<p>Department/Unit:</p> <p>Information Systems & Services</p> <p>Work Shift:</p> <p>Day (United States of America)</p> <p>Salary Range:</p> <p>$78,773.63 - $122,099.12</p> <p>The Business Systems/Programmer Analyst (Epic RTE/RTA Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Real-Time Eligibility (RTE) and Real-Time Authorization (RTA) modules to ensure seamless insurance verification and authorization workflows. The analyst works closely with revenue cycle teams, payers, and Epic technical resources to improve front-end patient access, reduce denials, and enhance reimbursement efficiency.</p> <p>The Business Systems Programmer/Analyst is responsible for analyzing current customer operations, including documenting current workflows, identify areas of improvement, collaboratively working with internal customers to identify solutions, writing requirements that support the solution and assessing available technologies to create development specifications. The Business Systems Programmer/Analyst will evaluate the internal technical needs of the organization and recommend solutions, define the system and functional requirements, perform both programming and analysis tasks on internal business systems, and develop and modify internal application, operating, or database systems.</p> <p>The Business Systems Programmer/Analyst will also provide support - including correcting issues that arise from customer usage, identifying configuration changes required, supporting related systems, creating detailed test cases, contributing to testing and results analysis and documenting all programming and systems changes</p> <ul> <li>Configure and maintain Epic RTE and RTA modules to ensure accurate and timely eligibility and authorization verification. </li><li>Collaborate with Patient Access, Revenue Cycle, and IT teams to gather requirements and optimize workflows. </li><li>Manage payer connections and clearinghouse interfaces (e.g., Change Healthcare, Experian, Availity) related to eligibility and authorization data exchange. </li><li>Perform regular testing, validation, and troubleshooting of RTE/RTA transactions and payer responses. </li><li>Monitor daily transaction logs, resolve errors, and coordinate fixes with internal teams and external vendors. </li><li>Participate in Epic upgrades, enhancement implementations, and system optimization initiatives. </li><li>Assist with training and end-user support related to RTE/RTA functionality. </li><li>Develop and maintain documentation of system configurations, workflows, and support processes. </li><li>Analyze data and create reports or dashboards to monitor eligibility verification rates, error trends, and payer performance. </li><li>Ensure compliance with HIPAA and other regulatory standards related to electronic data exchange. </li></ul> <p>Preferred:</p> <ul> <li>Experience with Epic Prelude/Registration and Cadence/Scheduling </li><li>Familiarity with HIPAA 270/271 and 278 transaction sets </li><li>Knowledge of denial management and prior authorization trends </li><li>Prior involvement in Epic implementations or optimization projects </li><li>2+ years of experience in Epic applications, with specific expertise in RTE/RTA modules </li><li>Epic certification in RTE, Prelude, or related modules </li><li>Strong understanding of healthcare revenue cycle processes, particularly front-end workflows </li><li>Experience working with Payers, Waystar, or EDI transactions </li></ul> <p>Thank you for your interest in Albany Medical Center!</p> <p>Albany Medical is an equal opportunity employer.</p> <p>This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:</p> <p>Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.</p>