Patient Access Analyst, Real-Time Eligibility

🕒 August 3

🇺🇸 United States – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Ellit Groups

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2019

💼 Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Ellit Groups is a forward-thinking organization dedicated to transforming healthcare through innovative solutions. They specialize in bridging the gap between people, processes, and technology, effectively addressing business challenges within the healthcare and life sciences sectors. With an award-winning team of experts, Ellit Groups offers services such as healthcare and payer advisory, performance improvement, digital strategy and transformation, and managed services. Their commitment to enhancing patient outcomes and fostering sustainable growth makes them a vital partner for healthcare organizations and life sciences companies.

📋 Description

• Design, configure, test, implement, maintain, and optimize Epic Cadence, Prelude, and Real-Time Eligibility functionality • Evaluate patient access, scheduling, registration, and eligibility workflows and identify improvement opportunities • 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 system-change impact 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 solutions to technical and non-technical stakeholders

🎯 Requirements

• 5+ years of work experience • Active Epic Cadence certification • Active Epic Prelude certification • Active Epic Real-Time Eligibility certification • Hands-on experience supporting and configuring Epic Real-Time Eligibility • Prior experience leading or supporting Epic optimization initiatives • Experience with Epic application build, configuration, testing, implementation, maintenance, and production support • Strong understanding of patient access, scheduling, registration, insurance eligibility, benefits verification, and financial clearance workflows • Experience configuring or maintaining RTE connections, payer responses, insurance plan mapping, eligibility rules, and exception workflows • Experience building and optimizing patient access workqueues, rules, filters, and routing logic • Experience analyzing current-state workflows and implementing improved future-state solutions • Experience gathering operational requirements and translating them into functional system solutions • Experience developing and executing unit, integrated, regression, and user acceptance testing • Strong analytical, troubleshooting, documentation, and problem-solving skills • Ability to collaborate effectively with patient access, revenue cycle, operational, technical, and application teams • Excellent written and verbal communication skills • Ability to work independently and manage multiple priorities in a fast-paced healthcare IT environment • Additional Epic certification or demonstrated experience in Welcome, Referrals and Authorization, Grand Central, MyChart, or Resolute preferred • Experience optimizing registration quality, insurance verification, eligibility response handling, or patient financial clearance workflows preferred • Experience with coverage validation, benefits review, registration error resolution, and front-end revenue cycle workqueues preferred • Experience configuring Benefits Engine functionality or related patient access workflows preferred • Experience supporting large-scale Epic implementations, upgrades, system restoration projects, or enterprise optimization initiatives preferred • Experience working with operational leaders to measure workflow effectiveness and improve end-user adoption preferred • Experience supporting pediatric, academic, or large multi-facility healthcare environments preferred • Familiarity with payer integrations, electronic eligibility transactions, and third-party eligibility vendors preferred • Knowledge of ServiceNow, Jira, or similar ticketing and project management tools preferred • Bachelor’s degree in Information Technology, Health Informatics, Healthcare Administration, Business, or a related field, or an equivalent combination of education and experience preferred

🏖️ Benefits

• Competitive salary and benefits package • Professional development opportunities to advance your career • Flexible work arrangements to promote work-life balance