Denial Management Consultant

Job Summary

A company is looking for a Denials Management Consultant to support revenue cycle optimization efforts.

Key Responsibilities:

• Analyze denial trends and root causes using Epic work queues and reporting tools
• Collaborate with billing, coding, and clinical teams to implement denial prevention strategies
• Optimize denial workflows and recommend system and operational improvements

Required Qualifications:

• 3-5 years of experience in hospital-based denial management and revenue cycle optimization
• Strong proficiency in Epic systems (certification or proven experience required)
• In-depth knowledge of denial codes, payer policies, and appeals processes
• Bachelor's degree in Healthcare Administration, Business, or related field
• Experience in a patient/hospital setting is strongly preferred