New Orleans, LA · Remote
$17.25 - $23/hr
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ...
New Orleans, LA · Remote
$17.25 - $23/hr
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ...
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ...
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ...
$11.86 - $13.85
2% of jobs
$13.85 - $15.84
13% of jobs
$16.83 is the 25th percentile. Wages below this are outliers.
$15.84 - $17.82
20% of jobs
The median wage is $19.56 / hr.
$17.82 - $19.81
17% of jobs
$19.81 - $21.80
15% of jobs
$23.29 is the 75th percentile. Wages above this are outliers.
$21.80 - $23.78
11% of jobs
$23.78 - $25.77
10% of jobs
$25.77 - $27.76
5% of jobs
$27.76 - $29.74
3% of jobs
$29.74 - $31.73
3% of jobs
$31.73 - $33.72
1% of jobs
$11
$21
$33
A Remote Credentialing job involves verifying and maintaining the qualifications, certifications, and professional licenses of healthcare providers or other professionals from a remote location. Credentialing specialists ensure compliance with industry regulations, accreditation standards, and organizational policies. Responsibilities often include reviewing applications, conducting background checks, and managing credentialing databases. This role is essential for ensuring that providers meet required standards before they can deliver services. Remote credentialing allows professionals to perform these tasks efficiently without being physically present at a healthcare facility.
In a Remote Credentialing role, you'll be responsible for verifying and maintaining healthcare providers' credentials, licensing, and certifications according to regulatory and organizational standards. Your daily tasks may include reviewing applications, conducting background checks, managing databases, and communicating with providers and regulatory agencies to resolve discrepancies. You will often work independently but also collaborate with compliance, HR, and medical staff departments to ensure timely credentialing. Attention to deadlines, strong organizational skills, and the ability to adapt to changing regulations are important for success in this position.
To excel in Remote Credentialing, you need a strong understanding of healthcare credentialing processes, attention to detail, and knowledge of applicable laws and regulations, often with prior experience in a medical or administrative setting. Familiarity with credentialing management software (such as CAQH, VerifPoint, or MedTrainer) and sometimes certification like CPCS (Certified Provider Credentialing Specialist) is valuable. Excellent organizational skills, problem-solving ability, and clear communication are crucial for success in a remote environment. These skills ensure accuracy, compliance, and efficient processing of provider credentials, which are essential for maintaining healthcare standards and operational flow.
Cities near River Ridge, LA with the most Remote Credentialing job openings:
New Orleans, LA • Remote
$17.25 - $23/hr
Full-time
Re-posted 18 days ago
8.2
Based on 93 frontline employees who took The Breakroom Quiz
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:
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:
Preferred:
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.
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 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:
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:
Preferred:
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.
Education:Bachelor's DegreeEmployment Type:
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Finance and insurance and business management consulting
10,000+ Employees
Orlando, FL, US
