IDR Resolution Specialist - Hybrid (Dallas Area)

Global Medical Response; Lewisville (TX); Hybrid; USD 64,000 - 86,000; Full time

Job summary

Global Medical Response (GMR) in the Dallas area is seeking an IDR Resolution Specialist to support NSA/IDR workflows, manage high‑volume communications with IDREs, and maintain precise case records to ensure timely regulatory compliance.

You will collaborate with Revenue Cycle and Legal teams, handle dispute cancellations, re‑opening requests, and fee reconciliations, and drive data‑driven insights while adhering to strict timelines.

Qualifications

• Prior experience in Revenue Cycle, Managed Care, and/or Legal.
• 3–5+ years in legal operations, payer/provider dispute resolution, or related field.
• Experience with NSA, IDR, arbitration, or claims dispute processes.
• Proficiency with case management and collaboration tools (e.g., Appian/CRM, Outlook/Teams, SharePoint).
• Strong legal writing and advocacy skills for formal correspondence to IDREs and CMS.
• Data fluency: interpret and present insights on cancellations, timelines, and payment tracking.

Responsibilities

• Draft, send, and track correspondence with certified IDREs; coordinate status updates and follow-ups.
• Dispute cancellations; evaluate cancellation notices, prepare responses/appeals, and pursue reversals or re-opening requests.
• Manage and reconcile IDR administrative and arbitration fees.
• Classify email manually; apply labels to route items to the correct case, payor, and phase.
• Initiate, reselection, and portal submissions for Federal IDR; monitor timeline compliance.
• Produce reporting on dispute cancellations and related operational/executive metrics; define target cancellation rates.
• Prepare and send formal re-opening requests to CMS when cancellations are issued in error; track responses.
• Validate eligibility and timing and correct party/payor attribution; coordinate reselections.
• Update case management systems.
• Review EOBs and plan information to confirm NSA applicability; document findings when omissions occur.
• Coordinate cross-functionally to resolve data issues and align on dispute strategy.

Skills

Legal operations

Payer dispute resolution

IDR / NSA knowledge

CMS submissions

Data analysis

Regulatory timelines

English fluency

Education

High School diploma or equivalent

2 years of post-High School education

Tools

Appian/CRM

Outlook/Teams

SharePoint

Job description

Global Medical Response (GMR) in the Dallas area is seeking an IDR Resolution Specialist to support NSA/IDR workflows, manage high‑volume communications with IDREs, and maintain precise case records to ensure timely regulatory compliance.

You will collaborate with Revenue Cycle and Legal teams, handle dispute cancellations, re‑opening requests, and fee reconciliations, and drive data‑driven insights while adhering to strict timelines.