Jobs · OTHR

Epic RTE Analyst

GHR Healthcare · Philadelphia, PA · 1 wk ago
RemoteRemoteOTHRFull-time

Location: Fully Remote (US-based)

Start Date: Flexible (targeting September/October, but open to earlier or later starts for the right candidate)

Duration: Minimum 6 months, with high likelihood of extensions through 2027

About the role

We are seeking an experienced Epic Real-Time Eligibility (RTE) Analyst to join a strong team on a fully remote, long-term contract basis with a top hospital system and client. This role is ideal for a seasoned analyst with deep expertise in revenue cycle, patient access, and eligibility verification workflows. The client has a robust roadmap of upcoming initiatives, making this an excellent opportunity for those seeking stability and continuity well into 2027.

Responsibilities

  • Analyze, design, build, test, and support Epic RTE (Real-Time Eligibility) functionality to optimize front-end revenue cycle workflows.
  • Collaborate with revenue cycle, patient access, and billing stakeholders to gather requirements and translate them into effective Epic solutions.
  • Troubleshoot and resolve complex eligibility issues, performing root cause analysis and implementing sustainable fixes.
  • Support integration with Epic Prelude, Cadence, and Grand Central for seamless patient access workflows.
  • Lead system upgrades, enhancements, and optimization initiatives related to eligibility and benefits verification.
  • Develop and maintain documentation including build logs, test scripts, and workflow diagrams.
  • Monitor eligibility transaction performance, identify trends, and recommend process improvements.

Requirements

  • Active Epic RTE (Real-Time Eligibility) certification required.
  • 4+ years of hands-on Epic RTE build and support experience.
  • Strong understanding of eligibility and benefits verification workflows, including payer responses, COB (Coordination of Benefits), and Medicare/Medicaid rules.
  • Proven track record of full-cycle implementations, upgrades, and optimizations.
  • Excellent communication and stakeholder management skills.
  • Ability to work independently in a fully remote environment with minimal supervision.

Preferred Qualifications

  • Additional Epic certifications/experience could be helpful.
  • Prior consulting experience with multiple health systems.
  • Experience supporting large-scale optimization projects.

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