Epic Billing Queue Management Technician

Job Description

Job Description

We are looking for an Epic Billing Specialist to support billing operations for a Contract position based in Roseville, California. In this role, you will help keep hospital billing activity moving efficiently by reviewing queue activity, correcting claim issues, and helping reduce delays in reimbursement. You will work closely with revenue cycle, coding, and technical teams to improve accuracy, address recurring problems, and maintain compliance with payer and regulatory expectations.

Responsibilities:

• Manage assigned Epic billing work queues each day, focusing on timely resolution of claim edits, charge issues, denials, follow-up items, and credit-related accounts.

• Investigate billing exceptions and correct account, coverage, guarantor, and charge details so claims can move forward accurately through the revenue cycle.

• Review accounts against payer guidelines and applicable billing regulations to confirm claims are ready for submission and reimbursement.

• Organize and prioritize workload based on aging, filing deadlines, financial impact, and team direction to support productivity goals.

• Detect patterns in edits and denials, document findings, and escalate recurring issues to leadership or technical partners for broader resolution.

• Partner with billing, coding, and IT teams to improve queue performance, reduce preventable errors, and streamline daily workflows.

• Use payer portals and clearinghouse tools to research claim status, resolve rejections, and support effective follow-up activities.

• Maintain complete and accurate account documentation while handling protected health information in accordance with confidentiality and HIPAA standards.

• High school diploma or equivalent required; an associate degree or comparable combination of education and relevant experience is preferred.
• At least 2 years of experience in medical billing, claims processing, or revenue cycle operations required.
• Minimum 1 year of hands-on experience working Epic Resolute HB, PB, or related billing work queues required.
• Practical knowledge of UB-04, CMS-1500, ICD-10, and revenue codes required.
• Experience billing commercial, Medicare, Medicaid, and managed care plans required.
• Familiarity with clearinghouse platforms and payer portals such as Availity, Waystar, or Experian preferred.
• Epic Resolute Hospital Billing certification, credentialed training, or a related revenue cycle certification is preferred.
• Ability to analyze account issues, manage priorities effectively, and communicate trends or process concerns clearly across teams.