IDR & Payer Disputes Analyst

ApolloMD; Atlanta (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

ApolloMD in Atlanta, GA is seeking a Payer Dispute Analyst to support No Surprises Act IDR and state dispute resolution processes. You will review claims data, prepare reports, and collaborate with legal, revenue cycle, and clinical teams to secure accurate reimbursements.

This role requires 2+ years in healthcare claims or revenue cycle, strong organizational and communication skills, and proficiency with Excel. Knowledge of Athena billing systems and CMS dispute workflows is a plus.

Qualifications

• 2+ years of experience in healthcare claims, payer disputes, or revenue cycle.
• Proficient with Excel and Microsoft Office applications.
• Strong organizational and communication skills.

Responsibilities

• Review, analyze, and interpret claims data to ensure accurate payment.
• Prepare reports identifying trends and reimbursement concerns.
• Manage No Surprises Act IDR and state dispute resolution cases from initiation to final determination.
• Submit Final Offers through the CMS portal on time and with accuracy.
• Oversee resolution of disputed claims and ensure proper reimbursement.
• Assemble and organize supporting materials (Position Statements, Good Faith documents, clinical docs).
• Track submission timelines and deadlines to ensure timely processing.
• Maintain audit-ready records of all dispute submissions and outcomes.
• Collaborate with legal, revenue cycle, and clinical teams on dispute strategies.
• Keep up-to-date with payer policies, regulations, and industry best practices.

Skills

Organizational skills

Verbal communication

Written communication

Problem-solving

Analytical thinking

Excel

Education

High School Diploma or equivalent

Bachelor’s degree preferred

Tools

Athena billing system

Microsoft Office

Job description

ApolloMD in Atlanta, GA is seeking a Payer Dispute Analyst to support No Surprises Act IDR and state dispute resolution processes. You will review claims data, prepare reports, and collaborate with legal, revenue cycle, and clinical teams to secure accurate reimbursements.

This role requires 2+ years in healthcare claims or revenue cycle, strong organizational and communication skills, and proficiency with Excel. Knowledge of Athena billing systems and CMS dispute workflows is a plus.