Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry. Wilshire will take the time to get know you and your employment history. We will then place you in a role that will lead to a path of career success.
About The Wilshire Group
The Wilshire Group, a renowned boutique consulting firm in Los Angeles, specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets. With a robust track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.
Our core values- professionalism, efficiency, and flexibility- underscore our commitment to creating an inclusive and dynamic workplace. We embrace diverse narratives and believe in offering opportunities to exceptional individuals who bring their best to the table.
We are currently offering a contracted interim position at one of US News Best Hospitals 2022-23. This position caters to top performers seeking a professional environment that acknowledges and values their dedication and proficiency. While this role doesn’t offer benefits, it presents an opportunity to work within an organization that encourages talented individuals to surpass conventional boundaries.
Join us at The Wilshire Group, a place where talented professionals find a home to showcase their skills and contribute meaningfully to the healthcare landscape.
Why Wilshire? Employee Testimonial
“The number of RCM subject matter experts I get to work with each day is unreal. Working alongside and as part of this team to help shape the RCM space is exciting.”-Patti Consolver, Director of Business Development
Job Title: Denial Management Consultant (Epic | Remote | Contract)
Contract Length: 6 Months
Compensation: $70–$80 per hour
Location: Remote (U.S.-based)
We are seeking a highly skilled Denial Management Consultant with hands-on experience in Epic to support revenue cycle optimization efforts, with a focus on denial prevention, management, and resolution. This is a contract position ideal for someone who thrives in a fast-paced, hospital-based environment and is comfortable working independently.
Key Responsibilities:Analyze denial trends and root causes using Epic work queues, dashboards, and reporting tools.
Collaborate with billing, coding, and clinical teams to develop and implement denial prevention strategies.
Optimize existing denial workflows and recommend system and operational improvements.
Monitor key performance indicators (KPIs) related to denials and accounts receivable.
Train internal stakeholders on best practices in denial management and Epic functionality.
Provide weekly progress updates and contribute to overall revenue cycle optimization goals.
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 required (Healthcare Administration, Business, or related field).
Experience in a patient/hospital setting is strongly preferred.
Exceptional analytical, communication, and problem-solving skills.
Epic certifications in HB or PB claims, hospital billing, or denial workflows.
Background in performance improvement, healthcare consulting, or health system operations.
Familiarity with CMS and commercial payer rules.
100% remote
Flexible scheduling with expectations for regular communication and status reporting
Collaborative virtual team environment
Wilshire is honored that you have taken the time to review/apply to our open position. We will now take the time to review your experience and be in touch with you soon.
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