Epic Billing Queue Management Technician

We are looking for an Epic Billing Queue Specialist to support revenue cycle operations for a contract position. In this role, you will focus on managing billing queues within Epic, helping claims, charges, and account corrections move forward accurately and on time. This opportunity is ideal for a billing specialist who can identify issues, resolve edits, and collaborate with cross-functional teams to improve reimbursement outcomes.

Responsibilities:

• Manage assigned Epic billing work queues each day, addressing claim edits, charge review items, follow-up activities, denials, and credit-related tasks within expected turnaround times.

• Investigate billing exceptions to determine the source of issues and make corrections to patient, guarantor, coverage, and charge information as needed.

• Review accounts before claim release to confirm compliance with payer guidelines as well as state and federal billing requirements.

• Organize and prioritize queue inventory according to filing deadlines, account age, financial impact, and operational direction from leadership.

• Recognize repeated error patterns and communicate broader system or workflow concerns to appropriate internal teams for resolution.

• Partner with billing, coding, and technical support teams to reduce preventable edits, improve queue performance, and support accurate reimbursement.

• Document account activity clearly and maintain complete records of actions taken to support audit readiness and operational transparency.

• Contribute to workflow improvement efforts, including recommendations related to queue routing, process refinement, and system optimization when applicable.

• 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 Epic Resolute HB, PB, or related billing work queues is required.
• Practical knowledge of UB-04, CMS-1500, ICD-10, and revenue code usage is required.
• Familiarity with billing rules for commercial insurance, Medicare, Medicaid, and managed care plans is required.
• Experience using clearinghouse platforms and payer portals such as Availity, Waystar, or similar tools is preferred.
• Epic Resolute Hospital Billing certification, credentialed training, or comparable revenue cycle certification is preferred.
• Ability to work accurately in a HIPAA-regulated environment while maintaining productivity, confidentiality, and strong attention to detail is required.