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 and charge issues, and helping accounts move efficiently toward accurate reimbursement. The ideal candidate will bring strong medical billing knowledge, sound judgment in prioritizing high-impact accounts, and the ability to work closely with billing, coding, and technical teams to improve queue performance and reduce payment delays.
Responsibilities:
• Manage assigned Epic Resolute billing queues each day, addressing claim edits, charge review items, follow-up activity, denials, credits, and related account exceptions within established service expectations.
• Investigate billing errors to determine underlying causes, then update account, coverage, guarantor, or charge information so claims can be released accurately and on time.
• Organize workload based on aging, filing limits, financial impact, and operational urgency to keep high-priority accounts moving through the revenue cycle.
• Partner with billing, coding, and information systems teams to resolve recurring issues, clarify workflow questions, and improve the handling of work queue volumes.
• Review charges and claims for compliance with payer rules as well as state and federal billing standards before submission or correction.
• Track patterns in edits, denials, and payment delays, escalating broader process or system concerns when trends indicate a larger operational issue.
• Use payer portals and clearinghouse tools to research claim status, obtain supporting details, and complete follow-up needed for timely reimbursement.
• Support workflow enhancement efforts, including updates to queue routing logic or process design, when changes are needed to improve accuracy and efficiency.• High school diploma or equivalent is required; an associate degree or technical training in a related field is preferred.
• 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.
• Working knowledge of UB-04 and CMS-1500 claim forms, CPT, HCPCS, ICD-10, and revenue codes is required.
• Familiarity with billing requirements for commercial plans, Medicare, Medicaid, and managed care payers is required.
• Experience using clearinghouse platforms and payer portals such as Availity, Waystar, or Experian is preferred.
• Epic Resolute Hospital Billing certification, proficiency, or related credentialed training is preferred.
• Billing or revenue cycle certifications such as CRCR, CPB, or similar credentials are preferred.