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
FLSA Designation (US Only):
Exempt
Salary Range:
The estimated base salary range for this role is USD$45,000.00 - USD$55,000.00 per year. We include salary ranges in job postings only where required by applicable pay transparency laws, based on the jurisdictions in which the role may be performed. The posted range is a good faith estimate and reflects factors that are subject to change. Final offer amounts may vary based on job-related factors, including work location, candidate experience and expertise, and other relevant considerations.
Other Compensation (US Only):
This role will also be eligible for participation in a Company profit sharing bonus plan. Plan details will be provided to you upon hire.
Benefits (US Only):
Full time employees will also be eligible for enrollment in a wide range of choices of benefits , including medical, dental, vision, basic life insurance, short/long term disability, 401(k) participation (with company match).
Time off (US Only):
The Company provides a minimum of 10 days of vacation for new employees , sick time based on state requirements, 8 Company-paid holidays and 2 personal holidays per year.
We recognize the value and importance of diversity and inclusion in our communities and in the workplace. We celebrate diversity and one of our goals as an employer is to create an inclusive work environment for all employees. We are an equal opportunity employer and do not discriminate against any employee or applicant because of race, religion, sex, sexual orientation including gender identity or expression, pregnancy, national origin, age, marital status, veteran status, disability status, or any other category or characteristic protected by law.
Applicants with disabilities who would like to require a reasonable accommodation related to any part of the application process may contact us at
[email protected].
NOTE: If an applicant is selected to receive a conditional offer of employment, and in accordance with applicable law, a criminal background check may be conducted before the offer becomes final and employment begins. Pursuant to the San Francisco Fair Chance Ordinance, and other applicable laws, we will consider for employment qualified applicants with arrest and conviction records.
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