Epic Real‑Time Eligibility (RTE) Analyst – Remote

HEALTH CHOICE NETWORK

6d•Remote

About The Position

We are seeking an experienced Epic Real‑Time Eligibility (RTE) Analyst to support, optimize, and enhance our Epic eligibility workflows across the revenue cycle. This role plays a critical part in ensuring accurate and efficient insurance eligibility verification, reducing denials, and improving front‑end patient access operations. The ideal candidate brings strong Epic expertise, deep understanding of revenue cycle processes, and the ability to translate operational needs into scalable system solutions.

Requirements

Epic certification or strong proficiency in Prelude, Cadence, or Resolute with eligibility workflow experience.
Experience supporting Epic Real-Time Eligibility (RTE).
2–4 years of experience supporting healthcare IT systems (Epic preferred).
Strong understanding of revenue cycle workflows such as registration, scheduling, and insurance verification.
Excellent analytical, troubleshooting, and problem-solving abilities.

Nice To Haves

Epic Prelude or Cadence certification.
Experience with clearinghouses and 270/271 eligibility transactions.
Experience in multi-entity or Community Connect Epic environments.
Familiarity with ticketing systems (Salesforce, ServiceNow, etc.).

Responsibilities

Design, configure, test, and maintain Epic Real-Time Eligibility (RTE) functionality.
Support eligibility workflows across Epic modules including Cadence, Prelude, and Resolute.
Investigate, troubleshoot, and resolve eligibility verification errors and system issues.
Maintain payer connections, response formats, and related eligibility configurations.
Partner with registration, scheduling, and revenue cycle teams to enhance eligibility workflows.
Identify automation opportunities to reduce manual processes and improve accuracy.
Analyze eligibility response data to identify trends and recommend improvements.
Serve as the subject matter expert for all eligibility-related system issues.
Coordinate issue resolution with Epic, clearinghouses, and payers as needed.
Support break/fix requests and manage service tickets related to eligibility.
Participate in system upgrades, optimization initiatives, and implementation of new Epic functionality.
Assist in workflow design, documentation, and testing for eligibility-related projects.
Collaborate with cross-functional teams to support broader revenue cycle initiatives.
Develop and maintain documentation for eligibility workflows and system configuration.
Provide training, guidance, and best practices to operational teams.
Support ongoing knowledge transfer within the team.