Healthcare Application Support and Maintenance Specialist

Delivery Senior Analyst • Mandatory Skill Set: Experience working within the Healthcare Provider domain, with a strong understanding of hospital workflows and operational support. • Incident & Problem Management: Investigate, troubleshoot, and resolve L2/L3 incidents for COTS healthcare applications, ensuring timely restoration of services and adherence to SLAs; perform root cause analysis for recurring issues. • Application Monitoring & Maintenance: Proactively monitor application health, interfaces, and batch jobs; perform regular maintenance, patch validation, and upgrades in coordination with vendors and internal teams. • Change & Release Support: Assess, implement, and validate application changes (configurations, patches, upgrades) through controlled release processes, including impact analysis and rollback planning. • Stakeholder & Vendor Coordination: Act as a liaison between business users, IT teams, and third-party vendors for issue resolution, enhancements, and escalations, particularly for regulated healthcare workflows. • Compliance & Documentation: Maintain knowledge articles, runbooks, and audit documentation; ensure adherence to healthcare regulations (e.g., HIPAA), security standards, and data privacy requirements Skill Description- Understanding of claims lifecycle, billing rules, payer edits, ERA/EOB reconciliation Skills managing EDI transactions (837, 835) and clearinghouse workflows Ability to troubleshoot claim rejections, scrubbing rules, and payer configurations Experience with patient estimates, statements, payment plans Knowledge of Medicare/Medicaid requirements, including NOE submissions Analytics skills for denial trending, root cause, and cash recovery Experience working with Patient Financial Services systems like EDI Claim Reconciler, Invision,Clearinghouse Service and other similar applications Experience Level Senior Level