Epic Patient Access, RTE & Referrals Analyst

Key Responsibilities

• Configure, maintain, and support the Epic Patient Access, RTE, and Referrals applications.
  
• Gather, analyze, and document business and operational requirements from patient access, scheduling, and revenue cycle stakeholders.
  
• Design, build, test, validate, and deploy Epic Patient Access enhancements and system changes.
  
• Configure and support patient registration, insurance verification, eligibility checks, referral workflows, and authorization processes.
  
• Support Real-Time Eligibility (RTE) transactions and troubleshoot payer connectivity and eligibility issues.
  
• Build and maintain referral workflows, work queues, scheduling rules, and insurance-related configurations.
  
• Troubleshoot application issues and provide timely production support.
  
• Participate in Epic implementations, upgrades, optimization initiatives, and enhancement projects.
  
• Perform unit testing, integrated testing, and User Acceptance Testing (UAT).
  
• Develop and maintain build documentation, workflow diagrams, technical specifications, and support documentation.
  
• Collaborate with other Epic application analysts to ensure seamless integration with Cadence, Prelude, Resolute, MyChart, and other Epic modules.
  
• Ensure all configurations comply with Epic best practices, healthcare regulations, and organizational governance standards.
  

Requirements

• 3+ years of hands-on experience with Epic Patient Access, Real-Time Eligibility (RTE), and Referrals.
  
• Epic Patient Access Certification is mandatory.
  
• Experience in Epic build, configuration, implementation, testing, and production support.
  
• Strong understanding of patient registration, scheduling, insurance eligibility verification, referrals, prior authorizations, and front-end revenue cycle workflows.
  
• Experience supporting integrated Epic applications.
  
• Excellent analytical, troubleshooting, and problem-solving skills.
  
• Strong verbal and written communication skills.
  
• Ability to work independently and collaboratively in a fast-paced healthcare environment.
  

Mandatory Requirements

• Epic Patient Access Certification (Mandatory)
  
• Minimum 3 years of relevant Epic Patient Access experience
  
• Experience supporting RTE (Real-Time Eligibility) and Referrals
  
• Excellent communication skills.
  

Preferred Skills

• Experience in U.S. healthcare environments.
  
• Knowledge of patient access, insurance verification, referral management, authorizations, and revenue cycle operations.
  
• Experience integrating Patient Access with Epic Cadence, Prelude, Resolute, MyChart, and other Epic applications.
  
• Understanding of Epic implementation methodology and healthcare interoperability.
  
• Strong documentation, stakeholder management, and communication skills.