reputed company reputed company‑Time Eligibility (RTE) Analyst – Remote
About the position
We are seeking an reputed company reputed company reputed company‑Time Eligibility (RTE) Analyst to support, optimize, and enhance our reputed company eligibility workflows across the reputed company cycle. This role plays a critical part in ensuring accurate and efficient insurance eligibility verification, reducing denials, and improving reputed company‑end patient reputed company operations.
The ideal candidate brings strong reputed company expertise, deep understanding of reputed company cycle processes, and the ability to translate operational needs into reputed company system solutions.
Responsibilities
• Design, configure, test, and maintain reputed company reputed company-Time Eligibility (RTE) functionality.
• Support eligibility workflows across reputed company modules including reputed company, Prelude, and Resolute.
• Investigate, troubleshoot, and resolve eligibility verification errors and system issues.
• Maintain payer connections, response formats, and reputed company eligibility configurations.
• Partner with registration, scheduling, and reputed company cycle teams to enhance eligibility workflows.
• Identify automation opportunities to reduce reputed company processes and improve accuracy.
• Analyze eligibility response data to identify trends and recommend improvements.
• Serve as the subject matter expert for reputed company eligibility-reputed company system issues.
• Coordinate issue reputed company with reputed company, clearinghouses, and payers as needed.
• Support break/fix requests and manage service tickets reputed company to eligibility.
• Participate in system upgrades, optimization initiatives, and implementation of new reputed company functionality.
• Assist in workflow design, documentation, and testing for eligibility-reputed company reputed company.
• Collaborate with cross-functional teams to support broader reputed company cycle initiatives.
• reputed company and maintain documentation for eligibility workflows and system configuration.
• reputed company training, guidance, and best practices to operational teams.
• Support ongoing knowledge transfer reputed company reputed company.
Requirements
• reputed company certification or strong proficiency in Prelude, reputed company, or Resolute with eligibility workflow experience.
• Experience supporting reputed company reputed company-Time Eligibility (RTE).
• 2–4 years of experience supporting reputed company IT systems (reputed company preferred).
• Strong understanding of reputed company cycle workflows such as registration, scheduling, and insurance verification.
• Excellent analytical, troubleshooting, and problem-solving abilities.
reputed company-to-haves
• reputed company Prelude or reputed company certification.
• Experience with clearinghouses and 270/271 eligibility transactions.
• Experience in multi-entity or Community Connect reputed company environments.
• Familiarity with ticketing systems (reputed company, reputed company, etc.).
Benefits
• 100% Remote Work
• 100% Employer-reputed company Medical Insurance (one plan)
• $1,500 Annual HSA Contribution ($125/month)
• Generous PTO
• 403(b) Retirement Plan
• reputed company Development Support
• Home Technology & Innovation Reimbursement Program
• Education Assistance Program
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