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
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 11/23/2026. 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
Requesting an Accommodation
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.
If you would like to be considered for employment opportunities with Accenture and have accommodation needs such as for a disability or religious observance, please call us toll free at 1 (877) 889-9009 or send us an email or speak with your recruiter.
Equal Employment Opportunity Statement
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
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Other Employment Statements
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 authorization in the United States.
Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.
Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. Further, at Accenture a criminal conviction history is not an absolute bar to employment.
The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.
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Work arrangement
Yes