Epic Patient Access Analyst, Real-Time Eligibility (RTE)
This is a remote position.
About Us
Ellit Groups is a Private Equity-backed, woman, minority-led healthcare IT consulting firm focused on Provider and Payer organizations. We partner with healthcare leaders who value operational excellence, real-world experience, and diverse perspectives to drive better outcomes.
Our firm is built by former healthcare operators who understand the realities of running complex healthcare systems. This combination of operator credibility and investment-backed growth enables us to deliver high-impact, scalable solutions.
We differentiate ourselves by bringing practical experience, executive-level insight, and a relentless focus on quality and outcomes. Our success is directly tied to our clients’ success.
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 solutio