Job Description
Job DescriptionWe are looking for an Epic Billing Queue Management Technician to support revenue cycle operations in Roseville, California. This Long-term Contract position focuses on managing Epic billing work queues, resolving claim-related issues, and helping ensure timely and accurate reimbursement across hospital billing processes. The ideal candidate brings strong knowledge of medical billing workflows, payer requirements, and queue prioritization, along with the ability to collaborate effectively with billing, coding, and technical teams.
Responsibilities:
• Manage assigned Epic Resolute hospital billing work queues each day, addressing claim edits, charge review items, follow-up tasks, denials, credits, and related account exceptions within expected turnaround times.
• Investigate billing errors and account discrepancies, then update patient, guarantor, coverage, and charge information to support clean claim submission.
• Prioritize workload by considering filing limits, account age, financial impact, and operational urgency to keep claims moving efficiently through the revenue cycle.
• Work closely with billing, coding, and IT partners to resolve recurring issues, reduce queue backlogs, and improve reimbursement timeliness.
• Identify patterns in denials, edits, and charge issues, escalating broader system concerns and recommending workflow improvements when appropriate.
• Review claims for compliance with payer, state, and federal billing guidelines before release, helping reduce avoidable delays and rework.
• Use payer portals and clearinghouse tools to research claim status, respond to exceptions, and support follow-up activity on outstanding accounts.
• Contribute to process enhancement efforts, including updates to routing logic, work queue structure, or billing workflows when needed.• High school diploma or equivalent is required.
• At least two years of experience in medical billing, claims processing, or revenue cycle operations is required.
• Minimum of one year of hands-on experience working Epic Resolute billing work queues in hospital billing, physician billing, or both is required.
• Practical knowledge of UB-04 and CMS-1500 claim forms, ICD-10 coding structure, and revenue codes is required.
• Experience billing commercial, Medicare, Medicaid, and managed care payers is required.
• Associate degree or equivalent combination of education and related experience is preferred.
• Familiarity with clearinghouse platforms and payer portal tools such as Availity, Waystar, or Experian is preferred.
• Epic Resolute Hospital Billing certification, revenue cycle certification, or similar industry credentials are preferred.