Epic Patient Access Analyst, Real-Time Eligibility (RTE)

Job Summary

We are seeking an experienced Epic Patient Access Analyst specializing in Real-Time Eligibility (RTE) to support the optimization of patient access, scheduling, registration, and insurance eligibility workflows for a healthcare organization.

The ideal candidate will be actively certified in Epic Cadence, Prelude, and Real-Time Eligibility and have hands-on experience configuring, maintaining, troubleshooting, and optimizing RTE functionality. This role requires prior Epic optimization experience and the ability to evaluate existing workflows, identify improvement opportunities, and implement solutions that strengthen registration accuracy, eligibility verification, operational efficiency, and the patient experience.

Key Responsibilities

• Design, configure, test, implement, maintain, and optimize Epic Cadence, Prelude, and Real-Time Eligibility functionality.
  
• Evaluate existing patient access, scheduling, registration, and eligibility workflows to identify opportunities for improvement.
  
• Configure and maintain RTE connections, insurance plan mappings, response handling, eligibility rules, and related system settings.
  
• Troubleshoot eligibility transaction errors, payer response issues, plan mapping problems, and registration workflow concerns.
  
• Analyze RTE response data and help operational teams address coverage discrepancies, missing information, and insurance verification exceptions.
  
• Support front-end revenue cycle workflows involving patient registration, demographic verification, insurance coverage, benefits verification, and financial clearance.
  
• Configure and optimize patient access workqueues, rules, filters, routing logic, and follow-up workflows.
  
• Support Cadence functionality including visit types, provider templates, appointment requests, scheduling rules, decision trees, and department configuration.
  
• Support Prelude functionality including patient registration, demographics, coverage entry, registration rules, warnings, and account-related workflows.
  
• Partner with patient access, registration, scheduling, financial clearance, revenue cycle, and technical teams to gather and document requirements.
  
• Translate business and operational requirements into functional specifications and Epic system configuration.
  
• Review current-state workflows and design future-state solutions aligned with operational goals and Epic-supported functionality.
  
• Develop and execute unit, integrated, regression, and user acceptance testing.
  
• Create test scripts, document results, track defects, and coordinate issue resolution.
  
• Troubleshoot and resolve production incidents, service requests, enhancement requests, and application issues.
  
• Assist with Epic upgrades, application updates, optimization initiatives, and change-control activities.
  
• Monitor the impact of system changes and recommend further improvements based on workflow performance and user feedback.
  
• Maintain build documentation, workflow diagrams, testing materials, issue logs, and operational procedures.
  
• Provide knowledge transfer and application guidance to internal analysts, operational leaders, and end users.
  
• Communicate project progress, risks, dependencies, and recommended solutions to technical and non-technical stakeholders.
  

Required Qualifications

• Active Epic Cadence certification.
  
• Active Epic Prelude certification.
  
• Active Epic Real-Time Eligibility certification.
  
• Hands-on experience supporting and configuring Epic Real-Time Eligibility.
  
• Prior experience leading or supporting Epic optimization initiatives.
  
• Experience with Epic application build, configuration, testing, implementation, maintenance, and production support.
  
• Strong understanding of patient access, scheduling, registration, insurance eligibility, benefits verification, and financial clearance workflows.
  
• Experience configuring or maintaining RTE connections, payer responses, insurance plan mapping, eligibility rules, and exception workflows.
  
• Experience building and optimizing patient access workqueues, rules, filters, and routing logic.
  
• Experience analyzing current-state workflows and implementing improved future-state solutions.
  
• Experience gathering operational requirements and translating them into functional system solutions.
  
• Experience developing and executing unit, integrated, regression, and user acceptance testing.
  
• Strong analytical, troubleshooting, documentation, and problem-solving skills.
  
• Ability to collaborate effectively with patient access, revenue cycle, operational, technical, and application teams.
  
• Excellent written and verbal communication skills.
  
• Ability to work independently and manage multiple priorities in a fast-paced healthcare IT environment.
  

Preferred Qualifications

• Additional Epic certification or demonstrated experience in Welcome, Referrals and Authorization, Grand Central, MyChart, or Resolute.
  
• Experience optimizing registration quality, insurance verification, eligibility response handling, or patient financial clearance workflows.
  
• Experience with coverage validation, benefits review, registration error resolution, and front-end revenue cycle workqueues.
  
• Experience configuring Benefits Engine functionality or related patient access workflows.
  
• Experience supporting large-scale Epic implementations, upgrades, system restoration projects, or enterprise optimization initiatives.
  
• Experience working with operational leaders to measure workflow effectiveness and improve end-user adoption.
  
• Experience supporting pediatric, academic, or large multi-facility healthcare environments.
  
• Familiarity with payer integrations, electronic eligibility transactions, and third-party eligibility vendors.
  
• Knowledge of ServiceNow, Jira, or similar ticketing and project management tools.
  
• Bachelor’s degree in Information Technology, Health Informatics, Healthcare Administration, Business, or a related field, or an equivalent combination of education and experience.