Epic Patient Access, RTE & Referrals Analyst

Epic Patient Access, RTE & Referrals Analyst

• Location: Kondapur, Hyderabad
• Work Mode: Work from Office (5 Days a Week) – No Work from Home / No Hybrid
• Shift Timings: 5:30 PM – 2:30 AM IST (Aligned with U.S. Eastern Time)

Job Summary:

We are seeking an experienced Epic Patient Access, RTE & Referrals Analyst to join our healthcare IT team. The ideal candidate will have hands-on experience in implementing, configuring, supporting, and optimizing the Epic Patient Access suite, including Real-Time Eligibility (RTE) and Referrals. The candidate will work closely with patient access, registration, scheduling, revenue cycle, and clinical teams to streamline patient intake, insurance verification, referral management, and front-end revenue cycle processes.

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.

• 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.
• Willing to work 5:30 PM – 2:30 AM IST (Eastern Time Shift).
• Must work from the Kondapur, Hyderabad office (5 days per week).
• Strictly Work From Office – No Work From Home or Hybrid.
• Candidates who can join immediately or are currently serving a 15–20 day notice period will be given preference.

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.