225K/yr
The Revenue Cycle Director identifies opportunities for improvement and manages the implementation ... denials and rejections are logged for measurement and analysis Ensure compliance with relevant ...
SENIOR DIRECTOR PATIENT FINANCIAL SERVICES
Lynchburg, VA · On-site
$141K - $225K/yr
The Revenue Cycle Director identifies opportunities for improvement and manages the implementation ... denials and rejections are logged for measurement and analysis Ensure compliance with relevant ...
SENIOR DIRECTOR PATIENT FINANCIAL SERVICES
Lynchburg, VA · On-site
$141K - $225K/yr
The Revenue Cycle Director identifies opportunities for improvement and manages the implementation ... denials and rejections are logged for measurement and analysis Ensure compliance with relevant ...
SENIOR DIRECTOR PATIENT FINANCIAL SERVICES
Lynchburg, VA · On-site
$141K - $225K/yr
The Revenue Cycle Director identifies opportunities for improvement and manages the implementation ... denials and rejections are logged for measurement and analysis Ensure compliance with relevant ...
SENIOR DIRECTOR PATIENT FINANCIAL SERVICES
Lynchburg, VA · On-site
$141K - $225K/yr
The Revenue Cycle Director identifies opportunities for improvement and manages the implementation ... denials and rejections are logged for measurement and analysis Ensure compliance with relevant ...
Director Denials Management information
What does a director denials management do?
A Director of Denials Management is responsible for overseeing the strategies and processes that address insurance claim denials in a healthcare organization. They lead teams to analyze denial trends, develop solutions to reduce future denials, and work closely with billing, coding, and clinical staff to ensure accurate claims submission and appeals. Their role is crucial in optimizing revenue cycle performance and ensuring the organization receives appropriate reimbursement for services provided.
What are the key skills and qualifications needed to thrive as a director denials management?
To thrive as a Director of Denials Management, you need in-depth knowledge of healthcare revenue cycle management, denial prevention strategies, and a relevant degree in healthcare administration or business. Experience with claims management systems, EHRs, and analytics tools such as Epic, Cerner, or similar platforms is typically required. Strong leadership, problem-solving, and communication skills help drive team performance and facilitate cross-departmental collaboration. These skills are crucial for minimizing denials, optimizing reimbursement, and ensuring financial health for healthcare organizations.
What are the primary challenges faced by a director denials management, and how can they address them effectively?
A Director of Denials Management often encounters challenges such as staying ahead of frequently changing payer regulations, identifying root causes of denials, and leading cross-departmental initiatives to improve claim approval rates. Success in this role requires strong analytical skills to interpret denial trends, effective communication to collaborate with clinical, coding, and billing teams, and the ability to implement process improvements. Addressing these challenges involves fostering a culture of accountability, providing ongoing staff education, and leveraging technology to streamline workflows and monitor performance metrics.
What is the difference between Director Denials Management vs Denials Management Specialist?
| Aspect | Director Denials Management | Denials Management Specialist |
|---|---|---|
| Credentials | Bachelor's degree, leadership experience | High school diploma or associate's, healthcare or insurance knowledge |
| Work Environment | Management, strategic planning, team oversight | Operational, claims review, denial resolution |
| Industry Usage | Healthcare, insurance companies, hospital systems | Healthcare providers, insurance payers, billing departments |
| Search/Comparison Intent | Leadership roles, strategic denial management | Operational roles, claims processing |
While both roles focus on managing claim denials, the Director Denials Management oversees teams and strategies, whereas the Denials Management Specialist handles day-to-day claim review and resolution tasks.
What are the most commonly searched types of Denials Management jobs in Virginia?
The most popular types of Denials Management jobs in Virginia are:
What are popular job titles related to Director Denials Management jobs in Virginia?
For Director Denials Management jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Director Denials Management jobs in Virginia look for?
The top searched job categories for Director Denials Management jobs in Virginia are:
What cities in Virginia are hiring for Director Denials Management jobs?
Cities in Virginia with the most Director Denials Management job openings:
Deloitte rating
8.2
Based on 93 frontline employees who took The Breakroom Quiz
45th of 152 rated financial services
Job description
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 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 lead projects or workstreams
- 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:
- 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
- Role is remote
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
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.
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 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 lead projects or workstreams
- 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:
- 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
- Role is remote
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
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.
About Deloitte
Sourced by ZipRecruiter
Industry
Finance and insurance and business management consulting
Company size
10,000+ Employees
Headquarters location
Orlando, FL, US