TPL Denials Management Analyst

The TPL Denials Management Specialist reviews denials from insurance carriers to determine if denial is valid. Identifies recovery opportunities and communicates with carriers to verify coverage, inquire about claim status and educate carriers about Medicaid rules.

• Reviews explanation of benefits (EOB) from insurance carriers
• Analyzes claims to determine if the denial reason is valid or invalid
• Contacts insurance carriers to verify insurance coverage and claim status
• Contacts Medicaid providers to request claim information and/or medical records
• Communicates with insurance carriers regarding invalid denials
• Re-submits claims to carriers
• Performs follow-up to ensure claims are paid
• Works Special Projects
• Actively participates in the development and documentation of work plans and associated procedures
• Works with other departments to coordinate TPL related processes
• Performs other duties as assigned

Shift: Monday - Friday from 8:00 am to 5:00 pm CST.

• Minimum 2 years of experience working in medical claims

• Microsoft 360
• Medicaid experience
• Medical billing experience
• Third Party Liability experience Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below.
  
  We anticipate this job posting will be posted until 10/14/2026.Accenture offers a market competitive suite of benefits including medical, dental, vision, life, and long-term disability coverage, a 401(k) plan, bonus opportunities, paid holidays, and paid time off. See more information on our benefits here:

Role Location Hourly Salary Range California $23.13 to $48.13

Colorado $23.13 to $41.59

Connecticut $23.13 to $41.59

District of Columbia $24.62 to $44.28

Illinois $21.39 to $41.59

Maine $19.66 to $35.43

Maryland $23.13 to $41.59

Massachusetts $23.13 to $44.28

Minnesota $23.13 to $41.59

New York $21.39 to $48.13

New Jersey $24.62 to $48.13

Ohio $21.39 to $38.51

Virginia $21.39 to $44.28

Washington $24.62 to $44.28

Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.

We believe that no one should be discriminated against because of their differences.

All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.

Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.

For details, view a copy of the Accenture Equal Opportunity Statement ()

Accenture is an EEO and affirmative action employer of Veterans/Individuals with Disabilities.

Accenture is committed to providing veteran employment opportunities to our service men and women.

Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment…