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.

Key Responsibilities:

• •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.

Basic Qualifications :

Minimum 2 years of experience working in medical claims

Preferred Skills:

• •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:

U.S. Employee Benefits | Accenture

• 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

About Accenture

Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities. Visit us at www.accenture.com

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