Onsite Healthcare Payer Applications Analyst

TriQuest; San Antonio (TX); On-site; USD 80,000 - 90,000; Full time

Benefits offered by this job

401(k) with profit sharing

Job summary

TriQuest seeks an Application Analyst in San Antonio to support payer applications used for claims processing, referrals, authorizations, and eligibility management. This hands-on professional will bridge business and technical teams by translating operational requirements into system configurations and workflows.

This onsite role requires investigating complex issues, troubleshooting EDI transactions, and collaborating with IT teams and vendors to maintain stability and accurate benefits

Qualifications

• At least 3 years of experience in application support, systems analysis, application configuration, or a related field.
• Strong analytical, troubleshooting, and problem-solving skills.
• Experience using ticketing or issue-tracking systems, documenting technical processes, and participating in application testing.
• Ability to manage competing priorities, meet deadlines, and follow through on commitments.
• Strong written and verbal communication skills with technical and non-technical stakeholders.
• Proficiency in Microsoft Office, particularly Excel.
• Bachelor's degree in Computer Science, MIS, Business, or related field. Four additional years of comparable work experience beyond the required experience may substitute for the degree.
• Willingness to perform routine support and maintenance alongside improvement projects.

Responsibilities

• Provide technical and functional support for healthcare payer applications, including Cedar Gate EZ-Suite products such as EZ-CAP, EZ-EDI, EZ-NET, and Eligibility Manager.
• Investigate and resolve application errors, processing discrepancies, claim pricing issues, cost-share problems, and benefit rule failures.
• Manage service desk tickets from initial investigation through resolution, documentation, communication, and follow-up.
• Perform routine application maintenance and approved configuration changes.
• Collaborate with internal IT teams and external vendors to troubleshoot complex issues and maintain application stability.
• Review application configurations, investigate discrepancies, and recommend appropriate solutions.
• Translate business requirements into technical configurations and workflows across business, IT, and EMR systems.
• Support software updates, hotfixes, releases, and enhancements through testing, validation, and documentation.
• Develop and execute test scripts and scenarios, document results, and communicate discrepancies.
• Troubleshoot EDI transactions, including 837, 835, and 278, as well as application interfaces and data exchange issues.
• Document functional specifications, user stories, system workflows, and operational requirements.
• Prepare technical reports, operational metrics, and supporting analysis as needed.
• Maintain application documentation, standard operating procedures, configuration records, troubleshooting guides, and training materials.
• Provide end-user training, application guidance, and technical support.
• Document meeting outcomes, decisions, and action items.
• Participate in departmental projects, system implementations, and application enhancements.
• Take ownership of assigned initiatives and contribute to ongoing process improvements.

Skills

Analytical skills

Troubleshooting

Communication

Excel

Ticketing systems

Stakeholders management

Education

Bachelor's degree in Computer Science, MIS, Business, or related field

Tools

EZ-Suite

EMR systems

Job description

TriQuest seeks an Application Analyst in San Antonio to support payer applications used for claims processing, referrals, authorizations, and eligibility management. This hands-on professional will bridge business and technical teams by translating operational requirements into system configurations and workflows.

This onsite role requires investigating complex issues, troubleshooting EDI transactions, and collaborating with IT teams and vendors to maintain stability and accurate benefits