Job Description
Job Description
We are looking for a detail-oriented Epic Billing Specialist to support revenue cycle operations in Roseville, California. This Contract position focuses on managing billing work queues, resolving claim and charge issues, and helping accounts move efficiently through the billing process. The person in this role will work closely with billing, coding, and technical teams to address exceptions, improve accuracy, and support timely reimbursement.
Responsibilities:
• Manage assigned Epic Resolute hospital billing work queues each day, ensuring accounts are reviewed, prioritized, and resolved within established service expectations.
• Investigate claim edits, charge discrepancies, denials, and follow-up items to clear billing obstacles and support accurate claim submission.
• Examine account details to determine the source of billing issues, then update patient, guarantor, coverage, or charge information as needed.
• Organize queue activity based on urgency, including filing deadlines, account age, financial impact, and team direction.
• Recognize recurring billing errors or edit patterns and escalate broader issues to leadership or appropriate support teams for resolution.
• Partner with billing, coding, and IT teams to reduce backlog volume, improve workflow efficiency, and minimize delays in reimbursement.
• Verify that claims align with payer guidelines as well as applicable state and federal billing requirements before release.
• Maintain productivity, quality, and confidentiality standards while documenting actions clearly and accurately within the system.
• High school diploma or equivalent is required; an associate degree or related technical education is preferred.
• At least two years of experience in medical billing, claims processing, or revenue cycle operations is required.
• A minimum of one year of direct experience working billing work queues in Epic Resolute HB, PB, or both is required.
• Working knowledge of UB-04 and CMS-1500 claim forms, ICD-10 coding, and revenue codes is required.
• Experience billing commercial, Medicare, Medicaid, and managed care plans is required.
• Familiarity with clearinghouse platforms and payer portals such as Availity, Waystar, or Experian is preferred.
• Epic Resolute Hospital Billing certification, proficiency, or credentialed training is preferred.
• Certifications such as CRCR, CPB, or similar revenue cycle credentials are preferred.