IDR Analyst (State Licensed)

Posted 8 days ago

virtual vocationsNew York (NY)

SENIORITY

Senior

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About the role

Supporting healthcare dispute resolution workflows, the full-time remote IDR Analyst (State Licensed) will manage dispute cases through the arbitration process, ensuring accurate review, submission, and tracking of claims at both federal and state levels.
Key responsibilities: Evaluate dispute eligibility and documentation to ensure compliance with federal or state-specific requirements Research and interpret state regulatory requirements, translating findings into clear instructions for team operations Monitor shared inboxes and correspondence, ensuring timely follow-up and accurate case closures Required qualifications 2-4 years of experience in revenue cycle operations, claims management, or reimbursement/insurance operations Experience with medical billing or coding, including familiarity with EOBs and reimbursement codes Proficiency in Excel or Google Sheets, including the use of pivot tables for data tracking Strong analytical skills and attention to detail in reviewing documentation and determining next steps Ability to manage competing deadlines and exercise independent judgment in operational tasks

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