Case Analyst II

Index Analytics LLC; Baltimore (MD); Remote; USD 52,000 - 83,000; Full time

Job summary

An established industry player is seeking a Case Analyst II to support the Federal IDR process. This role involves reviewing medical and billing documentation, coordinating with a multi-disciplinary team, and providing assessments to resolve disputes. The firm fosters a supportive work environment, emphasizing career development and teamwork. Ideal candidates will possess strong analytical skills, attention to detail, and experience in healthcare processes. Join this dynamic team and contribute to meaningful healthcare solutions while enjoying a competitive salary and benefits package.

Qualifications

• US citizen or authorized to work in the US for 3 of the last 5 years.
• Minimum 2 years of experience in medical billing or claims review.

Responsibilities

• Review disputes in the Federal IDR Portal and perform case file reviews.
• Coordinate with a team to meet productivity goals for resolving disputes.

Skills

Analytical Skills

Attention to Detail

Healthcare Payer/Provider Negotiations

Federal Security and Privacy Standards

Team Coordination

Education

Associate Degree

Bachelor's Degree in Nursing/Medical/Public Health/Legal

Tools

Salesforce

Microsoft Office Suite

Job description

Job Details

Level: Experienced

Job Location: Remote - Baltimore, MD

Education Level: 4 Year Degree

Salary Range: $52200.00 - $82500.00 Salary/year

Description

Index Analytics LLC is a rapidly growing Baltimore-based small business providing health-related consulting services to the federal government. At the center of our company culture is a commitment to instilling a dynamic and employee-friendly place to work. We place a priority on promoting a supportive and collegial team environment and enhancing staff’s experience through career development and educational opportunities.

The Federal “No Surprises” Act created a process, called independent dispute resolution (IDR), which health care providers, facilities, and health plans can use to resolve payment disputes for certain out-of-network charges. Index Analytics is seeking a Case Analyst II to support the IDR process. The Analyst will work as a member of a multi-disciplinary team to review medical and billing documentation and collect information from disputing parties to assist in the resolution of disputes.

Index will provide training on the Federal rule, IDR process, case types, IDR entity (IDRE) responsibilities/role, and relevant government systems to access dispute-related materials.

Responsibilities:

• Closely review disputes in the Federal IDR Portal.
• Leverage previous experience in medical record review/billing to perform case file reviews using multiple government and IDRE systems and databases.
• Coordinate within a team of Analysts to meet productivity goals for triaging and resolving open disputes.
• Based on case review provide an assessment to inform decisions regarding eligibility and other dispute related determinations
• Identify gaps in documentation/materials needed for expeditious case resolution.
• Develop overall recommendations for enhancements to business processes, workflows, case intake/management.
• Research and develop meaningful guidance in the form of training materials, job aids, and operational documents.
• Performs data collection from multiple sources to include the web, client databases, and other resources.

Qualifications

• US citizen or Authorized to Work and lived in the US for 3 of the last 5 years. Must be able to obtain a U.S. Federal government client badge and pass a government Public Trust.
• Associate degree with a minimum of 4 years of experience or Bachelor's degree (nursing, medical, public health or legal degree preferred) with minimum 2 years of experience leading medical billing, coding, claims review, or similar processes in healthcare.
• Knowledge of healthcare payer/provider negotiations
• Proven ability to demonstrate strong analytical skills
• Proven ability to demonstrate meticulous attention to detail
• Proven ability to adhere to highly specific technical guidelines and processes
• Proven ability to work in a fast-paced environment and coordinate within a team
• Ability to understand and maintain federal security and privacy standards
• Experience with Salesforce a plus
• Experience in federal contracting a plus
• Proficiency in Microsoft Office suites including Word, Excel, and PowerPoint with ability to learn new and complex computer system applications

Attention Candidates

We're dedicated to ensuring a safe and transparent recruitment process for all candidates and have implemented robust measures to protect your personal information. Please be aware that all employment-related communications will originate from a secure portal ([e-mail]) or a corporate email address ([e-mail]). If you have any concerns, please don't hesitate to reach out to us [e-mail].

If you are selected for an interview, please be advised that Index Analytics LLC reserves the right to prohibit the use of artificial intelligence (AI) tools, including but not limited to AI-generated responses, real-time transcription, or automated assistance during the interview process. We value authentic interactions and the opportunity to engage directly with candidates. Any unauthorized use of AI may result in disqualification from consideration.

The salary range provided represents the estimated compensation for new hires in this position, applicable across all locations. Actual offers may vary based on factors such as the candidate's skills, qualifications, experience, and market conditions. Index complements its base salary offering with a competitive package that includes health and retirement benefits, discretionary bonuses, and reimbursement for professional development opportunities.

Index Analytics provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.