Sr Epic Analyst - Real Rime Eligibility (RTE) - Remote

Title: Epic Sr Epic Analyst - Real Rime Eligibility (RTE)
Location : Remote: Excluding, NY. CA., CO
Target Start Date : 11/30
Type: (C, CTH, D) Direct
Pay Rate / Salary (Ranges OK) : $110,000 -$120,000 - W/ 10% bonus
To note: 25% travel

Senior Epic Real-Time Eligibility (RTE) Analyst

About the Organization

Our client is a nationally recognized healthcare services organization that partners with hospitals, health systems, and physician groups to improve operational performance, financial outcomes, and patient experiences. With a strong focus on innovation, continuous improvement, and technology-enabled solutions, the organization supports healthcare providers across the country in optimizing critical business and clinical operations.

The organization fosters a collaborative and client-focused culture where employees are empowered to solve complex challenges, deliver measurable results, and drive meaningful improvements for healthcare organizations. Professionals joining the team will have the opportunity to work directly with healthcare leaders, contribute to strategic initiatives, and support transformative technology programs that impact patient care and operational excellence.

Position Summary

We are seeking an experienced Senior Epic Real-Time Eligibility (RTE) Analyst to serve as a trusted advisor and technical resource for healthcare organizations seeking to optimize insurance eligibility verification, coverage discovery, and patient access workflows within Epic.

This position focuses on Epic RTE build, workflow optimization, system enhancements, issue resolution, and ongoing support of patient access and revenue cycle operations. The ideal candidate will possess deep expertise in eligibility verification processes, payer transactions, and Epic Patient Access applications, while partnering with healthcare organizations to improve financial clearance, reduce claim denials, and enhance the patient experience.

Essential Responsibilities

Epic RTE Support & Optimization

• Analyze, design, configure, test, and support Epic Real-Time Eligibility (RTE) application build and enhancements.
• Evaluate current eligibility verification workflows and identify opportunities to improve insurance validation, payer connectivity, and registration efficiency.
• Serve as the lead analyst for RTE-related issues, optimization initiatives, and enhancement requests.
• Develop recommendations that align Epic functionality with Patient Access and Revenue Cycle best practices.
• Partner with operational and technical stakeholders to implement workflow improvements and system enhancements.
• Configure and optimize eligibility response rules, payer mappings, coverage verification workflows, and exception handling processes.
• Support initiatives focused on improving first-pass claim acceptance, reducing registration errors, and minimizing denied claims caused by eligibility issues.

System Build, Testing & Change Management

• Perform Epic build and configuration activities following established change control processes.
• Create and maintain workflow documentation, build specifications, and decision documents.
• Participate in integrated testing, user acceptance testing (UAT), upgrades, and implementation activities.
• Troubleshoot application issues and coordinate resolutions with internal teams, payers, clearinghouses, and Epic resources.
• Manage support tickets and prioritize issue resolution to meet client expectations.

Client Engagement & Consulting

• Act as a subject matter expert for Epic RTE and eligibility verification workflows.
• Facilitate requirements gathering sessions and stakeholder meetings.
• Communicate project status, recommendations, and system impacts to client leadership and operational teams.
• Educate end users and leadership on Epic best practices and system functionality.
• Support implementation, optimization, and continuous improvement initiatives.
• Collaborate with Patient Access, Revenue Cycle, Registration, Financial Clearance, and Authorization teams to improve front-end revenue cycle performance.

Required Qualifications

• Active Epic Real-Time Eligibility (RTE) Certification or Epic certification supporting RTE functionality (verification required).
• Minimum 4 years of recent Epic RTE experience.
• Hands-on Epic build, support, optimization, and enhancement experience.
• Strong understanding of patient access and insurance verification workflows, including:
  • Real-Time Eligibility (RTE)
  • Insurance Verification
  • Coverage Discovery
  • Registration Workflows
  • Financial Clearance
  • Benefit Validation
  • Payer Connectivity
  • Authorization Readiness
• Experience gathering business requirements and translating operational needs into Epic solutions.
• Strong analytical, problem-solving, and troubleshooting skills.
• Excellent communication and interpersonal skills with proven client-facing experience.
• Ability to work independently while managing multiple priorities and deliverables.
• Ability to travel approximately 25% (typically one week per month, based on client needs).

Nice to Have Qualifications

• Epic Prelude Administration Certification
• Epic Cadence Administration Certification
• Epic Referral Administration Certification
• Epic MyChart Administration Certification
• Experience with eligibility clearinghouses such as Experian, Availity, Change Healthcare, or Waystar
• Epic implementation and optimization experience
• Experience with denial prevention and revenue cycle improvement initiatives
• Experience working with healthcare operational leadership and cross-functional teams
• Consulting experience supporting multiple healthcare organizations

Success in This Role

The successful candidate will:

• Demonstrate deep expertise in Epic Real-Time Eligibility and insurance verification workflows.
• Identify opportunities to improve eligibility accuracy, coverage verification, and front-end revenue cycle performance.
• Build strong relationships with client stakeholders through effective communication and collaboration.
• Deliver scalable solutions that improve registration accuracy, payer verification success rates, financial clearance efficiency, and claim acceptance.
• Support healthcare organizations through ongoing optimization efforts, upgrades, and Epic initiatives.
• Help clients improve key revenue cycle metrics, including eligibility verification rates, clean claims performance, denial prevention, insurance accuracy, and patient financial clearance outcomes.

Hiring Process

• Initial interview (30-45 minutes)
• Panel interview with 3-4 team members
• Comprehensive background screening process

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