Epic Billing Queue Management Technician
We are looking for a 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 work queues, resolving claim and charge issues, and supporting accurate reimbursement. The position works closely with billing, coding, and technical teams to address account-level problems, improve queue performance, and maintain compliance with payer and regulatory requirements.
Responsibilities:
• Manage assigned Epic billing work queues each day, addressing claim edits, charge review items, denials, follow-up tasks, and credit-related accounts within expected turnaround times.
• Investigate billing exceptions to determine underlying causes, then update account, guarantor, coverage, or charge information to support clean claim submission.
• Review hospital billing activity for accuracy and completeness before claims are released, ensuring alignment with payer, state, and federal requirements.
• Organize workload based on filing deadlines, account aging, financial impact, and departmental priorities to reduce delays in reimbursement.
• Track recurring error patterns and elevate broader system or workflow concerns to leadership and appropriate support teams for resolution.
• Partner with billing, coding, and IT stakeholders to improve queue performance, reduce preventable edits, and support efficient revenue cycle operations.
• Document account actions thoroughly and maintain clear financial notes that support transparency, audit readiness, and continuity of follow-up.
• Use payer portals and clearinghouse tools to research claim status, correct submission issues, and advance accounts toward payment resolution.
Qualifications:
• High school diploma or equivalent is required; an associate degree or comparable combination of education and relevant experience 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 billing work queues in Epic Resolute HB, PB, or both is required.
• Working knowledge of UB-04, CMS-1500, ICD-10, and revenue codes is required.
• Familiarity with commercial insurance, Medicare, Medicaid, and managed care billing rules is required.
• Experience using clearinghouse platforms and payer portals such as Availity, Waystar, or Experian is preferred.
• Epic Resolute Hospital Billing certification, credentialed training, or a related revenue cycle certification is preferred.
• Ability to handle sensitive information appropriately while maintaining accuracy, productivity, and compliance in a HIPAA-regulated environment is required.
Compensation
$25.00-$30.00 HourlyAbout Us
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