Claims Operations Lead – IDR & Disputes

ISLAND PEER REVIEW ORGANIZATION INC; Jericho (NY); On-site; USD 83,000 - 87,000; Full time

Job summary

ISLAND PEER REVIEW ORGANIZATION INC in Jericho, NY is seeking a Claims Supervisor to oversee Claims Specialists, review disputes for Federal IDR processes, and ensure accuracy and service standards.

This in-office role requires a Bachelor's or higher in healthcare or related field, 1 year in disputes, 2 years in medical billing or reviews, and strong leadership and communication skills. Salary ranges from $82,500 to $86,500 annually.

Qualifications

• Bachelor's or higher in healthcare/related field is required.
• 2+ years in medical billing, auditing or claims review in healthcare/insurance.
• 1 year of independent dispute resolution experience is required.

Responsibilities

• Review case documentation and determine eligibility for the Federal IDR process.
• Manage daily operations of Claims Specialist teams.
• Track productivity, provide coaching, and enforce quality standards.
• Oversee timesheets, onboarding, and reporting requirements.
• Ensure deadlines are met and escalate issues as needed.

Skills

Leadership

Communication

Problem Solving

Detail Oriented

Team Oversight

Education

Bachelor's or higher in healthcare or related field

2 years in medical billing/claims review or related area

Job description

ISLAND PEER REVIEW ORGANIZATION INC in Jericho, NY is seeking a Claims Supervisor to oversee Claims Specialists, review disputes for Federal IDR processes, and ensure accuracy and service standards.

This in-office role requires a Bachelor's or higher in healthcare or related field, 1 year in disputes, 2 years in medical billing or reviews, and strong leadership and communication skills. Salary ranges from $82,500 to $86,500 annually.