RTE Certified Eligibility Analyst
Job Summary
Seeking an RTE Certified Eligibility Analyst for a temporary remote position, responsible for assessing current configurations, developing prioritized roadmaps, and optimizing coverage automation in the healthcare eligibility process.
Key responsibilities
- Assess current configuration, errors, workflows, and develop a prioritized roadmap based on volume and patient experience
- Review payer/plan structures and maintain ongoing plan mapping and unique plan configurations
- Partner with Patient Access to create payer selection guidance and standard workflows that support configuration changes
Required qualifications
- Must be RTE Certified with experience in active RTE roles
- Cadence or Prelude certification is a plus
- Experience with benefit and service type mapping
- Knowledge of coverage creation and automation processes
- Familiarity with major payer review and filing behaviors
Complete Job Description
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