Application Support Analyst

Application Support Analyst 
Location: Remote 
Employment Type: Full-time 

Job Summary 

The Application Support Analyst is responsible for the operational support, troubleshooting, and optimization of our FOCUS billing system used across clinical operations. This role ensures accurate charge capture, claims processing, and reimbursement for dialysis services by partnering closely with Revenue Cycle, Compliance, Clinical Operations, and external vendors. The analyst serves as the subject matter expert for FOCUS billing workflows and acts as a key liaison between business users and technical teams. Hours needed are in the Central/Pacific time zone. 

Key Responsibilities 

• Provide Tier 1 application support for the FOCUS billing system 

• Act as the primary subject matter expert (SME) for FOCUS billing workflows, configurations, and business rules 

• Troubleshoot and resolve issues related to:  

• Charge capture and posting 

• Claims generation, submission, and reprocessing 

• Remittances, adjustments, denials, and write-offs 

• Patient demographics, insurance setup, and eligibility 

• Support Medicare, Medicaid, and commercial payer billing requirements specific to dialysis services 

• Investigate data integrity issues and billing discrepancies; perform root cause analysis and corrective actions 

• Coordinate with Revenue Cycle teams to resolve billing errors and reduce claim denials 

• Manage user access, roles, and permissions within FOCUS 

• Collaborate with internal support teams to resolve upstream data issues impacting billing (interfaces, documentation gaps) 

• Participate in system testing, validation, and change management activities 

• Create and maintain SOPs, billing workflows, and end-user documentation 

• Provide training and ongoing support to billing and clinic operations staff 

• Ensure compliance with HIPAA and healthcare regulatory standards 

• Participate in after-hours or on-call support rotations as required 

Required Qualifications 

• 2+ years of hands-on application support experience in a healthcare billing environment 

• Strong understanding of dialysis revenue cycle processes 

• Knowledge of CMS billing rules, ESRD regulations, and payer requirements 

• Proven troubleshooting, analytical, and problem-solving skills 

• Experience working with ticketing systems (TeamSupport is a plus) and incident/change management workflows 

• Strong written and verbal communication skills with both technical and non-technical users 

Preferred Qualifications 

• 2+ years of billing support experience 

• Direct experience supporting the FOCUS dialysis billing platform is a plus 

• Dialysis or nephrology industry experience 

• Working knowledge of CPT, ICD‑10, and HCPCS coding 

• Experience analyzing claim denials and reimbursement trends 

• Familiarity with EMR‑to‑billing interfaces (HL7 or similar) 

• Basic SQL or reporting experience for billing data analysis 

Key Competencies 

• Detail-oriented with a strong focus on billing accuracy 

• Customer-service driven mindset 

• Ability to prioritize and manage multiple billing issues simultaneously 

• Strong collaboration skills across clinical, financial, and IT teams 

• Proactive approach to system stability and process improvement