Remote Senior Epic RTE Analyst: Real-Time Eligibility

ConsultNet Technology Services and Solutions; Cincinnati (OH); Remote; USD 110,000 - 120,000; Full time

Job summary

ConsultNet Technology Services and Solutions is seeking a Senior Epic Real-Time Eligibility (RTE) Analyst to optimize insurance eligibility verification and patient access workflows within Epic. This role focuses on RTE build, workflow optimization, and ongoing support for Revenue Cycle operations.

The ideal candidate has Epic RTE certification and 4+ years of hands-on experience, strong analytical and client-facing skills, and a willingness to travel ~25%.

Qualifications

• Active Epic Real-Time Eligibility (RTE) certification required.
• Minimum 4 years of Epic RTE experience.
• Hands-on Epic build, support, optimization, and enhancement experience.
• Strong understanding of patient access and insurance verification workflows, including RTE, Insurance Verification, Coverage Discovery, Registration, Financial Clearance, Benefit Validation, Payer Connectivity, Authorization Readiness.
• Experience gathering business requirements and translating operational needs into Epic solutions.
• Excellent communication and interpersonal skills with proven client-facing experience.

Responsibilities

• Analyze, design, configure, test, and support Epic Real-Time Eligibility (RTE) build and enhancements.
• Evaluate current eligibility verification workflows and identify opportunities to improve insurance validation, payer connectivity, and registration efficiency.
• Lead RTE-related issues, optimization initiatives, and enhancement requests.
• Develop recommendations aligning Epic functionality with Patient Access and Revenue Cycle best practices.
• Collaborate with stakeholders to implement workflow improvements and system enhancements.
• Configure and optimize eligibility response rules, payer mappings, and coverage verification workflows.

Skills

Epic RTE experience

Eligibility workflows

Analytical problem-solving

Client-facing communication

Travel willingness

Education

Epic Real-Time Eligibility Certification

Tools

Experian

Availity

Change Healthcare

Waystar

Job description

ConsultNet Technology Services and Solutions is seeking a Senior Epic Real-Time Eligibility (RTE) Analyst to optimize insurance eligibility verification and patient access workflows within Epic. This role focuses on RTE build, workflow optimization, and ongoing support for Revenue Cycle operations.

The ideal candidate has Epic RTE certification and 4+ years of hands-on experience, strong analytical and client-facing skills, and a willingness to travel ~25%.