Open Position: Pharmacist - Pharmacy Manager Outpatient

Estimated Gross Weekly Pay: $1739.00

Opportunity:

Epic Billing Queue Management Technician

Job Details:

* Day shift position, onsite in Roseville
* 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
* Resolve 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 and 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 systemic issues to appropriate teams
* Collaborate with billing, coding, and IT teams to reduce queue volumes and minimize claim delays
* High School Diploma/GED required; Associate's/Technical Degree preferred
* Minimum two years of medical billing, claims processing, or revenue cycle experience required
* Minimum 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 (Availity, Waystar, Experian) preferred
* Experience supporting work queue build, routing rules, or workflow redesign initiatives preferred
* Epic Resolute Hospital Billing certification, proficiency, or credentialed training preferred
* Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or comparable certification preferred
* Advanced certification (e.g., CHRI, CRCR, or 340B ACE) preferred
* Current BLS certification required

Facility:

This healthcare organization is headquartered on a WELL-certified campus that has been a cornerstone of the region for more than 40 years. The campus is designed to promote well-being, collaboration, and innovation, providing associates with a welcoming and rejuvenating environment. The organization supports a wide range of shared services teams and is committed to fostering a workplace culture that inspires excellence and teamwork.

Location:

Roseville, CA

Roseville is a thriving city located in the greater Sacramento metropolitan area, offering a wonderful blend of suburban comfort and urban amenities, with excellent dining, shopping, and outdoor recreational opportunities. Its proximity to both the Sierra Nevada mountains and the California coast makes it an ideal destination for professionals seeking a high quality of life in a dynamic and growing community.

Equal Employment Opportunity Statement:

Noor Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.

Physicial Requirements:

This position requires the ability to perform the essential functions of the role, which may include standing for extended periods, bending, reaching, and lifting up to 50 pounds on an occasional basis, with or without reasonable accommodation. Physicial demands may vary depending on assignment and client-site requirements.