Epic Billing Queue Management Technician

Job Description

Job Description

We are looking for an Epic Billing Queue Specialist to support revenue cycle operations for a Contract position based in Roseville, California. In this role, you will manage billing work queues within Epic, help resolve claim and charge issues, and keep accounts moving efficiently toward reimbursement. You will partner with billing, coding, and technical teams to address recurring problems, improve workflow performance, and maintain high standards for accuracy and timeliness.

Responsibilities:

• Oversee assigned Epic billing work queues each day and address claim, charge, denial, follow-up, and credit-related items within established turnaround expectations.

• Investigate billing edits and account exceptions, then make the necessary corrections so claims can be processed according to payer and regulatory requirements.

• Examine account details to determine the source of billing issues, updating patient, guarantor, coverage, or charge information when needed.

• Organize and prioritize queue activity by urgency, aging, filing deadlines, financial impact, and operational guidance from leadership.

• Track repeated error patterns and escalate broader workflow or system concerns to the appropriate teams for resolution.

• Work closely with billing, coding, and IT partners to reduce preventable delays, support efficient queue routing, and improve reimbursement outcomes.

• Maintain accurate documentation of account actions and follow internal policies for quality, productivity, and confidentiality.

• Support ongoing workflow enhancements, including queue rule adjustments, process refinement, and related system updates when assigned.

• 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.
• Minimum of one year of hands-on experience working Epic Resolute HB, PB, or related billing work queues is required.
• Practical knowledge of UB-04 and CMS-1500 claim forms, ICD-10 coding, and revenue codes is required.
• Familiarity with commercial, Medicare, Medicaid, and managed care billing guidelines is required.
• Experience using clearinghouse tools and payer portals such as Availity, Waystar, or similar platforms is preferred.
• Epic Resolute Hospital Billing certification, credentialed training, or a comparable revenue cycle certification is preferred.
• Ability to handle sensitive information appropriately and work effectively in a HIPAA-regulated environment is required.