Note: The job is a remote job and is open to candidates in USA. GHR Healthcare is seeking an experienced Epic Real-Time Eligibility (RTE) Analyst for a fully remote, long-term contract supporting a hospital system. The role focuses on designing, building, testing, troubleshooting, and optimizing Epic RTE functionality and related patient access and revenue cycle workflows.
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
Skills
- 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
- Additional Epic certifications/experience could be helpful
- Prior consulting experience with multiple health systems
- Experience supporting large-scale optimization projects
Benefits
- Fully remote (US-based)
- Minimum 6 months, with high likelihood of extensions through 2027
- Flexible start date, with openness to earlier or later starts for the right candidate
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