Epic Billing Queue Management Technician - Pay negotiable

Job Summary:
Manages daily Epic Resolute Hospital Billing (HB) work queues, including claim edits, charge review, follow-up, denials, and credits. Resolves billing errors and supports accurate, timely reimbursement.

Essential Duties:

• Monitor and resolve assigned Epic billing work queues.

• Review claim edits and correct patient, guarantor, coverage, and charge-level errors.

• Prioritize accounts based on dollar value, aging, timely filing, and departmental priorities.

• Identify recurring billing errors and escalate systemic issues.

• Collaborate with billing, coding, registration, clinical, and IT/Epic teams.

• Document account activity accurately in Epic.

• Support work queue, routing, workflow, and process improvements.

• Assist with Epic upgrades, testing, and billing edits.

• Maintain knowledge of payer requirements and billing regulations.

• Follow HIPAA, privacy, safety, and organizational policies.

Requirements:

• High School Diploma/GED or equivalent – Required.

• Associate’s/Technical Degree or equivalent education/experience – Preferred.

• 2+ years of medical billing, claims processing, or revenue cycle experience – Required.

• 1+ year of hands-on Epic Resolute billing work queue experience (HB, PB, or both) – Required.

• Working knowledge of UB-04, CMS-1500, CPT, HCPCS, ICD-10, and revenue codes – Required.

• Experience with commercial, Medicare, Medicaid, and managed care billing – Required.

• Clearinghouse platforms such as SSI and payer portals such as Availity, Waystar, or Experian – Preferred.

• Experience with work queue build, routing rules, or workflow redesign – Preferred.

• Epic Resolute HB certification, proficiency, or credentialed training – Preferred.

• CRCR, CPB, or comparable revenue cycle certification – Preferred.

• State Pharmacy Technician License – Preferred.