Epic Billing Queue Management Technician

Job Summary: The Epic Billing Queue Management Technician is responsible for daily monitoring, prioritization, and resolution of billing work queues within the Epic Resolute Hospital Billing (HB) applications. This position ensures that charges, claims, and account edits move efficiently through the revenue cycle by working on claim edit, charge review, follow-up, and denial work queues while adhering to departmental productivity and quality standards. The Technician identifies error trends, escalates systemic issues, and collaborates with billing, coding, and IT teams to reduce queue volumes, minimize claim delays, and support timely, accurate reimbursement.

Job Requirements:

Education and Work Experience:

• High School Education/GED or equivalent: Required
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
• Two years of experience in medical billing, claims processing, or revenue cycle: Required
• One year of hands-on experience working billing work queues in Epic Resolute (HB, PB, or both): Required
• Working knowledge of UB-04 and CMS-1500 claim forms, CPT, HCPCS, ICD-10, and revenue codes: Required
• Previous experience with commercial, Medicare, Medicaid, and managed care billing requirements: Required
• Previous experience with clearinghouse platforms (e.g., SSI) and payer portals: Preferred
• Experience supporting work queue build, routing rules, or workflow redesign initiatives: Preferred

Licenses/Certifications:

• State Pharmacy Technician license: Preferred
• Epic Resolute Hospital Billing certification, proficiency, or credentialed training: Preferred
• Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or comparable certification: Preferred

Essential Functions:

• Monitor and work assigned Epic Pharmacy Med Charge HB work queues daily, including claim edit, charge review, charge router, follow-up, denial, and credit work queues, resolving accounts within established timeliness standards.
• Review and resolve claim edits and errors, ensuring claims meet payer, state, and federal billing requirements before release.
• Analyze accounts to identify root causes of edits and errors; correct patient, guarantor, coverage, and charge-level information as needed.
• Prioritize queue volumes based on dollar amount, timely filing deadlines, aging, and departmental direction.
• Identify recurring edit trends and escalate issues to appropriate teams for further action and resolution.

For additional and specialty-specific requirements, please contact us.