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 

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 Perseus_HR@constellationhbs.com.

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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