Remote IDR Dispute Resolution Specialist

Nimble; United States; Remote; USD 85,000 - 120,000; Full time

Job summary

nimble Solutions seeks an NSA IDR Implementation Manager to monitor selections, analyze trends, and develop data-driven recommendations. You will support SOP development, client reporting, and compliance with the No Surprise Act in a fully remote, fast-paced environment.

Join a market-leading brand serving ambulatory surgery centers, clinics, and hospitals, collaborating with executive leadership and cross-functional teams to optimize dispute resolution performance.

Qualifications

• 2 years prior experience in healthcare claims processing, medical billing, or related fields
• 2 years prior experience in a firm that is directly involved in the NSA IDR process
• Strong working knowledge of Federal No Surprise Act
• Strong analytical skills with a high level of accuracy and attention to detail
• Ability to manage multiple priorities and a high-volume workload
• Excellent written and verbal communication skills
• Proficiency in Microsoft Office applications, particularly Excel and Outlook

Responsibilities

• Monitor IDRE selections and track IDRE selection outcomes
• Review the IDRE selections inbox to identify trends and recurring issues
• Review IDR and selection reports and surface findings
• Maintain and analyze payer-specific and IDRE-specific performance metrics
• Identify emerging payer objection trends and recommend proactive mitigation strategies
• Draft and submit well-supported responses to payer inquiries
• Escalate novel or high-risk requests per defined thresholds
• Help develop the SOP for void request responses and escalations
• Maintain the void request management folder
• Develop client-facing reports and produce them on a recurring schedule
• Monitor client input on reporting needs and turn into report requirements
• Run KPI reports and develop trend summaries
• Report trends and outcomes to leadership as needed

Job description

nimble Solutions seeks an NSA IDR Implementation Manager to monitor selections, analyze trends, and develop data-driven recommendations. You will support SOP development, client reporting, and compliance with the No Surprise Act in a fully remote, fast-paced environment.

Join a market-leading brand serving ambulatory surgery centers, clinics, and hospitals, collaborating with executive leadership and cross-functional teams to optimize dispute resolution performance.